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【2546】pruning

Remove the right atrium of the receptor, leaving only the left atrium, and the others remain unchanged. This can avoid the disadvantages of two sinus nodes, and at the same time save the most troublesome time for left atrium pulmonary vein anastomosis.

Dr. Ye Chuanguang quickly heard that they might have to adopt the double vena cava method or whole-heart surgery method, because if the double vena cava method is used, there is no need to specifically remind you to keep enough vena cava length for subsequent donor receptor surgery.

Is this nine-year-old child challenging the most difficult whole-hearted method? I guess I have to wait until the heart is delivered to the first child's operating room and put it in the pericardium of the child before checking the situation.

Finally, since they knew what tricks they might have planned to take, Dr. Ye Chuanguang said to them: "I will help you trim it as carefully as possible to facilitate your operation. After all, the journey is quite long."

The opposite hospital is willing to take the initiative to help, so Xie Wanying and Shouer's teacher must be very grateful.

When it comes to taking the donor's body, the surgeon needs to do preliminary trimming. For example, if the first person has no requirements, the surgeon will do it himself, and will not say that the length of the right atrium is especially reserved.

Knowing that they may have to have bicava or full-heart anastomosis, Dr. Ye Chuanguang, who is also a cardiac surgeon and has undergone heart transplant surgery, knows that the anastomosis end of the pulmonary vein group on both sides of the left atrium is the most difficult to deal with. As a doctor who receives heart donation,

He can help his colleagues to fix this place in advance: remove the tissue between the upper and lower lung vein group on the left posterior wall of the left atrium and the upper and lower lung vein group on the right lung, and turn it into two large cuffs, which match the receptor

The stitching steps were reduced from four to two at once.

In this way, the matters that need to be coordinated are basically over, and after verifying that other situations are correct, Dr. Duan took Classmate Pan to Zhongshan Medical First Affiliated Hospital to get the heartfelt offering.

It is estimated that the rough steps have been flying for many hours, so there is no need to rush to send the child to the operating room. Xie Wanying and Wei can go to the PICU to accompany the child Zhu Xing before this.

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

After living in PICU for a while, the child actually became a brother. He didn't worry about himself, but was worried about the situation of the little sister in the next bed.

Regarding Xiaohui's operation, Xie Wanying and Wei remembered that when they were in the doctor's office, it seemed that other doctors mentioned that the 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 in preparation.

According to this schedule, Xiaohui should be ready for chest opening now after anesthesia. The specific start time of chest opening surgery should be to wait for Dr. Han to confirm the donor's hospital to get the heart.

The operation cannot be started too early. The long operation time is a harm to the child. More importantly, it is afraid that there will be variables when taking the heart. For example, when Dr. Han went there, he found that the heart was not in line with the previous report.

Patients who are not suitable for them can only refuse. The probability of this variable is very low, but no one can say it well before they get the things.

You will find that the size of the donor heart is like the liver transplant that Mr. Xie experienced last time, and is by no means the most feared thing in organ transplantation.
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