Chapter 845 The Most Difficult Operation!

Time passed quietly.

Lunch was provided by Mayo.

Naturally, it was pizza and sandwiches again.

Lu Chen could only endure it temporarily.

At five o'clock in the afternoon, it was finally Lu Chen's turn.

It was also the last round!

"Members of the last group, prepare to enter the simulated operating room!"

The chief examiner walked into the waiting room.

Several candidates under him, including Lu Chen, all stood up.

Everyone entered the simulated operating room in turn according to their numbers.

…

"Luna, who do you think will be the five fellows this time?"

In the small room of the surgical simulation room, all the examiners gathered together to discuss this exam.

For fairness, as examiners, they can only see the surgical field, but not the people who are doing the actual operation.

As an examiner, Luna smiled, "I've heard of Casas and Sarat. The surgical skills of the man from the island country are also pretty good."

"Yes, the competition this year is really fierce." Another white examiner also echoed, "I see there are several European doctors, and they are also very competitive."

And the fellow in Lu Chen's group, Kebed, has not spoken.

As one of the examiners of this assessment, he sat in the corner of the room.

"Kebed, why don't you speak?" Luna looked at Kebed on the side, "This is not like your style."

"I'm not familiar with these people." Kebed shook his head.

The only one he was familiar with should be the doctor from China, Lu Chen.

"I'm not familiar with these people, I just heard their names." Luna suddenly smiled, "How about we make a bet?"

"Bet?"

Kebed looked at Luna in confusion.

"Let's guess the shortlist this time and see who guesses more." Luna smiled.

Kebed smiled, "Okay, but what do you want to bet on?"

"What do you want to bet on?" Luna looked Kebed up and down.

Kebed pointed at Luna's chest without hesitation.

Luna was shocked and looked at Kebed in disbelief.

I didn't expect that Kebed, who looked so serious, was so bold in private?

"Luna, I want your... stethoscope!"

Kebed's voice reached Luna's ears.

"Ah? What did you say?" Luna was about to accept the unreasonable request, but after hearing Kebed's words, she had to swallow her words back.

"I want your very expensive stethoscope." Kebed grinned, "My stethoscope is broken, and I'm about to buy a new one."

"This... okay." Luna could only accept it, "If I win, then you can treat me to a meal, a very expensive one."

"No problem!" Kebed nodded slightly.

After the two finished discussing, they began to write down the candidates under the witness of the people around them.

Kebed was not familiar with the people who took the fellow exam this time.

However, after listening to everyone's conversation just now, he had his own plan in mind.

He quickly wrote down four candidates, namely Casas, Sarat, Yamada Kenji, and Finna from Europe.

As for the last candidate, Kebed was a little hesitant, and he really couldn't think of anyone for a while.

At this time, a name suddenly popped up in his mind.

The Chinese doctor in the group, Lu Chen!

His clinical ability is definitely beyond reproach, but his surgical ability...

Kebed has never seen it before.

"Choose him?" Kebed was a little troubled.

But he was not familiar with the others.

Instead of choosing others, it would be better to choose Lu Chen!

Kebed thought about it and wrote "Lu Chen" as the last name.

"If I lose, let Lu Chen treat me to a meal." Kebed thought so.

At this time, Luna on the opposite side also wrote down her candidate.

Her five candidates are Casas, Sarath, Kenji Yamada, Finna, and Sitharaman from India!

The first four people are the same for both of them.

It's just that the last one is a different choice for them.

Luna smiled and looked at Kebed's choice, "Kebed, who is this Lu? Judging from the name, he seems to be Chinese? Are you sure? If you want to treat me to a meal, you don't have to be so direct, right?"

"His name is Lu Chen, you should have seen him." Kebed said slowly, "He is a visiting doctor in my group this year."

"Oh, I remember, it's the Chinese doctor who spoke at the case conference?" Luna asked in confusion.

"Yeah, that's right." Kebed nodded.

"Haha." Luna smiled, "Strong clinical ability does not mean surgical ability. I chose Sitharaman from India. I have seen the surgery he performed. Although it is not as good as the first four people, it is not much worse."

Kebed spread his hands, "Miss Luna, you are sure of victory, and then set a trap for me to jump into?"

"Haha." Luna put her hands behind her back, "Don't be so obvious."

...

At this time, Lu Chen was already standing on the operating table.

The first round of assessment, coronary intervention!

The procedure chosen by Mayo is an extremely complex one.

After Lu Chen finished the angiography, he found that the lesions of the simulated heart were very serious.

99% stenosis at the end of the left main trunk.

90% stenosis can be seen at the proximal end of the anterior descending branch, and the middle section of the anterior descending branch is completely occluded.

85% stenosis lesions can be seen at the opening of the circumflex branch; 90% stenosis lesions can be seen at the proximal end of the right coronary artery.

Such a large range of lesions is rare in clinical practice.

Moreover, the simulated anterior descending branch of the heart is a CTO bifurcation lesion, which is also a difficulty in intervention.

Lu Chen quickly went through the operation in his mind.

He has not yet come into contact with this procedure in the system virtual space.

But he has almost developed the advanced skill card "Coronary Intervention".

If it is a real clinical operation, Lu Chen may still be a little hesitant to start.

But this time it is a simulation exercise, and he is still confident that he can complete the entire procedure!

...

Lu Chen first implanted a stent in the anterior bifurcation lesion with the cultte procedure.

Then the CTO lesion of the anterior descending branch was opened forward.

After overcoming various difficulties, the coronary guidewire was finally delivered to the anterior descending branch distal vascular lumen.

Lu Chen treated the anterior bifurcation and anterior descending branch CTO lesions for the simulated heart, and implanted a total of 4 coronary drug treatments during the operation!

"Although it is not perfect, it should be qualified!"

Because this is a simulated operation, it is not as cumbersome as a real operation.

The total time spent on three rounds of operations needs to be controlled within one hour.

If the three operations are not completed on time, they will be automatically eliminated.

Twenty minutes later, Lu Chen finished the coronary artery surgery.

He immediately started the second round of electrophysiological intervention.

Fortunately, the second round of electrophysiological intervention is a more conventional atrial fibrillation ablation.

Lu Chen has performed this type of operation many times in the system virtual space and in real life!

After about fifteen minutes of positioning ablation, he completed this atrial fibrillation ablation.

...

There are twenty-five minutes left.

What Lu Chen needs to do is the final TAVR interventional treatment!

When seeing this TAVR operation, Lu Chen was also a little surprised.

The CT results of the simulated heart showed that the aortic arch was severely tortuous and 3D-shaped.

The aortic valve was a type 0 bicuspid aortic valve, with obvious thickening of the valve leaflets and valve rings.

The most shocking thing was that the heart simulation in front of him was an extremely severe transverse heart!

The difficulty of this operation was the most difficult one Lu Chen had ever seen in reality!

－－－－－－－Off topic－－－－－－

There is one more update, please vote, it’s not too much.