Surgery Godfather
Chapter 948 - 813: I Don’t Understand Cardiac Arrest?

Chapter 948: Chapter 813: I Don’t Understand Cardiac Arrest?

This was a case of right heart, and any surgery on a right heart was more difficult than its normal counterpart, the left heart.

It was similar to the habitual decision-making of surgeons regarding anatomy, like an experienced driver used to a left-hand drive vehicle and driving on the left suddenly entering a country with the opposite rules, where the steering wheel is on the right and traffic keeps to the left. It’s difficult to adapt immediately, especially in a highly complex traffic situation.

When the Fontan Surgery was performed, had it not been for Academician Wang’s superb skills, the Fontan Surgery on a right heart would not have been so successful.

The dismantling surgery was not that simple, either; the operation had to be meticulous, preserving the quality and integrity of the "components" while dismantling. Reassembly and reconstruction still depended on these dismantled "components," not replacements.

The connection between the pulmonary artery and the superior and inferior vena cava was the core of the Fontan Surgery, and now Yang Ping needed to sever this connection at the original suture site and restore the connection between the pulmonary artery and the right ventricle.

The interatrial septum had been eliminated during the original surgery, and now it needed to be rebuilt.

The previous surgical plans, which used the heart solely for systemic circulation, were now dismantled and discarded. The heart must return to its normal position and take on the dual tasks of systemic and pulmonary circulation, transitioning from the double-chamber structure formed after the last surgery back to a four-chamber structure.

But this was far from enough; it was merely the dismantling of the previous surgery, laying the foundation for the restoration of the heart and major vascular to their original states.

Dismantling the house was only the first step; it was the construction that followed which was the most complex task.

Having dismantled the previous surgery, the "components" inside were scattered, and the entire heart and major blood vessels were fragmented.

Academician Wang stood up from his stool, aligning his line of sight with the screen for easier observation. It was only the first step of the surgery, and everyone couldn’t help but start worrying. The current work was nothing more than tearing down a building; the subsequent restoration and reconstruction were the most difficult parts. The challenge of restoration lay not in starting from scratch but in relying on this pile of ruins to rebuild a complete structure.

As some of the world’s top cardiac surgery specialists, they had never performed such surgery, and even after contemplating it for a long time, they were at a loss, hardly believing that such surgery could be achieved.

With every cut and snip, every stitch and thread, Yang Ping began reconstructing the heart. It was a daunting task, testing his technique as well as his confidence and patience.

First, he corrected the deformities in the heart, and then the deformities in the major vessels. Yang Ping’s surgical process was very clear, with large steps encompassing smaller ones, and he progress systematically.

The interatrial septum had to be rebuilt; the original spacious chamber now had to be divided. This step required the construction of an airtight wall to prevent blood leakage, meaning that after rebuilding the interatrial septum, the blood from the left and right atria should not mix.

If the rubble lacked necessary materials, a combination of autologous and artificial materials would be used. In any case, the goals must be achieved.

Not only was there a defect in the septum of the atria, but the ventricular septum was also deficient. After reconstructing the wall between the atria, the wall between the ventricles had to be reconstructed as well.

The area beneath the pulmonary valve was severely narrowed, an issue that Academician Wang had already addressed during the Fontan Surgery; otherwise, the Fontan would not have lasted for over a decade.

The atrioventricular valve was incompetent, and this issue had to be resolved in the reconstruction. Normally, blood should flow from the atria to the ventricles without any backflow. The atrioventricular valve acted as a one-way valve, ensuring unidirectional blood flow, but incompetence would compromise this function, potentially causing blood to flow backward.

At this time, the atrioventricular valve had to be repaired or replaced; it would be repaired if possible, or replaced if it could not be repaired.

Fortunately, Yang Ping felt that the atrioventricular valve was repairable, even if the difficulty was relatively high.

After repairing the atrioventricular valve, Yang Ping began to address the hepatic vein. The progression of the surgery was calm and orderly, swift but not chaotic.

Song Hanhui’s hepatic vein originally opened directly into the right atrium. Now, Yang Ping had to move it to connect with the inferior vena cava. There were two methods for this step: performing an end-to-side anastomosis of the hepatic vein directly to the inferior vena cava, which involved making a small incision in the wall of the inferior vena cava and then attaching the hepatic vein to this opening.

The other method was to find a branching vein entering the inferior vena cava, where a sibling vein existed, and then cut this vein to anastomose it with the hepatic vein.

In comparison, the latter method was much better, and Yang Ping opted for this approach; the original outlet of the hepatic vein in the right atrium also needed to be sealed off.

Afterward, there would be the correction of the double outlet from the right ventricle, adjustments of the openings of the aorta and pulmonary artery, and so on—the surgery was extremely complex.

Academician Wang kept his eyes on the screen. Yang Ping’s surgery looked very comforting; instead of being disorderly and complicated, his hands turned it into something simple and organized, reflecting an almost transcendent sense of art in the entire procedure.

Each step seemed to be the result of meticulous refinement, as if it contained some kind of distillation.

Several graduate students also gathered in the teaching room to observe the surgery, but they were all squeezing in time to watch. Some had to leave halfway through, while others came in during the middle of the procedure.

---

After more than three hours into the surgery, Yao Xiurong couldn’t wait any longer. She ran to the operating room door again, but the door was firmly closed, and she couldn’t see anything. Thus, she wanted to raise her fists and pound on it a few times, but afraid her husband would scold her, she held back and didn’t move.

Search the lightnovelworld.cc website on Google to access chapters of novels early and in the highest quality.