I Can See Health

Guanghai No. 1 Hospital, Cardiology Catheterization Laboratory.

Wang Qingfeng's first TAVR surgery by surgeon is in progress.

Wang Qingfeng completed puncture, catheter entry, and valve pushing in a meticulous manner.

Of course, this is all due to Wang Qingfeng’s several sessions of study in tavr classes.

Let him grow rapidly from a tavr novice to what he is now.

When the artificial valve was stably implanted in the patient's body, Wang Qingfeng breathed a sigh of relief and beamed with joy.

The successful completion of this operation marked that he would officially become a TAVR surgeon from now on.

Next, papers, scientific research, and funds came one after another.

Wang Qingfeng even thought about the scene after he became famous.

…

On the side, Tang Zhanwei nodded with satisfaction.

The attending doctor in front of me, Wang Qingfeng, was pretty good at all kinds of techniques and operations.

If they can be well cultivated, they will definitely become an important member of the surgical team in the future.

"Xiao Wang, you did a good job!" Tang Zhanwei smiled and nodded at Wang Qingfeng, "After the valve is inserted, a post-operative ultrasound will be done. If there are no problems, you can step down."

"OK."

Wang Qingfeng immediately went to push the cardiac ultrasound machine excitedly.

For a successful TAVR operation, the flow rate, size, and pressure of the valve orifice will change significantly before and after the operation.

Through the examination and evaluation of cardiac ultrasound, the success of the operation can be initially judged.

Tang Zhanwei picked up the surgical probe, applied coupling agent, and began to perform the final cardiac ultrasound examination on the patient on the bed.

However, when the ultrasound probe was placed on the patient's heart, Tang Zhanwei felt something was wrong after just a few glances.

Imaging after implantation of the self-expanding valve shows that because the valve is implanted too high, it completely exceeds the valve annulus structure, causing the aortic blood to reflux back into the heart chamber through the lower edge of the valve!

"The position of the valve is a little too high!"

Tang Zhanwei said in a deep voice.

"Ah? Cum... is it high?" Wang Qingfeng looked confused, "No, I was clearly facing each other very neatly just now, so it definitely won't be high!"

"Xiao Wang, take a closer look. The interventional valve and the native aortic root are not completely attached!" Tang Zhanwei pointed to the image.

Wang Qingfeng looked attentively.

Sure enough, an anomaly was discovered.

Because the valve is located high, it is not tightly connected to the aortic root.

"Director, what should we do...?" Wang Qingfeng said nervously, "Can we remedy this?"

Tang Zhanwei's expression was serious and he said in a deep voice: "I just checked with ultrasound, it should be paravalvular leakage!"

Paravalvular leakage means that the valve is not completely attached, resulting in blood reflux around it. A large amount of regurgitation will seriously affect the patient's prognosis.

"F... paravalvular leak?" Wang Qingfeng's face turned pale when he heard this.

Paravalvular leakage is one of the most serious complications of TAVR surgery.

This kind of problem occurred during the first surgery, so his future surgery journey...

"The patient's hemodynamics are still relatively stable. We will temporarily do an aortic root angiogram to evaluate the amount of regurgitation of paravalvular leakage." Tang Zhanwei immediately took remedial measures. "If there is only a small amount of regurgitation, that's fine. We can do nothing for the time being. . If it’s a medium to large amount…”

Tang Zhanwei said nothing, but Wang Qingfeng already understood.

If moderate to large amounts of reflux does occur, trouble will inevitably follow!

…

Active root imaging is a relatively simple operation.

Tang Zhanwei completed the angiography immediately, and the angiography image projection visualized the proximal aorta and the entire left ventricle.

"It's not good. This is at least moderate reflux!" Tang Zhanwei said slowly.

The results of the imaging immediately sentenced Wang Qingfeng to death.

Wang Qingfeng stared blankly at the results in front of him, feeling dazed and remorseful in his heart.

Tang Zhanwei glanced at Wang Qingfeng, "If you are still immersed in self-blame and unable to complete the next operation, then get off the stage, call Yang Shuang over, and let him handle the stage."

Wang Qingfeng came to his senses this time and immediately stood beside Tang Zhanwei.

Because the valve was in poor position, Tang Zhanwei chose a catcher to pull the valve.

"Xiao Wang, if you can use the catcher to lower the valve position, it may be possible to save your operation." Tang Zhanwei said slowly from the side.

"Director, thank you, I'll trouble you next." Wang Qingfeng stood next to Tang Zhanwei, staring at his operations nervously.

Tang Zhanwei took a deep breath.

When he was studying in Kyoto, he also encountered this situation. In the end, the surgeon used a catcher to successfully save the operation.

Recalling the operation in his memory, Tang Zhanwei slowly pushed in the catcher and began to try to adjust the position of the valve.

…

Ten minutes flew by.

Sweat broke out on Tang Zhanwei's forehead.

This kind of delicate work is difficult to master. Once something goes wrong, it is likely to affect the blood vessels.

"No!" Tang Zhanwei finally stopped what he was doing, "It's difficult for the catcher to adjust the patient's valve position."

"What...what should I do?" Wang Qingfeng was extremely anxious, "Should I be transferred to surgery for thoracotomy?"

"This patient came for TAVR surgery because he could not tolerate thoracotomy. Are you asking him to do thoracotomy now?" Tang Zhanwei frowned and was very dissatisfied with Wang Qingfeng's opinion.

Wang Qingfeng lowered his head and remained silent.

"There is another way, use a balloon and then expand it."

Tang Zhanwei said slowly.

However, he has no confidence at all now.

Post-balloon dilatation is mainly used for patients with incomplete valve expansion.

But for the patients on the stage now, paravalvular leakage is mainly caused by the position of the valve being too high.

But now there is no other way but to try it.

Tang Zhanwei pushed in the balloon and slowly expanded it to see if he could adjust the valve to the correct position.

…

Another ten minutes passed.

Tang Zhanwei tried balloon dilation, but it still did not solve the paravalvular leakage.

If the operation is stopped like this, it can only be regarded as a failed operation!

Once the patient's family members are held accountable, Guanghai No. 1 Hospital will definitely bear a great responsibility.

"Xiao Wang, UU Reading www.uukanshu.net Hurry up and invite Director Zuo of the District 1 in your heart!" Tang Zhanwei said in a deep voice, "Let him come over and think of a solution!"

"Okay!" Wang Qingfeng nodded, but he was still complaining in his heart.

It’s only been a few months since Zuo Yaoqun from Heart Area 1 had TAVR surgery?

Invite him here to use wool?

However, Wang Qingfeng could only carry out Tang Zhanwei's order silently.

He walked out of the cath lab and made a call to Director Zuo of the Heart Area 1.

On the phone, Wang Qingfeng briefly explained the situation and invited Zuo Yaoqun to come for consultation.

After hanging up the phone, Wang Qingfeng prepared to walk back to the cath lab.

As soon as he reached the door, he stopped, took out his mobile phone again, opened the address book, and stopped at a strange yet familiar phone number.

Wang Qingfeng gritted his teeth and mustered up the courage to make the call. 16377/10556908