After being separated from my family, I became a darling of the military region thanks to my medical
Chapter 608 The Line Between Life and Death
In the operating room, the No. 1 shadowless lamp is turned on at full power.
A powerful beam of light shone vertically onto the operating table, illuminating that small space where life and death were intertwined.
Five-month-old Arthur lay on the stage, his small body almost completely submerged in a large sheet of sterile fabric.
Ye Zhen stood at the surgeon's position, with medical magnifying glasses perched on her nose.
Gao Yuan stood opposite, holding the attractant in his hand.
"knife."
Ye Zhen extended her right hand.
Li Hong quickly slapped the scalpel into her palm.
Ye Zhen cut Arthur's sternum open with a single stroke.
The electrocautery followed closely, burning the bleeding points, and the air was filled with the acrid smell of burning flesh.
The sternal expander is inserted into the wound, the gears turn, and the chest cavity is slowly expanded.
Arthur's heart was now completely exposed to view.
too small.
It is only five centimeters long and wide, and its surface is covered with an abnormal dark purple color.
Ye Zhen inserted her fingers into the pericardium, touching the two large blood vessels that were completely reversed.
The right ventricle should be connected to the pulmonary artery, but it is now connected to the large aorta.
The pulmonary artery, which is connected to the left ventricle, has become abnormally thin and fragile due to long-term exposure to high pressure.
"Prepare for extracorporeal circulation."
Ye Zhen spoke very quickly: "Aortic cannulation, superior and inferior vena cava cannulation."
Liu Xiaohe stared intently at the screen from below the stage: "Heparinization complete, ACT target achieved."
Ye Zhen took the scalpel and made incisions in the aorta and right atrium respectively.
Thick, transparent tubes were inserted one by one, and dark red blood instantly gushed into the extracorporeal circulation machine.
The machine emitted a low rumble and began to work in place of the broken heart.
"The temperature is dropping."
"Block the ascending aorta."
A pair of non-traumatic hemostatic forceps was handed over.
Ye Zhen took it, found the right spot, and with a strong pull of her wrist, "click," the blood vessel was completely clamped shut.
"Infuse cardiac arrest fluid."
The clear, ice-cold saline solution, mixed with a high-potassium solution, flows directly into the coronary arteries through the tubes.
The heart, which was still beating weakly, suddenly stopped beating at a low frequency.
Ten seconds later.
The purplish-red heart went completely limp, turning a lifeless grayish-white.
Inside the observation room on the second floor, Williams gripped the glass tightly with both hands, his knuckles turning white from the excessive force.
Brown stood beside him, shaking his head repeatedly.
"Sir, she's really going to cut the main artery."
Brown lowered his voice, his tone filled with disbelief: "This child's coronary artery opening is less than two millimeters wide. If it's cut off and then sewn back on, and it deviates by even half a millimeter, the blood vessel will be blocked by the sutures, and the child won't even have a chance to leave the hospital."
Williams didn't reply, his forehead pressed tightly against the cold glass, his breathing becoming extremely heavy.
He can't.
No cardiac surgeon in all of Europe could do that.
Inside the operating room below the glass, Ye Zhen completely ignored what the people upstairs were thinking.
The most dangerous moment has arrived.
"Scissors."
Ye Zhen took the tissue scissors and deftly cut along the roots of the aorta and pulmonary artery.
The major blood vessel was completely severed.
The fracture exposed the tiny cardiovascular structures inside.
Ye Zhen switched to a more precise pair of ophthalmic scissors, her gaze fixed intently on the root of the aorta.
There are two coronary arteries there that supply the heart with its own blood.
They are so fine that they are almost invisible.
With her wrist suspended in the air, Ye Zhen carefully cut off a circular piece of tissue, along with the surrounding blood vessel wall, along the edge of the opening of the left coronary artery.
This is what is called a "button".
Gao Yuan stood opposite, holding the suction device, barely daring to breathe.
He watched as Ye Zhen painstakingly removed two tissue fragments, each less than three millimeters in diameter, from a surgical field of less than five centimeters.
The walls of blood vessels are as thin as cicada wings.
Ye Zhen soaked the cut coronary artery button in saline solution.
Then, she turned to the severed pulmonary artery.
"We need to transform the original pulmonary artery into the new aorta."
Ye Zhen's voice penetrated the masks and reached Gao Yuan and Liu Xiaohe's ears.
She used a sharp knife to precisely make two small holes at the root of the new aorta.
"7-0 slide line".
Li Hong immediately handed over a sewing needle with thread.
The suture is half again as thin as a human hair, and is almost invisible to the naked eye; it can only be seen with magnifying glasses.
Ye Zhen held the needle holder, clamping the thin needle that was barely visible to the naked eye.
