Foreign literature and the surgery cases attempted at Guo Zhi Hospital mainly involve atrial septal defect repair, ventricular septal defect repair, valve replacent, and removal of myxomas. These surgeries have a notable feature: they involve structures inside the heart. Detecting the interior of the heart is the strong suit of esophageal ultrasound. The purpose of using esophageal ultrasound in these surgeries is simple; it allows real-ti monitoring of these internal heart structures, facilitating adjustnts to the surgical plan and observation of postoperative repair results.
From this perspective, Student Xie’s use of TEE in hepatobiliary surgery is absolutely groundbreaking in the country. Guo Zhi Hospital certainly has not used it on such cases. Boss Zhang can guarantee that.
At that ti, he, like doctors from other hospitals at the exchange conference, really wanted to know who ca up with this innovation. Unfortunately, Tao Zhijie played dumb at the conference, and the Guoxie mbers all acted mute. Even when he later went to Guoxie because of his mother’s situation, they still kept it from him.
Now he is increasingly certain that it’s Student Xie’s doing. Through the lead glass window, he glanced at the calm expression on her face; don’t think she’s pretending, as Boss he could tell, Student Xie was truly not feigning. Moreover, he caught the interesting expressions of the Guoxie mbers. Two pieces of evidence corroborated his speculation.
The group of Guoxie mbers, realizing Boss Zhang’s glance, pretended to have wooden faces.
In the operating room, Xie Wanying pondered what Teacher Du intended to detect using the esophageal ultrasound in the surgery, definitely not the thod she used in hepatobiliary surgery that ti.
"What could it be?"
This voice was close to her ear. Xie Wanying turned her head and saw Senior Brother Shim wearing a surgical mask, with only two bird-like eyebrows and bright, clear eyes visible outside the mask.
Shim Youhuan looked at her with a smiling gaze: You’re familiar with vascular ultrasound, so you must have so understanding of esophageal ultrasound too?
Senior Brother wanted to have a technical exchange with her, an opportunity she didn’t want to miss. Xie Wanying seized the mont and said, "According to the preoperative examination results of the patient, the use of esophageal ultrasound during surgery is unrelated to the monitoring of valve repairs for defects. Only two possibilities are left: one is that a tumor might exist in the right ventricle that needs intraoperative monitoring, for which esophageal ultrasound can help. Secondly, Teacher Du might want to use esophageal ultrasound to find a fistula."
What she said about the forr was known to everyone, but the latter about the fistula?
"Fistula?" Doctor Pang imdiately turned his head, shocked. "What fistula?"
The Extracorporeal Circulation Technician, not being a cardiovascular clinician, reacted a bit slower.
"It’s a coronary artery fistula." Shim Youhuan answered for the junior Sister.
Senior Brother imdiately comprehended what she said, technically skilled. Xie Wanying thought.
Can the heart develop a fistula? The fistula has been defined before. When two places that originally did not communicate beco connected, this abnormal opening is called a fistula opening, and the abnormal passage is called a fistula tract.
The heart is similar. Aside from being connected to several large blood vessels, it is a closed organ. If suddenly it connects with the outside, developing a fistula is quite normal. It’s important to differentiate here. Heart ruptures creating internal and external connections, like other organ ruptures, shouldn’t be called fistulas. Thus, heart fistula refers to abnormal communication pathways between heart blood vessels, like the left and right coronary arteries and the heart or other major blood vessels. These fistulas are mostly congenital, and patients may be asymptomatic.
Regarding the surgical patient today, the Chief Surgeon probably suspects the possibility of a fistula post-injury. So fistulas may not fully develop and remain inconspicuous. But if a scalpel is applied, the fistula might be exposed.
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