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Chapter 228 Success or failure is here(1/2)

"Due to long-term reflux of blood in the heart, the front wall of the right ventricle is constantly impacted, which ultimately leads to myocardial hypertrophy!"

Liu Dongfang looked at the huge heart in front of him, his words full of worry.

What kind of suffering did he go through to make his heart deformed to this extent!

"Director Liu, what should we do next?"

the nurse asked softly.

After all, this was the first time she encountered such a serious situation, so she seemed a little overwhelmed.

Following the question, everyone turned their attention to Liu Dongfang again, waiting for his instructions.

"It can only be cut!"

"And a large area was removed!"

Liu Dongfang frowned. As he continued to explore further, he found that Linlin's right ventricular output tract had been squeezed by surrounding tissues to the point of severe stenosis.

If left untreated, once obstruction occurs and blood cannot be supplied to the heart, necrosis will occur!

At that time, I am afraid that even if you want to undergo surgery, it will not help!

"Mostly removed..."

As soon as this statement came out, everyone fell into silence.

Duan Kailiang on the side could no longer control his emotions.

"She's only eight years old!"

Duan Kailiang's expression was painful, and his eyes were full of unbearability.

As a doctor, he understands Linlin's current situation.

Although I can’t bear it, the surgery is imminent!

"Prepare 4°C cold-blood cardioplegia solution!"

Liu Dongfang no longer hesitated, and as the order was issued, the circulating nurse handed over the prepared cardioplegia solution.

A transparent, colorless liquid, although it looks unremarkable, its effects are extremely obvious!

Liu Dongfang followed the entrance of the coronary artery and poured cardioplegia solution into the heart.

The heart that was beating fast suddenly lost its vitality during the teleportation!

Plop, plop...

The heart beats slower and slower.

Everyone's hearts were already in their throats.

"Is it really okay to stop the heart?"

The circulating nurse was a little scared. After all, she had never seen an artificial stop in all her years!

If something goes wrong accidentally, the consequences will be unimaginable...

Following her inquiry, everyone turned their attention to Liu Dongfang again.

“Even though it’s called cardioplegia, it actually protects the myocardium!”

Liu Dongfang stared intently at his heart, which was gradually filled with cardioplegia.

With a long beep, the beating wavy line on the monitor suddenly turned into a straight line!

Heart stopped!

This is the first thought that flashes in everyone’s mind!

"ECMO changes to low temperature and low flow mode!"

"The ventilator starts PCV command ventilation!"

Following the order, everyone woke up as if from a dream!

They quickly started various tasks according to Liu Dongfang's request.

Between life and death, there is no room for carelessness!

Liu Dongfang narrowed his eyes slightly and stared at the various values ​​​​on the instrument!

Although he stood there like a sculpture, his brain was running at high speed, calculating the entire operation process!

"The anterior wall of the right ventricle was cut and the polyester fabric was used to repair the ventricular septal defect. It took 3 minutes!"

"Remove part of the supraventricular ridge, isolate the hypertrophic myocardium of the anterior wall of the right ventricle, and use a transannular patch to improve the stenosis of the right ventricular output tract. It took 7 minutes!"

Suddenly, a light flashed in Liu Dongfang's eyes!

He picked up the scalpel and started the operation based on the results he had just deduced!

At this moment, every second is particularly precious!

Although Linlin relies on ECMO, she can temporarily maintain basic life metabolism.

But when the heart stops beating, even if there is cardioplegia to protect the myocardium, it cannot last too long!

"10mm polyester fabric piece, ready!"

Liu Dongfang cut open the heart and saw the defective ventricular septum at a glance.

The 8x microscope turns on instantly!

12mm defect, accurately positioned!

Liu Dongfang took the polyester fabric piece handed to him, passed the corner needle through the myocardium, and sutured it with absorbable thread!

Only by solving the problem of ventricular septal defect first can we lay the foundation for the next operation.

Liu Dongfang concentrated his attention and his eyes were bright and clear!

His hands didn't stop, threading needles and threads, and in just a moment, he repaired the defective parts completely.

With the last stitch, Liu Dongfang gently pulled the corner needle, and the entire defect was covered with polyester fabric!

Seams perfectly, leaving no gaps!

It took 2 minutes and 30 seconds!

It was 30 seconds shorter than Liu Dongfang expected!

Everyone's eyes were blurred, as the originally broken heart had been repaired!

Before they could recover, Liu Dongfang had already moved his position and started preparing for the next stage of the operation.

"This is too fast!"

Everyone was shocked!

Originally they thought this would be a difficult surgical operation!

After all, it involves heart surgery, so everyone is extremely careful!

Even the simplest ventricular septal defect repair surgery must be carried out under absolutely foolproof conditions!

However!

The scene in front of them made everyone shaken in their hearts.

So much so that it gives them an illusion!

The operation Liu Dongfang performed was just the simplest surgical operation!

but!

Duan Kailiang, who is also a thoracic and cardiothoracic surgeon, doesn’t think so!

After all, the heart is the most important organ of the human body. If you are not careful, you will lose everything!

But now!

Liu Dongfang single-handedly reversed this situation!

"Director Liu, if it were you, Linlin would be fine!"

Duan Kailiang clenched his fists, feeling extremely excited!

but!

Liu Dongfang, who was on the operating table, did not notice the changes in everyone's emotions.

Because at this time, he had spent all his energy on the operation to remove most of the ventricular wall.

"Prepare to block the blood flow supply to the heart!"

After ventricular septal repair, Liu Dongfang had to rapidly expand the narrowed right ventricular output tract in order to increase circulating blood volume.

Therefore, before performing resection surgery, the risk of intraoperative bleeding must be reduced!

Following Liu Dongfang's instructions, two hemostatic forceps were handed over.

Liu Dongfang directly hooked the hemostatic forceps with his thumb and ring finger to clamp the upper and lower large blood vessels supplying the heart!
To be continued...
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