I Can See Health

  Chapter 508 Transposed Deformed Heart!

  CCU Catheterization Lab.

  Cao Zhiying saw Lu Chen in front of him.

   He looked up and down, the boy in front of him had a youthful appearance, still with a bit of a student's bookish air.

  It's hard to believe that such a young man could actually get the "Certificate of Completion" from the Kyoto Institute of Electrophysiology? !

   "Director, Lu Chen is here." Ren Feng stepped forward.

   "Okay." Cao Zhiying nodded slightly, then looked at Cheng Guowen and Lu Chen on the side, "The patient's pacemaker will be handed over to the two of you."

   "No problem..." Cheng Guowen nodded slightly.

   At this moment, Lu Chen was taken aback for a moment, is this asking him to help make a pacemaker?

   But a simple pacemaker implantation, most people in Jinghua Second Hospital can do it!

  Why do you want him to come?

   At this time, Cheng Guowen walked up to Lu Chen.

  Lu Chen said softly, "Hello, Director Cheng."

   "Well, Lu Chen, long time no see." Cheng Guowen nodded slightly, "I asked you for help this time, mainly because this patient is too difficult, with severe heart failure, and the heart rhythm is still a third-degree atrioventricular block..."

   Cheng Guowen briefly introduced the patient's condition.

   "Simply put, the function of placing this pacemaker is not only to increase the heart rate, but also to fight heart failure. But the patient is older, has many underlying diseases, and the surgery is difficult, so I'm not sure."

  Lu Chen immediately understood the meaning of Cheng Guowen.

   This is for him to come to the rescue!

   These director-level figures look down on him. It is really not easy for him to be recognized by so many professors and directors as a graduate student who has not graduated!

   "Lu Chen, did you encounter this operation when you were in the Kyoto Institute of Electrophysiology?" Cheng Guowen looked at Lu Chen slightly nervously.

  Lu Chen nodded slowly: "I did it independently."

   "That's really great!" Cheng Guowen's face brightened.

   Actually, the most important point, Cheng Guowen did not say.

   That is the identity of this patient is too special!

   is said to be an important member of the provincial health department and their immediate boss!

   "Then let's put a pacemaker on the patient first." Cheng Guowen said, "After we have raised the patient's heart rate, Director Cao will perform coronary surgery. It may be simpler in this way."

   "Okay." Lu Chen nodded.

   Cheng Guowen, as the first person in the field of electrophysiology of Jinghua, can treat a young man like this, it is the first time!

  …

  CCU conduit room.

   Everyone looked at Lu Chen who was talking to Cheng Guowen in amazement.

   "Lu Chen is too good. Director Cheng is almost always asking Lu Chen's opinion."

   "Although this Lu Chen has won some awards, this is not necessary for Director Cheng."

   "Yes, I feel a little too much! Why should a student be involved in such an important operation?"

  On the scene, only Lei Cui remained silent.

   She stared at Lu Chen in the catheterization room with a gloomy face.

   In the assessment that year, it was only one difference, and she lost the qualification to go to the national assessment.

  If she has the opportunity to enter the Kyoto electrophysiology training class, the person standing in it now might be her!

   is really hateful!

  …

  Sun Guoguo looked at Lu Chen in the catheterization room in amazement.

   Junior Brother is very powerful, she knows it.

   But what I didn't expect was that the junior and junior brothers could actually discuss the illness with these director-level figures!

   This is something she never imagined.

   It seems that Junior Brother Lu Chen's development has far exceeded most people's imaginations!

  …

  Lu Chen put on surgical gloves, and Cheng Guowen stood aside as an assistant.

   "Director, then I'll start!"

"it is good!"

   Cheng Guowen nodded slightly, Lu Chen immediately started!

   In his mind, scenes of previous electrophysiological surgeries immediately appeared.

  Whether in real surgery or in system training, the implantation process of the anti-heart failure pacemaker was quickly projected in his mind.

  The piercing begins!

   The first step in all interventional procedures is puncture.

   Lu Chen's puncture process was extremely silky.

  From the selected puncture point to the insertion of the puncture needle, it is as if the locator is installed.

Cheng Guowen on the side of    was also amazed.

   This kind of skillful technique can be seen in a student, as expected of a person who has obtained the "Certificate of Completion" of Kyoto Electrophysiology Training!

   Cao Xinxin and Ren Feng glanced at each other and could see the surprise in each other's eyes.

   However, this is just the beginning!

   The technical difficulty of implanting an anti-heart failure pacemaker lies in overcoming the anatomical variation and the risk of heart failure caused by a large heart.

  Complete the implantation of 3 pacing electrodes, especially the special site implantation of left ventricular electrodes through the coronary vein, which has extremely high quality requirements for the surgeon!

  The end of the puncture is the entry of the guide wire and electrode.

   Implantation can only be done by placing the electrodes in the designated positions.

   However, the position of this electrode will change due to the size of the heart and the shape of the blood vessels.

   As the electrodes entered, Lu Chen began to run into trouble.

   "Not very good, the patient's heart is too big." Lu Chen frowned.

   A normal human heart is the size of a pear.

   But if heart failure occurs, the heart will slowly expand in order to compensate, and finally decompensate changes, and it will even become the size of two fists.

  The heart becomes larger, the transposition deformation is obvious, and the implantation of ventricular electrodes is particularly difficult!

Cheng Guowen on the side of    also looked very serious.

  Although he had already thought that the patient's heart was large and the electrode implantation was difficult, he still underestimated the difficulty!

  CCU conduit room.

  Some of the doctors engaged in electrophysiology immediately saw Lu Chen's current predicament.

   "Let me tell you, this patient's heart is so big! It's hard to place electrodes in the right place!"

   "Aren't you talking nonsense? If this pacemaker is easy to release, then Director Cheng Guowen won't let others release it!"

   "Hey, guess what, can Lu Chen put it in?"

   "I bet on breakfast tomorrow, no!"

   "I bet dinner for a week, yes!"

  …

   "What should I do?" Cheng Guowen frowned deeply and glanced at Lu Chen.

   "Director Cheng, I'll try my best."

   "Do what you can, if it doesn't work, quit, and we'll think of other ways."

  Lu Chen began to slowly probe the electrodes in.

  Each entry step requires continuous imaging of the blood vessels to avoid the electrode deviating from the track.

   "Take a picture!"

   "Take another picture!"

   "Take a picture at the back..."

  Lu Chen controlled the entry of the electrode throughout the entire process, and was extremely cautious in every step.

  Whether it was Cheng Guowen and Cao Zhiying on the field, or everyone on the outside of the field, they all breathed a sigh of relief.

The    electrode pads slowly probed towards the left ventricle, and the dawn of victory seemed to be in sight.

  Finally, after receiving a lot of X-rays, the electrode position of the left ventricular electrode is finally perfect!

   However, this step alone took nearly an hour.

   (end of this chapter)