This problem is actually the most important reason that limits the suitability of adult hearts to be placed in young children. It is completely different from liver transplantation. What Xie said about the upper limit of suitable technology is once again reflected here.
?For example, after the donor heart is placed in the recipient, the large donor blood vessel will be thicker than the recipient blood vessel. Especially when a large-diameter cardiac artery blood vessel is used as a recipient of a small-diameter arterial blood vessel, what you have to think of is not as simple as a large-diameter rubber tube being pulled together and barely sutured to a small-diameter section of rubber tube.
What you should think about is that because a pump many times stronger than the original pump is connected to the front of the large-diameter rubber pipe, it becomes a small water pipe and is forced to be connected to a high-pressure water gun. Do you think this small blood vessel will be damaged every minute? Afraid of being overwhelmed by the large flow of blood.
Where will the most vulnerable burst point appear? There is no doubt that the doctor used needles and threads to connect and sew up the anastomosis between the two blood vessels during the operation. Now you can understand why I was afraid of anastomotic leakage after surgery.
In order to prevent the fragile sutures from exploding, reducing the anastomosis is a method. This has been discussed before. Now that the volume of the donor heart is sufficient, doctors can use the double-caval cava method. Of course, the double-caval method is better than the whole-heart method.
However, the surgeon said: Be prepared to agree wholeheartedly.
The first assistant, Dr. Cheng Yuchen, was confused for a moment: Why?
When they heard Yishu¡¯s expression, Sansuke¡¯s classmate Wei and the other medical students watching in the operating room were even more confused. They have no experience and have no idea what problems they are encountering during the current operation.
"Don't say that Dr. Cheng and Classmate Wei are stupid because of this. Duan Sanbao and Pan Shihua, who came back, stood together looking at the surgical field for a long time, thinking about what the surgeon meant.
"I really can't think of a reason. Classmates Pan and Wei habitually look to Classmate Xie for answers.
Living up to their expectations, Xie said the most stubborn words in history: "Because if you do this, the surgery will be more beautiful and perfect."
What! If Dr. Cheng Yuchen hadn't been wearing a mask, her open mouth would have made her stand.
Isn¡¯t this playing the piano randomly? Are you taking big risks just to make the surgery more beautiful and perfect?
"Thank you, classmate, you will be punished for talking nonsense like this."
After waiting for a few seconds, no one saw the chief surgeon¡¯s anger. Dr. Cheng Yuchen was so frightened that he shut his mouth.
A group of people were extremely shocked. As long as the surgeon didn't say anything, it was enough to prove that Xie was right.
how? Do you think the boss's pursuit of perfect and beautiful surgery is taking a big risk regardless of the patient's safety? He is a big shot. I already have technical confidence.
This donor heart is so beautiful and complete, why must its atria be connected to the imperfect recipient atria? The recipient himself suffers from cardiomyopathy, so why keep the diseased myocardium, waiting for the remnants of the disease to remain in the patient's body and find opportunities to do evil? A surgeon takes a scalpel to cut off the disease in the operating room. As long as there is an opportunity, he must cut it as thoroughly as possible.
All classic surgical operations in history show the surgeon¡¯s constant pursuit of perfection. It can be said that the older the surgeon, the more he has this ¡°disadvantage¡± of excellence.
Cao Zhao didn¡¯t care about other people¡¯s mistakes. He was thinking about the two small whirlpools in his eyes under the surgical magnifying glass: Was I being hid something by a bunch of guys again?
(GuoXie member: Yes, touching the teacher¡¯s head is Xie¡¯s forte.)