Chapter 2546： 【2546】Pruning

Chapter 2546 [2546] Trimming

The right atrium of the recipient is removed, leaving only the left atrium, and the rest remain unchanged. This can avoid the drawbacks of having two sinoatrial nodes, while saving the most troublesome left atrial pulmonary vein anastomosis time.

Dr. Ye Chuanguang quickly heard that they may have to adopt the double-caval method or the whole-heart method, because if the double-chamber method is used, there is no need to specially instruct to reserve sufficient length of the vena cava to facilitate the subsequent surgical anastomosis of the donor and recipient.

Specifically, will such a nine-year-old child challenge the most difficult whole-heart method? It is estimated that he will wait until the donor heart is sent to the first operating room, and then we will see the situation when it is placed in the child's thoracic pericardium.

Finally, now that he knew what surgery they might be planning to use, Dr. Ye Chuanguang said to them, "I will help you to trim it as carefully as possible to make it easier for you to operate. After all, the journey is quite long."

The hospital opposite is willing to take the initiative to help, Xie Wanying and her teacher must be grateful.

After the donor heart is taken out from the donor, the surgeon will do preliminary trimming. Like before, if there is no requirement on the side of the capital, the surgeon will come by himself, and he will not say that the length of the superior and inferior vena cava of the right atrium should be reserved.

Knowing that they may need double vena cava or whole-heart anastomosis, Dr. Ye Chuanguang, who is also a cardiac surgeon and has done heart transplantation, knows that the anastomotic end of the pulmonary veins on both sides of the left atrium is the most difficult to handle. As the doctor who took the donor heart, he could help his colleagues to repair this place one step ahead: remove all the tissue between the left superior and inferior pulmonary vein group and the right superior and inferior pulmonary vein group on the posterior wall of the left atrium, turning it into two large The cuff, the anastomotic end of the receptor, suddenly changed from four to two, reducing the suture steps.

In this way, the matters that need to be coordinated are basically over, and after verifying that other conditions are correct. Just waiting for Dr. Duan to fly to the First Affiliated Hospital of Zhongshan Medical Center with classmate Pan to take a confession.

Rough steps estimated to fly around for many hours, no need to rush the child into the operating room. Xie Wanying and Wei can go to PICU to accompany Zhu Xing first.

Zhu Xing looked at his brothers and sisters and said, "When will my sister come back?"

After living in PICU for a period of time, this kid actually has the consciousness of being a big brother. Don't worry about yourself, first worry about the situation of the little sister in the next bed.

For Xiaohui's surgery, Xie Wanying and classmate Wei remembered that when they were in the doctor's office, they seemed to have heard other doctors mention that the donor heart that Xiaohui needed was not far from the capital. Dr. Han took the hospital ambulance to the destination hospital and came back. It is estimated that four hours will be enough. No wonder Xiaohui was pushed into the operating room early to prepare.

According to this schedule, Xiaohui should be ready to open her chest now after anesthesia. The specific start time of the thoracotomy should be waiting for Dr. Han to confirm the donation at the donor's hospital.

The operation cannot be started too early, and the operation time is too long, which is a kind of harm to the child. More importantly, I am afraid that there will be variables when taking offerings. For example, when Dr. Han went there, he found that the donated heart did not match the previously reported patients who were not suitable for him, so he could only refuse it. The probability of this variable is very low, but no one can say anything until the thing is obtained.

Later, you will find that the size of the donor heart is the same as the liver transplant that Xie experienced last time. It is by no means the most feared thing in organ transplantation.

After children Zhu Xing fell asleep, Xie Wanying and Wei Shangquan walked out of the PICU.

(end of this chapter)