I Can See Health

The clinical days passed day by day.

It seems to be going well, but Jin Miao and Gu Xinyue are getting more and more nervous.

An announcement has been made regarding tricuspid valve repair surgery.

But a month passed and no one came to ask about the surgery.

Kyoto has also announced that tricuspid valve repair has changed from a simulation operation to a clinical trial operation!

Magic City and Kyoto are once again on the same starting line.

"Hey, Lao Gu, I heard that Kyoto is preparing to start clinical operations, and there are already patients enrolled!"

Jin Miao found Gu Xinyue.

The two of them were eating and chatting in the cafeteria of the Fifth Courtyard of the Magic City.

"They have patients enrolled so quickly?" Gu Xinyue said in surprise.

"After all, this is Kyoto!" Jin Miao said, "Most of the difficult patients across the country go to them, and Kyoto Hospital also advertises, and the publicity is much better than ours."

"Then we will fall behind!" Gu Xinyue sighed.

"No way, I don't think Director Lu is in a hurry at all." Jin Miao shook his head slightly and said, "You and Director Lu are old classmates, why don't you go and urge him to promote it quickly?"

"Hey, I know Director Lu Chen's character very well, so there's no point in urging him!"

Gu Xinyue shrugged his shoulders.

"Perhaps in his view, the value of our clinical operation may only occupy a small step in his plan."

Jin Miao echoed, "Oh, I'm really unwilling!"

"Now we just have to wait." Gu Xinyue said, "Modu is also a big city, and Director Lu Chen has a good reputation. There should be more patients coming here."

"hope so."

As soon as Jin Miao finished saying this, his cell phone rang.

Seeing that the caller ID was Lu Chen, Jin Miao quickly picked up the call.

"Director Lu, Lao Gu and I are eating in the cafeteria!"

Lu Chen's laughter came from the other side of the phone.

"Just in time, you two will go back to the department together after dinner."

"What's wrong?"

"Patients undergoing tricuspid valve repair surgery are here!"

Hearing this, Jin Miao was overjoyed and said, "Director, someone is finally here?"

"Don't be too happy too early. The patient's condition is more complex and it may not be easy to treat. You should finish your meal quickly and go back to the department to talk about it."

"Okay, we'll be right back!"

hang up the phone.

Jin Miao quickly urged Gu Xinyue to cook quickly.

"What's wrong?" Gu Xinyue asked in confusion.

"I'm really talking about Cao Cao, Cao Cao is here." Jin Miao stammered with food in his mouth, "Director Lu Chen just told me that a surgery patient is here!"

"Performing tricuspid valve repair surgery?" Gu Xinyue was startled.

"yes!"

"Then hurry up and start cooking!"

The two people's movements were extremely consistent, and they both began to work hard.

…

ten minutes later.

Gu Xinyue and Jin Miao appeared in Lu Chen's office.

"You two are so fast!" Lu Chen smiled, "Weren't you still eating in the cafeteria ten minutes ago?"

"When you called me, I was almost finished eating." Jin Miao touched the back of his head, "That's why it came quickly."

Gu Xinyue curled her lips.

Lao Jin is really telling lies!

When Lu Chen called him, they had just started eating.

"Okay, let's take a look at the patient information first."

Lu Chen said while handing a medical record to the two of them.

"The patient is a 74-year-old male."

"I developed symptoms of chest tightness and heartburn 5 months ago."

"This patient underwent mitral valvuloplasty and right coronary artery stent implantation early in his life."

Jin Miao looked through the patient's examination results.

The cardiac ultrasound showed severe tricuspid valve regurgitation.

Tricuspid regurgitation is a high-incidence and common heart disease.

It is generally caused by pulmonary hypertension, right ventricular enlargement, and tricuspid annular dilation.

Clinical Manifestations Symptoms and signs of tricuspid regurgitation are related to the degree of valvular regurgitation.

The cause of tricuspid regurgitation (left heart failure, pulmonary hypertension, etc.) is often the main manifestation.

After tricuspid regurgitation occurs, right heart failure symptoms such as fatigue, ascites, edema, liver pain, indigestion, and anorexia worsen.

In addition, in the medical records, the patient also had coronary atherosclerotic heart disease, old myocardial infarction, atrial flutter, and cardiac function class III (NYHA classification).

Lu Chen continued: "The patient has been seeking medical treatment for many years. After multidisciplinary discussion, he was determined to be a high-risk patient for traditional surgery, so he decided to undergo transcatheter tricuspid annuloplasty."

This tricuspid annuloplasty is the tricuspid valve repair they have been studying.

"After reading the medical records, you two should share your opinions." Lu Chen looked at the two people in front of him.

Jin Miao looked through the entire case and said in a deep voice: "The patient has a history of thoracotomy, and there is a stent in the entire posterior annulus area of ​​the right crown, which makes the operation extremely difficult!"

Gu Xinyue nodded in agreement: "The patient will definitely not be able to tolerate thoracotomy. But our conventional tricuspid valve repair path is definitely not suitable. I don't have any suitable ideas at the moment."

After a simple analysis by two people, the patient's surgery was very challenging!

"Director Lu, this patient is too risky." Jin Miao said slowly, "How about we wait for other patients?"

In his plan, clinical operations must be simple at the beginning.

As you become more proficient in the surgery, you can gradually perform more difficult procedures.

But from the beginning, it was Wang Zha!

It was a bit unbearable for him!

"I know all the things you said." Lu Chen said seriously, "But do you know why this patient found our Fifth Hospital in the Magic City?"

Jin Miao was silent.

"Because the words of other hospitals are exactly the same as what you said!" Lu Chen continued, "The patient even went to Kyoto No. 1 Hospital and their tricuspid valve repair surgery team, but they rejected him!"

“If we continue to refuse, won’t we be giving the patient a death sentence?”

If the two Huaxia hospitals with the most advanced surgical skills both rejected the patient.

This is basically a death sentence for the patient!

"But... Director." Jin Miao paused, "The difficulty of this operation is extraordinary! What if it fails..."

Jin Miao didn't finish speaking, but Lu Chen knew what he wanted to express.

"The patient's family has already communicated with me." Lu Chen said, "No matter what, they have to try it once. If the operation is successful, the patient can continue to live for a few years. Without the operation, the patient will not only have a short survival period, but also have to live a normal life. If you can’t take care of yourself, there is no guarantee at all.”

All of a sudden.

The atmosphere in the office is a bit quiet.

Seeing this, Gu Xinyue quickly said: "Director Lu, since you have agreed, Lao Jin and I will fully cooperate with you!"

"Okay, as long as you say this!"

Lu Chen smiled.

Seeing this, Jin Miao went to UU to read www. uukanshu.net could only nod slightly to express agreement.

Director Lu agreed.

Now all we have to do is follow behind him and try our best to move forward!

…

After several days of discussions with the heart team.

Lu Chen finally decided to implant their self-developed k-clip (tricuspid valve repair system) in the posterior valve near the septal valve.

After the system is implanted, contraction annuloplasty of the posterior septal annulus is performed in order to improve the regurgitation of the tricuspid valve.

After three days of preoperative preparation.

The first tricuspid valve repair surgery in the Fifth Hospital of Shanghai, or the first in the country, has officially begun!

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