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    Foreign literature and the surgical cases they try to apply in China are mainly for atrial septal defect repair, ventricular septal defect repair, valve replacement and myxoma removal.  An obvious feature of these surgeries is that they involve structures within the heart.  Probing the inside of the heart is a strong suit of esophageal ultrasound.  The purpose of esophageal ultrasound for this type of surgery is simple. It can detect these intracardiac structures in real time, allowing doctors to adjust surgical plans and observe postoperative repair results.

    It seems that Xie¡¯s use of tee to perform hepatobiliary surgery is definitely a national initiative.  Guozhi has never been used in such cases.  Boss Zhang dares to vouch for this.

    Like other hospital doctors at the exchange meeting, he wanted to know who came up with the original idea.  Helpless, Tao Zhijie was confused at the exchange meeting, and everyone in the National Association pretended to be dumb.  Even if he later went to the National Association for his mother's affairs, a group of people still kept it from him.

    Now he is becoming more and more certain that classmate Xie did this.  Look at the calm expression on her face through the leaded glass window. Don't think she is faking it. As a boss, he can see that Xie is really not faking it.  Then capture the intriguing expressions of those National Association people.  Two pieces of evidence support his conjecture.

    When a group of people from the National Association realized that Mr. Zhang was looking over from the corner of his eyes, they pretended to be stern.

    Xie Wanying, who was in the operating room, was thinking about what Teacher Du wanted to detect by using this esophageal ultrasound during the operation. It was definitely not the method she used for extrahepatobiliary surgery.

    "What could it be?"

    The voice was close to her ear.  Xie Wanying turned her head and saw Senior Brother Shen wearing a surgical mask, with only two bird-like eyebrows and bright bright eyes exposed outside the mask.

    Shen Youhuan gave her a smiling look: You are familiar with vascular ultrasound, and you also know something about esophageal ultrasound, right?

    The senior brother wanted to have a technical exchange with her. It was a rare opportunity. Xie Wanying didn't think twice about seizing the opportunity and said: "According to the preoperative examination results of the patient, intraoperative esophageal ultrasound and repairing defects to monitor valves are out of reach."  . There are only two possibilities left. One is that there may be a tumor in the right ventricle that needs intraoperative monitoring, and esophageal ultrasound can help. Secondly, Teacher Du may want to use esophageal ultrasound to find fistulas."

    Everyone knows what she said about the former, but what about the latter?

    "Fistula?" Dr. Pang immediately turned around and expressed surprise, "What kind of fistula?"

    After all, the cardiopulmonary bypass specialist is not a cardiovascular clinician, so his response is a little slower.

    "It's a coronary artery fistula." Shen Youhuan answered for the junior sister.

    ¡°Senior Brother Shen immediately understood what she said, he is very skilled.  Xie Wanying thought.

    Will the heart develop a fistula?  The definition of fistula has been mentioned before. Two places that are not connected are connected. This abnormal opening is called a fistula opening, and the abnormal passage is called a fistula tract.

    The heart is the same, except it is a closed organ connected to several large blood vessels.  As long as it is closed, it is normal for a fistula to suddenly open to the outside.  There is a distinction to be made here.  A heart rupture causing internal and external communication is the same as the rupture of other organs and cannot be called a fistula.  Therefore, a cardiac fistula refers to an abnormal communication channel between the blood vessels of the heart, such as the left and right coronary arteries, and the heart or other large blood vessels.  Such fistulas are often congenital and patients may be asymptomatic.

    Considering the patient undergoing surgery today, the surgeon probably suspected that the patient might have a fistula after being injured.  Some fistulas may not be obvious if they are not completely opened. If the knife is moved, the original shape of the fistula will be revealed.

    Purple Pen Literature (remember the website address: www.hlnovel.com
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