He Chao is a PhD, a PhD graduate from Ruijin Hospital of Shanghai Jiaotong University. He did not stay in Shanghai and returned to his hometown in the capital.

He was passionate about first aid and came to the emergency center and successfully became an ordinary resident!

This is the capital!

A doctoral student who has not been graduating can only work as a resident doctor.

In He Chao's eyes, the most powerful person in the emergency center is Dean Wu. He is a genius and a versatile talent. He is extremely proficient in first aid surgery!

Later, after coming to the sixth department of emergency department, the hero in He Chao's eyes was Yu Yonggang, who was a man who refused to give in.

And now, the idol in He Chao's eyes is Chen Cang!

This man full of mystery and legend!

He is about the same age as himself, but the calmness and calmness in facing patients is his dream quality.

Chen Cang smiled and looked at He Chao: "I don't even believe me! Go and prepare!"

After saying that, Chen Cang turned around and said to Xu Ziming, Ma Yuehui: "Contact the operating room and prepare for the operation!"

When Xu Ziming heard Chen Cang say this, he naturally felt a little more excited!

Marfan syndrome surgery!

Ascending aorta + total aortic arch replacement surgery!

The top-level difficult surgery in domestic cardiac surgery, the number of people in charge can be counted with two hands!

Xu Ziming felt that being with Chen Cang really could learn a lot.

Ma Yuehui was not idle and started to prepare.

Chen Cang walked to the bed, looked at Tian Zhengkai, looked at him deeply, and without saying a word, he got up and walked towards the operating room.

"Prepare for the surgery!"

...

...

At this moment, Chen Cang suddenly thought of Director Li Baoshan and Li!

He and his teachers are experts in the field of abdominal aortic replacement surgery.

At this moment, he finally understood why trust was disappointed?

When my teacher is sick and lying in front of him, it is really difficult to face such an operation!

The teacher believes in you and is willing to hand over yourself to you!

Chen Cang stood in the locker room and was about to lock his phone up and did the operation seriously. Suddenly hesitated, picked it up, and edited a text message to Li Baoshan:

"We have organized thousands of rescues, succeeded and failed. It is precisely because of the deep experience of this painful skin that I can resolutely protect the last acre of land in the heart of the man. Doctors are humans, not gods!"

Chen Cang didn't say anything, but just sent it lightly, and he believed Director Li would understand.

He hopes to untie Director Li's knot.

In the operating room, Zhou He is an anesthesiologist.

Chen Cang, Xu Ziming, Ma Yuehui and He Chao are ready.

The operation is about to begin.

Chen Cang spent his favorability and learned to be master.

[Ascending aorta replacement] + [Total arterial arch replacement]!

The favorability has disappeared, but fortunately, some favorability can be revealed from time to time, otherwise it would be really not enough.

Now Chen Cang suddenly misses Teacher Meng a little. If she were here, she would be shocked from time to time, and there would be no problem in gaining favorability.

The operation begins!

Chen Cang was focused at this time, and now he was useless to think about anything.

Gently cut the incision in the middle of the sternum, and then appropriately extend the incision to the left supraclavicular fossa, because a total arch replacement must be performed.

Fortunately, I won’t do abdominal aorta replacement this time, otherwise, the mouth will be more than one meter long, from the chest to the big abdomen, along the abdomen to the anterior superior iliac spine!

Such an operation is really too difficult.

“Build an extracorporeal circulation!”

"In a while, deep and low-temperature circulation stopping technology should be used to handle the intravenous cannulation."

Chen Cang made arrangements in an orderly manner, and the few people around him kept it silently in his heart.

...

These are all preparations. After doing everything, Chen Cang found the guy who was responsible for the culprit!

This aortic dissection aneurysm of the bulging sac.

However, when Chen Cang saw the entire aorta, he couldn't help but his eyebrows were tightened.

The crimson ascending aorta dissection, the red aortic arch, and the descending aorta color can feel a faint color.

What does this mean?

[Aortic dissection: lv85, Elite Monster, Aortic dissection caused by the rupture of the aortic endarterial in the early stage of Marfan syndrome, with a large range, so it is recommended to replace it!]

Level 85 surgery, the level is not low!

And the lord monster... it seems that the system believes that the aorta replacement is not involved, so it is believed that the operation is not difficult and is just an elite monster.

Chen Cang guessed that a complete set of Mafan syndrome surgery should be a lord monster above level 95!

I'm just a first-stage surgery at the moment.

Chen Cang blocked the ascending aorta 3cm away from the initiation of the nameless artery and incised the arterial dissection.

"Cardous arrest fluid!"

After Chen Cang took it, he carefully injected cardiac arrest fluid through the left and right coronary arteries. After cardiac arrest, he switched to continuous reverse permeation to protect the myocardium.

This is a protection for cardiomyocytes.

Because the dissection at this time has affected the junction of the aortic valve, Chen Cang must strengthen the junction with mattress-type suture at the corresponding junction.

Then, a circle of felt strips were added directly to the inner and outer membranes of the aorta, and said to Xu Ziming beside him: "Use 4-0 polypropylene thread to reinforce the suture."

When Xu Ziming heard this, he quickly prepared!

Chen Cang was not idle either. He took out artificial blood vessels of moderate size and used 3-0 polypropylene thread to suture the artificial blood vessels and the roots of the aorta continuously!

This process is very fine, and you need to pay careful attention to the opening position of the left and right coronary arteries to avoid affecting the blood supply of the opening.

Chen Cang is still very researched in the field of vascular anastomosis, so the replacement and anastomosis work is relatively smooth.

It was soon time for the intercostal artery to anastomosis!

Several people were silent because the intercostal arteries must be quickly and orderly anastomosis, otherwise the spinal cord ischemia may cause paraplegia!

The intercostal arteries are more often cut and sutured, so cardiac surgery is always competing for time with the god of death!

Chen Cang glanced at Xu Ziming: "I'll repair it!"

After saying that, Chen Cang took the suture and said to him: "Prepare for clamping!"

Ma Yuehui nodded and agreed!

Chen Cang glanced at He Chao: "Please help me hold it in my hands, I'll sew it."

He Chao was a little worried, afraid that he would not do well.

Chen Cang took a look with encouragement: "Those who do surgery must not only be stable in their hands, but also in their hearts. Even if you know that you are going to fail, you must keep calm!"

He Chao took a deep breath and nodded!

There are eleven pairs of intercostal arteries. Except for the first and second intercostal arteries coming from the subclavian artery branch, the other nine pairs of intercostal arteries and a pair of subcostal arteries all come from the thoracic aorta.

Although Chen Cang did not need to be treated all this time, after all, he did not replace the thoracic aorta, but now he is looking at so many blood vessels. It is really difficult to complete the suture in a short time without affecting the blood supply of the spinal cord. He will definitely face this situation when undergoing Marfan syndrome surgery in the future.

It seems that I am not fast enough!

...

...

ps: I am at home recently and people often see a doctor. After seeing a few patients this afternoon, I was taken to someone else's house and saw a few patients.
Chapter completed!