Chapter 853 4 Petals!

I can see the life value of the main volume Chapter 853 Four-leaf flap! After experiencing this new procedure, Lu Chen also understood a little.

The highest level of the system's TAVR skill card must exceed the expert level!

The expert level only includes the existing procedures.

However, every operation will have innovations every period of time.

Lu Chen's current focus is no longer satisfied with mastering the current procedures, but to deeply explore more procedures to solve more difficult and complicated diseases.

And the aortic stenosis patient from China successfully completed the TAVR operation in Lu Chen's hands.

This time Lu Chen was the chief surgeon, and Yamada Kenji was the first assistant.

"Congratulations, the system upgrade completion rate has increased!"

"Congratulations, received... gratitude value!"

The days at Mayo are very happy, and the gratitude value and system completion rate are rising every day.

...

In a blink of an eye, Lu Chen has been at Mayo for a year.

During this year.

Lu Chen's name began to have a certain influence in Mayo's cardiology department.

In the field of tavr, Lu Chen's ability has been recognized by everyone.

"Lu, our group has a surgical patient, uh, we would like to invite you to consult."

"Lu, your group will receive a patient with severe refractory heart failure tomorrow!"

"Lu, there will be a global cardiology tavr summit next week, and the hospital has decided to send you out to participate."

Lu Chen is doing well in Mayo.

There is not much intrigue here, everyone focuses on clinical and scientific research.

Everyone gets the same salary!

No one is trying to become a manager.

Lu Chen also has scientific research protection time, about 30% of the time per week, can do his own scientific research.

Therefore, Lu Chen joined Kebed's scientific research team.

This place is not like China. As a fellow, Lu Chen cannot form his own scientific research team.

"Lu, regarding the research and development of the latest tavr procedure, we have to improve the entire system." Kebed said to Lu Chen.

As Lu Chen's ability is revealed, Kebed pays more and more attention to Lu Chen.

Even, he hardly manages clinical matters.

All patients are managed by Lu Chen.

"Okay, Mr. Kebed."

Lu Chen understood that Kebed wanted to include their newly created procedure in this year's TAVR guidelines.

However, the rewriting of the guidelines requires the support of evidence-based medicine.

Simply doing one or two operations does not explain any problems at all.

At this time, Kenji Yamada suddenly walked into the office.

"Mr. Kebed, the coronary group has an emergency consultation for a patient, and I would like to ask you to go."

Kebed was stunned, then looked at Lu Chen, "Lu, you go, I still have a lot of things to do in the laboratory."

"Okay." Lu Chen nodded.

Then, Kebed left.

Only Lu Chen and Kenji Yamada were left in the office.

"Mr. Lu Chen, Mr. Kebed's scientific research protection time is 50%, I think he wants to develop to 70% of the time?" Kenji Yamada raised his eyebrows.

"As the attending physician, Kebed has this power." Lu Chen smiled, "Mayo's management is still very humane. Clinical and scientific research can be taken care of at the same time, or one can be emphasized."

Yamada Kenji spread his hands, "Mayo is Mayo, with such resources and conditions. Lu Chenjun, let's go to the coronary artery group. Their patient seems to be quite difficult."

"Okay."

Lu Chen took his stethoscope and went to the coronary intervention group with Yamada Kenji.

...

Mayo's cardiology department is divided into many groups.

Each group has a different focus. For example, the main field of the Kebed group is now TAVR, and other groups include coronary intervention, electrophysiology, congenital heart disease, etc.

Lu Chen and Yamada Kenji came to the office of the coronary intervention group.

Sarat, an African American fellow, was checking the patient's medical records in the office.

Seeing Lu Chen and Yamada Kenji come in, he immediately stood up, "Lu, you are finally here!"

As fellows from the same batch, they now understand the gap between themselves and Lu Chen.

"Where is the patient?" Lu Chen asked.

"The catheterization room!" Sarat said quickly, "I'll take you there now."

"Catheterization room? Patients for surgery?" Lu Chen was stunned.

"Yes!" Sarat introduced while leading the way, "This surgery was originally a coronary intervention, but the patient's aortic valve also had problems, and our group's attending doctors decided to solve it together."

In other hospitals, coronary intervention and TAVR intervention would definitely not be done by the same group.

But at Mayo, every doctor here has many areas of expertise.

Even doctors in the coronary intervention group can do most TAVR surgeries.

"What's the patient's condition now? Why did they ask us to come for a consultation during the operation?" Lu Chen asked in confusion.

"It's just that the valve CT before the operation is not the same as what we found during the operation." Sarat's expression was solemn, "Lu, you'll know when you get to the catheterization room."

...

Mayo Cardiology Department Catheterization Room.

At this time in the No. 3 operating room.

The three surgeons were at a loss for what to do with the patient in front of them.

"Our luck is too bad, we actually encountered a four-leaf aortic valve!"

Casas, as the first assistant in the operation, couldn't help but complain.

This was not found in the preoperative CT scan.

"It's useless to say this now!" Lambert, the attending physician in the group, frowned and said, "The four-leaf aortic valve is difficult to locate. If we do it alone, the success rate is too low!"

The incidence of four-leaf aortic valve is extremely low. For such patients, the TAVR surgery is difficult to locate the valve and there are risks such as coronary artery occlusion after valve implantation!

"Have you called the doctor from the TAVR group?"

"We have already asked for a consultation and they should be on the way." Casas said.

"Okay, let's stabilize the patient's vital signs first and wait for the doctor from the TAVR group to come."

Two minutes later, Lu Chen came to the catheterization room No. 3.

"Lu, you are finally here!"

Lambert was not surprised by Lu Chen's arrival.

In recent consultations for TAVR surgery, Kebed basically did not come, and Lu Chen was asked to do it instead.

But Casas on the side did not say anything.

For Lu Chen, the exam reviewed by fellow was still fresh in his mind, and he was still a little unconvinced.

"What's the patient's condition?" Lu Chen immediately began to look through the patient's medical records.

"We were originally planning to do PCI + TAVR together." Lambert handed the patient's valve CT examination data to Lu Chen.

"We originally expected that the valve disease was not serious, but now we have found a four-leaf deformity."

A normal aortic valve has only three leaflets!

But this patient has an extra leaflet!

Lu Chen looked at the patient's CT intently.

The CT showed a distributed four-leaf valve, with a small sinus, a low coronary artery opening, and long and thick leaflets.

The length of the left and right coronary valve leaflets exceeded the height of STJ!

"We just re-evaluated that the risk of coronary artery obstruction during valve implantation is very high!" Lambert said, "So I invited you here."

Lu Chen looked solemn.

This patient's condition is too special.

Not only coronary artery disease, but also aortic valve disease. Performing two procedures at the same time requires extremely high requirements from the operator!

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