In Domingo Paul's opinion, the sun was no longer shining brightly.
He had just become the King of Cardiovascular Surgery. Before he could set off an uproar in the academic world and crown himself, he had to face the challenge of another surgeon who was no weaker than him.
However, Domingo Paul was more curious than worried.
In his opinion, interventional surgery could not complete the treatment of dilated cardiomyopathy.
He began to review the video information left by the surgeon in the live broadcast room. All kinds of surgeries were performed brilliantly.
Although the percentage of surgeries related to cardiothoracic surgery was not high, it proved that whether the surgeon in the live broadcast room was a single person or a team, their level was extremely high.
If Batista surgery was performed, Domingo Paul felt that the other party had a chance of success. However, interventional surgery for advanced dilated cardiomyopathy …
Domingo Paul had never figured out how to do this kind of surgery.
It was getting late. He did not even have an appetite for dinner. The fire of curiosity in his heart had ignited his entire body.
There was a laptop in front of him. He had read the patient's information countless times. The patient's condition was extremely serious. Domingo Paul estimated that if Batista surgery was performed, at least 400 grams of myocardium would be removed.
This was a surgical taboo. The 20% mortality rate had soared to almost 100%.
If he were to choose, he would definitely refuse to perform surgery on this patient. No matter how much money the patient's family donated to his medical center, he would not hesitate to refuse this kind of surgery with a 100% mortality rate!
After all, no one wanted the patient they had worked so hard to not only fail to prolong his life, but also die during the postoperative critical period.
What was the surgeon in the live broadcast room going to do? This question had been lingering in Domingo Paul's mind.
After thinking about it countless times, he finally concluded that this was an impossible surgery.
Interventional surgery was used in the heart, mainly to open the coronary blood vessels, seal the valve insufficiency, and open the narrowed valve.
These surgeries had internal logic. Interventional surgery was a surgical method that did not cause major trauma.
However, advanced dilated cardiomyopathy required the removal of a large number of dilated and proliferated myocardium. Logically speaking, interventional surgery was not suitable at all.
He refused all business activities and did not go home. Instead, he quietly waited for the surgery to begin.
Time passed by minute by minute. At 21: 50, the screen of the live broadcast room lit up.
The double operative field appeared in front of Domingo Paolo.
According to the previous brief introduction, Domingo Paolo knew that the surgery was performed by interventional surgery under the guidance of DSA and a small thoracic incision.
The two operative views were within his expectations.
Although he believed that interventional surgery could not achieve what Batista's surgery could, he had a bad feeling in his heart.
Not for anything else, but because this was a live surgery!
If the surgeon did not have full confidence, who would dare to perform a surgery that was destined to "fail" in front of the world's peers!
Domingo Paulo sent all his assistants home and remained in the studio. The quiet night made him feel as if he could hear his own heartbeat.
With a few minutes to go, Domingo Paulo got up and made a cup of coffee.
Back in front of the computer, a number came into view.
The number of viewers in the live broadcast room had exceeded six digits, which meant that there were more than 100,000 doctors around the world watching this surgery.
As the time approached, the number continued to skyrocket.
The numbers were changing almost every second. This was the first time Domingo Paul could remember watching the surgery at the same time.
It seemed that everyone was very interested in the new method of interventional surgery.
Domingo Paulo watched quietly. For him, this was a reckless challenge, a challenge to his dignity as a king.
Finally, it was 22 o 'clock sharp and the surgery began.
The first operative field was left untouched, and the second operative field was performed with a thoracotomy.
The small incision on the left side of the chest was about six centimeters wide. The sharp scalpel cut through the skin, and blood slowly flowed out, giving the whole scene a more realistic look. At this moment, Domingo Paolo seemed to smell the scent of blood.
The scalpel was not a standard scalpel. Every time he saw the beautiful arc of the lancet, Domingo Paulo felt a little envious.
Such a blade cost 233 US dollars, and it was not something that could be used at will. This kind of blade needed to be custom made.
Domingo Paulo thought to himself, "What an extravagant surgeon."
As soon as the blood gushed out, the gauze in the assistant's hand fell. The gauze was dipped in blood, wiped clean, and tapped a few times. The hemostatic forceps began to bluntly separate the subcutaneous tissue and muscle.
Everything was perfect from the thoracotomy.
The pleura was opened, the operative field was opened, and one-lung ventilation was carried out.
At the same time, the first operative field was lit up. When the mediastinum was cut open and the heart was exposed, a guide wire entered the superior vena cava from the jugular vein, then reached the right atrium, and entered the right ventricle through the tricuspid valve.
From the surgeon's point of view, the huge heart appeared in front of Domingo Paulo's eyes. Because the incision was relatively small, the full picture of the heart could not be seen.
Domingo Paulo immediately put himself in the shoes of the surgery. If it were him, he would probably have started preparing for cardiopulmonary bypass.
At this moment, in the first operative field, the guide wire had reached the part of the right ventricle near the ventricular septum.
The J-shaped gaiding tube was attached to the ventricular septum. The interventional surgeon then set a fixed anchor point and immediately began the puncture.
What were they trying to do? Domingo Paulo was stunned.
On the DSA guided screen, he could clearly see the huge left ventricle beating hard. The puncture needle had already passed through the ventricular septum and entered the left ventricular cavity.
Because of dilated cardiomyopathy, the patient's left ventricular cavity could be said to be huge.
'How childish,' Domingo Paulo thought to himself.
The surgeon seemed to want to use the puncture needle to penetrate the entire left ventricle. Domingo Paulo had no idea how to do it.
However, he judged that the probability of success was extremely low.
Because the puncture had to be done in a J-shaped tube, the puncture needle had a strong elasticity. It was not a straight, hard steel needle.
Although the patient had dilated cardiomyopathy and a reduced ejection fraction, the blood flow in the left ventricle was still extremely fast as the heart pulsed.
Under the impact of the high-speed blood flow, it was impossible for the tough puncture needle to maintain a straight line and reach the position the surgeon wanted.
Domingo Paulo really did not know what the surgeon was thinking!
Although he did not understand what the surgeon meant, from this step, at least the cardiopulmonary bypass had to be established and the heart stopped beating. Only then would the puncture be successful.
What the surgeon was doing was simply too childish!
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