Dr. Charles Moore nodded. He was a little tired because of the disease and did not put on a pair of sterile gloves to continue the dissection with Zheng Ren. Instead, he turned around and waved his hand before returning to his seat.
Zheng Ren knew that coronary artery ectasia was very rare and there was no particularly good treatment for it. Stent implantation was one method.
However, Dr. Charles Moore was in the Mayo Clinic, known as the world's best hospital for heart treatment. There was no reason why he could not remove a stent.
The condition was a little confusing because the System panel was only light red. It was probably not serious. What troubled Dr. Charles Moore might be stable angina pectoris.
This kind of angina pectoris was the same as angina pectoris caused by myocardial ischemia, but it was not fatal.
Zheng Ren was a little curious. The old man's dissection technique was the most exquisite he had seen so far. The previous discussion seemed to have opened a new door, so Zheng Ren wanted to ask about the specific situation.
He took off his gloves. Before Zheng Ren could say anything, a person rushed in.
"Doctor Zheng, why are you here?" Professor Danilo Acosta asked.
Zheng Ren smiled and asked, "Has the preoperative preparation been completed?"
"Yes. If your time permits, you can start the surgery at any time." Danilo's words were more polite, but his expression betrayed his inner thoughts.
He was very impatient, especially impatient.
"Speak quietly," Dr. Charles Moore's assistant scolded.
Danilo rushed in in a hurry and did not notice who was sitting inside. He had not slept all night and was mentally and physically exhausted. He was also very angry and turned his head to scold someone.
However, the moment he saw Dr. Charles Moore, all the anger on his face seemed to be blown away by a strong wind. He said gently and humbly, "Hello, Dr. Charles. Why are you here?"
Dr. Charles Moore closed his eyes and asked softly with a slight frown, "What surgery?"
"There were some problems when we were studying nephrogenic hypertension. We consulted Doctor Zheng and he thought that surgery could be done. After … "
"Is it the topic of percutaneous radiofrequency ablation to deal with renal sympathetic nerves?" Dr. Charles Moore asked.
"Yes, yes," Danilo answered immediately.
"Oh, see, I told you that interventional surgery has no future." Dr. Charles Moore opened his eyes slightly and glanced at him. "What happened? How are you going to deal with it?"
"I think the process of radiofrequency ablation caused the renal sympathetic nerve to fuse with the renal artery, combined with renal artery stenosis, causing the patient to have stubborn hypertension," Zheng Ren said with a smile. "Do a stripping surgery and then place a renal artery stent."
This time, Dr. Charles Moore did not say that interventional surgery had no future. Instead, he thought about it and said, "You guys go ahead with the surgery first. I'll go and take a look later."
Hearing Dr. Charles' words, Danilo felt a weight lift off his chest.
After leaving the lecture hall, Su Yun asked the professor curiously, "Why do I feel that Dr. Charles is biased against interventional surgery?"
Professor Rudolf Wagner smiled helplessly, but his smile was stiff and finally turned into a sigh.
"Stop pretending. Hurry up and tell me." Su Yun was unhappy.
"Brother Yun, nine years ago, Dr. Charles Moore was diagnosed with coronary atherosclerotic heart disease and performed stent surgery. However, there were problems after the surgery, and the symptoms of angina did not ease, "the professor explained.
Zheng Ren's heart skipped a beat when he heard that. He asked, "Is it postoperative coronary artery ectasia?"
"Yes," the professor replied.
As an interventional doctor with ambitions for the Nobel Prize, he called Charles the devil behind his back. How could the professor not know?
Su Yun looked at Zheng Ren disdainfully. This guy said that he was not interested in the Nobel Prize, but in fact, he had secretly investigated the relevant people. Otherwise, how would he know that Dr. Charles Moore had coronary artery ectasia after the surgery if he did not know about such a thing?
"That's a pity. However, there's no possibility of sudden death due to myocardial ischemia. We just need to monitor whether it will form an aneurysm," Zheng Ren said casually.
"It's very easy to form an aneurysm. The degradation and loss of elastic fibers in the middle layer of the coronary blood vessels are considered to be the central link of the disease, but there are many reasons. It's difficult to find a definite cause and treat it." Su Yun had a very detailed understanding of heart diseases. Although it was a rare disease, he casually explained it.
"That's it." Zheng Ren nodded and said, "Although the problem can be solved with a stent under normal circumstances, Mayo has not done it yet. I suspect that there will be more trouble."
"I don't recommend it. Dr. Charles Moore is considered an elderly patient. Without the elastic fibers in the middle layer of the coronary artery, the coronary artery is very thin and fragile. If there's no aneurysm, conservative treatment is still recommended."
Zheng Ren knew that Su Yun was right. This was the common thought of most doctors.
Coronary artery ectasia without an aneurysm was not fatal. The only trouble was that he needed to take warfarin for a long time and face the problem of stable angina pectoris.
It was just pain. Compared to riskier surgery, conservative treatment was better.
However, this also explained why Dr. Charles Moore was biased against interventional surgery.
The coronary stent went in, but it formed a rare coronary artery ectasia. If it were anyone else, they would also have a strong sense of distrust towards interventional surgery.
However, this matter had nothing to do with Zheng Ren. He did not want to get involved in such troublesome treatment. Su Yun was right. All surgeries for elderly patients had to be done carefully. Otherwise, if the surgery failed, they would have to face countless troubles.
When he returned to the laboratory for nephrogenic hypertension, there were many people there. They were all busy. It was completely different from the situation in the early hours of the morning when there were only two doctors and two nurses on night duty.
This was the real Mayo Clinic, Zheng Ren thought to himself.
Professor Rudolf Wagner and Su Yun were in charge of various preoperative documents and procedures. Zheng Ren did not pay attention to their communication.
Although he had the passive skill of language proficiency, Zheng Ren was still not interested in interpersonal communication. He only wanted to perform the surgery.
Through the transparent glass, he looked at the patient lying inside. His blood pressure was very high, and this was under the premise of the anti-hypertensive drugs being pumped.
The situation did not seem to have changed, Zheng Ren thought to himself.
'I'll give it a try.' He then entered the System space, exchanged for surgical training, and began the last surgery simulation before the surgery.
The surgery went smoothly. After all, Zheng Ren had simulated it many times and found the most basic cause of the disease.
Looking at the surgery completion rate of 98%, Zheng Ren was very satisfied.
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