After opening the aorta, the intima of the aortic arch was torn in patches.
The intima at the opening of the brachiocephalic arm was peeled off to form a true and false cavity. The intima of the descending arch was torn by more than two-thirds horizontally.
.0
cm。
Most of the intima at the opening of the true cavity collapsed.
.0
cm。
"Lil Fugui!" Zheng Ren shouted.
"Yes," Professor Rudolf Wagner replied. "Shall we begin now?"
"Get ready. I'll wait for a while."
After saying that, Zheng Ren reached out and slapped a membrane stent artificial blood vessel in his hand.
Stent: 28
mm×100
Mm. The length was suitable.
Zheng Ren inserted the membrane stent artificial blood vessel from the true cavity and released it, allowing the stent to fully expand.
Then, the left subclavian artery was cut from the beginning and the descending aorta was transversed at its opening. A portion of the proximal suture margin of the membrane stent artificial blood vessel was cut off, and the proximal aortic adventitia and intima of the descending aorta were intermittently sutured and fixed with the suture margin of the membrane stent artificial blood vessel.
Using 3-0
Line will Datascope
Four 30mm diameter artificial blood vessels and the proximal incision margin of the descending aorta together with the membrane stent artificial blood
End-to-end anastomosis was performed.
The spare arterial perfusion tube was connected to one side of the four artificial blood vessels and blood was slowly injected into the descending aorta. The four artificial blood vessels were blocked at the proximal end of the side branch, and the descending aorta began to supply blood.
The perfusion flow was 20ml/kg · min.
The left subclavian artery, left common carotid artery, and innominate artery were anastomosed end-to-end with the corresponding branches of the four artificial blood vessels.
One hour and 22 minutes into the operation, the anastomosis of the aortic arch was carried out in an orderly manner.
…
…
At this time, in the observation room on the second floor, Professor Charles sat in a chair, staring at the image on the big screen.
"Doctor, did the surgery go smoothly?" Ludi was a little flustered.
The surgery was quite smooth, but the more it was so, the more flustered he became.
How could Bentall's surgery go so smoothly?
The surgical field was clean, clear, and every step was orderly. The surgeon's technique was so agile that it did not seem human.
Although things were progressing in a good direction, the more Ludi watched, the more frightened he became.
Moreover, it was said that the heart had stopped beating before the surgery. Would there be brain death?
"It's still a perfect surgery. It's as precise as a machine," Professor Charles said.
His English was accented, but it did not hinder his communication with Ludi.
"Doctor, do you think the surgery can …" Ludi asked carefully. Things had already exceeded his expectations. He was like a stray dog that had lost its rigidity and was walking further and further on the unpredictable road.
When he came back with Dr. Charles, he knew that the operation had already begun. Due to the aggravation of the brachiocephalic artery tear and the subsequent cardiac arrest, the condition could no longer be delayed.
After knowing this news, Ludi almost fainted.
In fact, he did not trust Zheng Ren. It was because of Dr. Charles's arrival that Rudi placed his trust in Zheng Ren.
"No need, I'll go." Dr. Charles said, "I haven't performed surgery for many years. The peak of surgery was only in the past. What you are seeing now is the pinnacle of surgery. "
"…" Ludi was stunned.
Dr. Reiner clenched his fists and stood behind Dr. Charles. He was a little angry.
However, he was just angry. He could not find any problems with the surgical process in the video.
If he was on the operating table, he would probably only be able to do this.
Of course, this was just Dr. Rainer's opinion. Deep in his heart, Dr. Rainer was very sure that he could not reach the level of a surgeon.
From the initial dissociation, to the interruption, the establishment of extracorporeal circulation, and the incision of the aortic arch, every step was clean, simple, and quick.
The surgery was done quickly, but it was not simply a matter of hand speed. Although the surgery was fast, it was not chaotic. Every step was methodical. It was as if … Doctor Reiner knew that he was performing the surgery with his most serious attitude, and his speed was several times faster than usual.
Although he was not convinced, he could not refute it.
The anastomosis was obviously a microsurgical anastomosis. The needle hole was not big, and there were no signs of tear or suspected tear in the blood vessels and adventitia.
Every time an anastomosis was completed, the blocking forceps were moved to the proximal end of the anastomosis branch of the four-branched artificial blood vessel so that each anastomosed vessel could supply blood in time.
The position of each move was precise, as if it had been measured with a ruler.
Was this the peak? Rainer was in a trance.
If the patient he had judged dead was rescued, Rainer knew that his confidence would suffer an unprecedented blow.
"Rainer, vascular anastomosis has always been your weakness. I think you can learn a lot from this surgery," Dr. Charles suddenly said.
Dr. Rainer was silent.
Although he knew the truth of the matter, he was still unwilling to admit that his surgery was worse than that of the yellow-skinned young man.
If he was facing his teacher, Dr. Charles, Rainer could still think that his teacher was no longer performing surgery. Even if his previous skills were higher, what was the point?
But even this haze of nothingness brought almost infinite pressure to Dr. Rainer.
That was why he accepted Cleveland's invitation and left Mayo Clinic.
This behavior also indirectly caused Cleveland Clinic to surpass Mayo Clinic in the field of cardiac surgery.
The surgery in front of him, however, was a different concept.
The surgeon was younger than him, and in an era where he should have accumulated experience, the surgeon had already climbed to such a height. What about in the future? What kind of surgeon would he become?
Rainer was a little dazed. He felt as if he had just graduated and was watching Dr. Charles perform surgery.
His heart was filled with infinite respect and admiration.
However, he quickly sobered up and told himself that the person who performed the surgery was the younger surgeon.
The pressure that youth brought to Rainer was far greater than the pressure that Dr. Charles gave him.
Because the surgeon was younger, his limit was not limited here. Because the surgeon was younger, he would dominate the field of cardiothoracic surgery for many years.
At the thought of this, Rainer felt that his heart had begun to hurt.
Before he could get out of the haze of Dr. Charles, he was shrouded in another layer of thicker haze that he could never get rid of.
"Rainer, do you remember I told you that a good surgeon can perform surgery across disciplines?" Dr. Charles asked as he watched the surgery.
"Teacher, I remember," Rainer replied in a trance. His clenched fists had been loosened at some point.
"That's why." Dr. Charles looked at the image on the screen and said, "The purpose of the surgery is simple and clear. As long as you understand the anatomical structure, there is actually no surgery that can't be done. But it's all rooted in one thing — touch. "
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