In Domingo Paulo's opinion, the sunshine on this day was no longer bright.

He had just become the king of cardiac surgery before he could cause an uproar in the academic world and crown himself, he had to face the challenge of another surgeon who was not inferior to him.

It’s just that Domingo Paulo’s curiosity is more than worrying.

In his opinion, interventional surgery is simply impossible to complete the treatment of dilated cardiomyopathy.

He began to review the video materials left by the live broadcaster, and the various surgeries were performed wonderfully.

Although the percentage of surgery in cardiothoracic surgery is not high, it turns out that no matter whether the surgeon in the live broadcast room is a person or a team, the level is extremely high.

If Batista surgery is done, Domingo Paulo feels that the other party has the possibility of success. However, the interventional surgery is performed for advanced dilated cardiomyopathy...

Domingo Paulo never knew how to do this technique.

It was getting late, and he didn't even have the appetite to eat supper, and the curious flame in his heart had already ignited his whole body.

He had a laptop in front of him, and he had read the information about the patient countless times. The patient's condition was extremely serious. Domingo Paulo calculated that if he had Batista surgery, he would have to cut off at least 400g of his heart muscle.

This is within the scope of the surgical restricted area, and the mortality rate of 20% has soared to almost 100%.

If he made a choice, he would definitely refuse to perform surgical operations on the patient. No matter how much money the patient’s home donated to his medical center, he would refuse to perform such a 100% mortality operation without hesitation!

After all, no one hopes that patients who work hard to perform surgery will not only fail to prolong their lives, but will instead die in the dangerous postoperative period.

What should the surgeons in the live surgery room do? This question has been hovering in Domingo Paul's mind.

After thinking countless times, he finally judged that this was an impossible technique.

Interventional surgery, used in the heart, mainly opens coronary blood vessels, blocks valve incomplete closure, and opens narrow valves.

These surgeries have internal logic, and interventional surgery is a surgical procedure that does not cause major trauma.

However, advanced dilated cardiomyopathy requires removal of a large amount of dilated and hyperplasia. Logically speaking, interventional surgery is not suitable at all.

He rejected all matter-of-business activities and did not go home, but quietly waited for the start of the operation.

As time passed by minute by minute, at 21:50, the picture in the operating live broadcast room lit up.

The double arts appeared in front of Domingo Paulo.

According to the brief introduction before, Domingo Paul knew that the operation was performed under the guidance of DSA-guided interventional surgery combined with a small chest incision.

The two art fields were expected.

Although he believed that interventional surgery could not complete everything that Batista could do, he always had a bad premonition in his heart.

Nothing else, just because this is a live operation!

If the surgeon is not sure, who dares to perform a surgery that is destined to "fail" in front of the world's peers!

Domingo Paul drove all his assistants home and stayed in the studio. The quiet night made him feel as if he could hear his heartbeat.

With a few minutes left to start the operation, Domingo Paul stood up and made a cup of coffee.

Back in front of the computer, a number came into view.

The number of people entering the live broadcast room has exceeded six figures, which means that more than 100,000 doctors around the world are watching the operation.

And as time approaches, this number is still skyrocketing.

Almost every second, the numbers were refreshing quickly, which was the most time Domingo Paul had to watch surgery at the same time.

It seems that everyone is very interested in the new surgery for interventional surgery.

Domingo Paul looked at him quietly. For him, this was a reckless challenge, challenging his king's dignity.

The time finally came to 10:00 and the operation began.

The first field of surgery has not moved, and the second field of surgery has undergone thoracic surgery first.

A small incision on the left chest, about 6cm, a sharp scalpel cuts through the skin, and blood slowly flows out, making the whole picture look more textured. At this moment, Domingo Paulo seemed to smell the smell of blood.

Scalpels are not standard. Every time I see the beautifully curved Lancet, Domingo Paulo is a little envious.

This blade is worth $233, and it is not something you can use just by wanting it. This blade needs to be customized.

What a luxury artist, Domingo Paulo thought to himself.

As soon as the blood gua came out, the gauze in the assistant's hand fell on it. Dip the blood, wiped it clean, and tapped it a few times with electric scalp. The hemostatic forceps began to bluntly separate the subcutaneous tissue and muscle.

Just looking at it from the perspective of opening your chest, everything is perfect.

Open the pleura, stretch the surgical field, and single-pulmonary ventilation has been performed.

At the same time, the first surgical field lit up. While surgically incising the mediastinum and exposing the heart, a guide wire entered the superior vena cava from the jugular vein, then reached the right atrium, and entered the right ventricle through the tricuspid valve.

From the perspective of the practitioner, Domingo Paulo's huge heart appeared in front of him. Because the incision was relatively small, the whole picture of the heart could not be seen.

Domingo Paul immediately put himself in the surgery process. If he had changed himself, he would have begun to prepare for external circulation.

At this time, the guidewire in the first surgical field had reached the part of the right ventricle near the ventricular septum.

The gaiding tube with a j-shaped arc was attached to the ventricular septum. The surgeon who was involved in the surgery then set a fixed anchor point and immediately began to puncture.

What do they want to do? Domingo Paul was stunned.

On the DSA-guided screen, you can clearly see the huge left ventricle pulsing hard. The puncture needle has passed through the ventricular septum and entered the left ventricle cavity.

Because of dilated cardiomyopathy, the patient's left ventricular cavity is huge.

It's so naive, Domingo Paul thought to himself.

The surgeon seemed to want to use a puncture needle to penetrate the entire left ventricle. Domingo Paul has no idea about how to do it.

But at this step, he had a very small chance of success.

Because you need to pierce into the j-shaped tube, the puncture needle has strong elasticity, not a straight, hard steel needle.

Although the patient has dilated cardiomyopathy and the ejaculation fraction decreases, the blood flow rate in the left ventricle is still extremely fast as the heart beats.

Under the impact of high flow velocity of blood flow, it is absolutely impossible for a puncture needle with toughness to keep a straight line and reach the position the surgeon wants to reach.

Domingo Paul really doesn't know what the craftsman is thinking!

Although he did not understand what the technician meant, from this step, he had to at least establish external circulation to stop the heart from pulsing, so that the puncture would be successful.
Chapter completed!