Guozhi Operating Room

He was named and put on a surgical gown and stood next to the operating table. Xie Wanying helped the teacher observe the surgical field again, verify the three-dimensional picture of his brain, and pointed out: "Teacher Du, there are several types of myocardial hypertrophy. This patient is in the middle of the depth of the middle hypertrophy."

Myocardial hypertrophy, also known as hypertrophic cardiomyopathy, is divided into three types. The main basis for classification is whether there is obstruction in the outflow tract of the left ventricle. No obstruction and obstruction are not ruled out and reversible. They are not included in the indications of surgical procedures. Therefore, surgery does not require surgery. Among them, the obstructive type is the only type that requires surgery.

Obstructive myocardial hypertrophy, that is, the left ventricular outflow tract, was blocked. This type was previously called subaortic valve stenosis. Because after the doctor opened the heart of this type of patient, the weight gain site with abnormal myocardial weight loss was mainly located under the aortic valve.

The aortic root is the aortic root. The place connects to the left ventricle and is relatively vast. If there is a thick myocardial hypertrophy in this place, it is impossible to say that it is exactly the same. The types mentioned by Student Xie refer to the lesion structure classification here from the anatomy rather than the above classification.

Through surgery and dissection, the doctor roughly identifies five types according to the part of myocardial hypertrophy. The simplest one is the hypertrophy of the muscle under the aortic valve that was discovered at the beginning. Other types of myocardial hypertrophy are more troublesome.

Some hypertrophic is a whole ventricular septum with thick muscles, and the thick part runs across the left ventricle side. Some are not thick under the aortic valve, and the thick part goes to the apex of the heart, completely overturning the doctor's definition and name of this disease at the beginning. This is why the original name has become history. No matter where the hypertrophic part is, these hypertrophics squeeze the volume of the normal left ventricle, causing obstacles to the health of the left ventricle. The doctor must have surgery.

The dispute point returned to the original place again: Does the patient's myocardial hypertrophy meet the requirements of Student Xie? Is it a lesional structure of obstructive myocardial hypertrophy like the preoperative examination report that does not clearly point out such problems, and is it judged as reversible obstruction, which causes the surgeon to not consider this aspect of surgery before the operation?

Which result is correct?

If it weren't for the mitral valve oral problem, no one would have considered this at all. Sometimes when something went wrong in a certain place, I found the crux of the problem and went to another problem.

"You can explain it again, is the entire ventricular septum thick?" Du Ye Qing continued to confirm what she said.

"Is that true?" Dr. Yu, an assistant on the stage, tried to stretch his neck while trying to see clearly the structure of the heart in the martial arts field.

When performing a direct-eye operation for heart valves, the valve is located inside the heart. The doctor must have to perform the operation. This should not be cut randomly. The doctor cannot say that in order to make it easier for you to see clearly and operate it, the patient's heart will be opened and cut with one knife.
Chapter completed!