Passing through the edge of the coronary artery button.
Then it passes through a small hole in the new aorta.
Flip your wrist, insert the needle, remove the needle, and pull the thread.
The movements were seamless, with each puncture executed with terrifying precision in both force and angle.
Gao Yuan was in charge of reeling in the line; his fingers were so stiff they ached.
He knew that if he pulled the thread even slightly too hard, the thread, which was thinner than a hair, would sever the fragile blood vessel wall.
"Stay calm."
Ye Zhen said, "Don't look at the hand, look at the lines."
Gao Yuan took a deep breath, forcibly suppressing the panic in his heart, and kept pace with Ye Zhen.
One stitch, two stitches, three stitches, continuous suturing.
Fifteen minutes later, the left coronary artery anastomosis was completed.
Without taking a break, Ye Zhen immediately began the anastomosis of the right coronary artery.
Through the one-way glass, George carried the camera and pushed the lens to its maximum.
On the screen, the Chinese female doctor's hands were frighteningly steady.
There wasn't a single unnecessary tremor.
Brown stumbled back two steps, his back slamming stiffly against the wall.
"God……"
He muttered to himself, "This isn't surgery at all; it's carving patterns on a grain of rice."
Williams turned his head and looked at Brown.
"She did it."
Williams' voice was dry and hoarse: "The coronary arteries are not tortuous, and the anastomosis is absolutely perfect."
Under the operating lights, both coronary arteries were successfully transplanted.
But the surgery wasn't over yet; Ye Zhen had to fix the fatal "flaw" that had allowed Arthur to barely survive until now.
"Traction line, to explore the right atrium."
Ye Zhen gently opened the incision with tissue forceps and immediately saw the atrial septal defect with a diameter of about eight millimeters.
"Autologous pericardial patch".
Li Hong quickly handed over the pre-trimmed pericardial patch.
Ye Zhen swiftly inserted her needle, using continuous suturing to completely seal this life-saving yet deadly passage.
After the leak was repaired, she reversed the severed aorta and pulmonary artery and sutured them to the new ventricular outlets.
For her, suturing thicker blood vessels was a task she could do with her eyes closed.
Forty minutes later.
All vascular reconstruction and malformation repair have been completed.
"exhaust."
Ye Zhen pulled out the air release needle from the top of the ventricle and watched the last few air bubbles drain out with the blood.
"Open aortic clamp".
Gao Yuan gripped the non-damaging pliers, squeezed hard, and released the latch.
Warm blood instantly surged back into Arthur's heart, which had stopped beating for an hour and a half.
Blood flowed rapidly to the heart muscle along the newly sutured coronary artery.
The originally grayish-white heart gradually faded from its bluish-purple hue and regained its rosy color.
The only sound in the catheterization lab was the regular operation of the monitors.
Everyone is waiting.
Will this completely reconstructed heart be able to beat again?
Five seconds, ten seconds, the heart only beat slightly twice, without returning to a normal rhythm.
Liu Xiaohe stared at the monitor: "Ventricular fibrillation!"
The electrocardiogram on the screen turned into a jumbled mess of irregularities.
Gao Yuan's expression changed drastically, and he instinctively reached for the defibrillator's electrode pads.
"Put your hands down."
Ye Zhen slapped Gao Yuan's hand away.
She stared at the rosy heart, her voice extremely steady.
"Prolonged myocardial ischemia is a normal response to reperfusion injury."
"Administer 5 mg of lidocaine."
Liu Xiaohe immediately pushed the medicine into the intravenous channel.
Ye Zhen extended her right index and middle fingers and probed directly into Arthur's chest cavity, placing them on that small organ.
She applied pressure with her fingers, once, twice, three times, performing CPR.
With each press, you can feel the contraction of your heart muscles at your fingertips.
Thirty seconds later.
Ye Zhen withdrew her finger.
"Drip—drip—drip—"
The monitor suddenly emitted a clear beep.
On the screen, the tangled curves suddenly jumped up, drawing a perfect peak.
Then, the second and third ECGs showed regular and strong curves.
Inside Arthur's chest, his heart, which was only five centimeters in size, began to beat on its own.
With each contraction, oxygen-rich red blood is powerfully pumped throughout the body via the new aorta.
"Heart rate 140, sinus rhythm."
"Blood pressure 85-60."
"Blood oxygen saturation..."
Liu Xiaohe stared at the numbers flashing on the screen, her eyes welling up with tears: "Ninety!"
Since his birth five months ago, Arthur's blood oxygen level has never exceeded 80.
Now, he has a completely normal heart.
Ye Zhen straightened up and took off her magnifying glasses.
"Prepare to shut down the machine and remove extracorporeal circulation."
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