Chapter 1403: The result is out【1403】
“No need for a bridge surgery?”
It’s not just the three vessels that need a bridge surgery. The worst part of this patient is likely not the three-vessel disease.
Returning to the control room, Xie Wanying and Pan Shihua stood with other classmates to continue watching the progress of the surgery in the operating room.
Unlike the manual arm adjustments they made earlier in the operation room, the skilled doctor can now operate the surgery bed on which the patient lies, rotating it to adjust the shooting angle of the angiography machine’s C-arm. This way, the patient’s position can be changed without manual intervention for multi-angle information collection. Advanced medical instruments and surgical tables greatly reduce the burden on medical staff.
The catheter first entered the left coronary artery for angiographic examination. From the structural analysis of the aortic sinus earlier, it was clear that the left and right coronary arteries supplying blood to the heart are a pair of branches from the aorta. The left coronary artery is a short trunk and should not be underestimated for being seemingly shorter than the right coronary artery, but the thickness of the left ventricle is usually greater than that of the right ventricle, indicating the blood supply needs of the left coronary artery are always larger. In the last surgery the patient underwent, a stent was installed in the left anterior descending branch, supplying nearly fifty percent of the blood volume to the left ventricle, which is extremely important.
Contrast agent was injected, and a segment of vessel shadow loss appeared on the computer screen, proving the restenosis within the stent.
The results from the examination matched the pre-surgery predictions made by the group of medical students.
Feng Yicong’s eyebrows raised in delight, as he could finally enjoy the moment — his knowledge hadn’t gone to waste.
Seeing these angiography results, Fu Xinheng told Doctor Seo on the phone, “Severe in-stent restenosis.”
Doctor Seo gasped. “What’s going on? How did the stent become fully blocked in just a few months?”
What to do about restenosis? Don’t rush. The patient’s entire coronary artery condition needs to be thoroughly examined before making a decision.
“Bridge surgery needs to be done, and proper pre-operative planning is necessary,” Fu Xinheng said after reviewing the patient’s comprehensive coronary angiography results.
Today’s PCI is very meaningful, providing a very important reference for their surgical procedure. Another notable significance is discovering another exceptional surgical student.
After the surgery, Jin Tianyu and Doctor Fang went outside to explain the patient’s condition to Mr. Zhou, the patient’s friend. “Severe in-stent restenosis was present, so a cutting balloon angioplasty was temporarily performed to cut away the proliferated fibrous tissue within the stent, allowing the left coronary artery to restore blood flow.”
“Was the stent blockage due to poor handling of the previous surgery?” Mr. Zhou asked.
Some patient family members are always like this, questioning everything, starting with questioning the doctor first. Doctor Seo absolutely didn’t expect that after working hard for this patient all night, the first thing questioned by the family was whether he’d done something wrong.
Jin Tianyu didn’t have the habit of doubting colleagues in front of family members like Doctor Seo. He explained to the family, “He didn’t follow up with medication on schedule post-operation, neglected diet control, didn’t rest, stayed up late for business trips, drank alcohol, and smoked — how could restenosis not happen? Installing a stent doesn’t change his original vascular condition; it only helps him in emergencies. We have already coordinated with the surgery department; after some time, he will be referred for surgical intervention, possibly requiring surgery.”
“Isn’t the issue solved? Do we still need to perform an open-chest surgery?” Mr. Zhou asked hesitantly.
Earlier, they were persistently calling for a surgical referral, as if internal medicine was blocking the patient’s transfer, letting him suffer under their care. Now that the doctors are suggesting the transfer, the family unexpectedly hesitates.