Chapter 636: 627 Terrifying Surgery

Zheng Ren seemed to hear the professor's prayer; the guidewire on the screen advanced slowly but firmly, without any hesitation or pause, threading its way in.

Robin's eyes were wide as eggs, but he didn't notice. Although his research direction was epidemiology, his professional expertise exceeded that of ninety-five percent of interventional department doctors in the world.

Robin knew just how difficult this level of surgery was.

Even if he weren't aware, the opinions of experts from major medical centers across Europe and the final consultation from the Karolinska Institute of Medical Surgery in Stockholm were laid out there.

An utterly untreatable disease!

This is an utterly untreatable disease!

The foolish Rudolf Wagner, like a bull in heat, actually let two young people perform surgery on the doctor.

This is simply absurd.

And even more absurdly, their first step actually succeeded.

Watching the guidewire pierce the "wall of sighs," Robin stared in astonishment.

Was the most difficult step really just passed like that? He knew that as the completely blocked right coronary artery was opened, even a trickle would give Doctor Mei Ha'er's heart fresh blood supply.

And before that, the power sustaining his heartbeat came from the capillary network. How could that trickle of arterial blood satisfy the heart's beating?

Without the extracorporeal membrane oxygenation, Professor Mei Ha'er would have already gone to meet God.

The process of opening a blocked vessel is the most difficult and also the most dangerous.

The fragile heart could stop at any moment; on the operating table, the assistants beside the surgeon did nothing, merely posing, ready to defibrillate Doctor Mei Ha'er at a moment's notice.

Yet even after a passage was opened, he did not move.

The surgeon's manipulation was so gentle that even a heart so fragile it would collapse with the slightest force felt nothing.

Impossible! Robin stared at the screen in disbelief, his whole body stiff.

It's fine, it's fine, this is just a beginning. Robin reassured himself; beforehand, he had thoroughly understood Doctor Mei Ha'er's condition and the surgery.

Under these circumstances, no one could use rotational atherectomy to resolve the mountainous thrombi and calcified lesions piled up in the doctor's coronary arteries.

Absolutely not!

Otherwise, the opinions of numerous experts from all over Europe and the United States would not have been so pessimistic.

No one recommended interventional surgery treatment.

Because,

No one could carry it out.

The guidewire was gently withdrawn, and then the rotational ablation probe was sent in.

The air in the operating room solidified; everyone felt as if a huge stone pressed on their chest, making breathing a luxury.

The first step was actually completed smoothly, exceeding the expectations of all experts present. As for the next step, who knows?

Professor Rudolf Wagner said, this young man possesses a pair of hands that have been kissed by Heaven.

Looking now, that is indeed the case.

The act of just opening the right coronary artery, every minute detail was flawless, perfect to the utmost degree.

But this is a routine procedure; opening a thrombus, many doctors have done it, they just haven't done it on someone as severe as Doctor Mei Ha'er.

Next, we will begin coronary rotational atherectomy.

Doctor Mei Ha'er meets all the contraindications for rotational atherectomy.

In thrombotic coronary artery disease or acute coronary heart disease, rotational atherectomy can worsen the formation of acute thrombi.

Moreover, Doctor Mei Ha'er's coronary artery angle exceeds 90°, which is an absolute contraindication.

A large angle means the space for rotational atherectomy during surgery is small; at any moment, the probe could miss the coronary artery, causing bleeding and leading to cardiac tamponade.

Even if it doesn't miss, merely damaging the vessel intima with the rotablator would cause an arterial dissection.

Everyone present, including the junior doctors recording the numbers, were elites among elites of their peers. Everyone knew the difficulty of the surgery, and all eyes were fixed on the screen.

The rotablator head was sent into the right coronary artery; without trial, the surgeon, extremely confident, went straight in and began rotational atherectomy.

Countless fragments could faintly be seen, but only faintly, because the speed was too fast for anyone to see clearly.

The fragments were gathered by the filter behind the rotablator probe; larger fragments would be prevented from entering the coronary capillaries.

The tiny fragments, however, are harmless to the body and will not cause embolism or necrosis.

Piece by piece, thrombi were cut and ground away into fragments—like tunneling through a mountain to open a road, the rotablator probe forged ahead, creating a lifeline.

The whole process consists of two steps; the first step is what the surgeon is doing now: a simple grind to create a passage via rotational atherectomy.

This step is extremely difficult—so hard that countless senior professors dare not attempt it.

However, this is not the most difficult part.

The most difficult part is the second step: grinding away the thrombus clumps and calcified plaques adhering to the inner wall of the right coronary artery.

Staff from the Karolinska Institute of Medical Surgery in Stockholm held their breath, watching the rotablator probe advance step by step; within minutes, the passageway in the right coronary artery was essentially opened.

Professor Rudolf Wagner did not relax; instead, he grew even more tense.

Having come this far, the surgery had already surpassed his expectations.

Yet the hardest step is grinding near the vessel intima. It can be said that here, if Zheng Ren's hand deviates by less than one millimeter, the surgery would be declared a failure and Doctor Mei Ha'er clinically dead.

Sweat soaked his palms; the professor stared intently at the screen, watching the rotablator probe begin to contact the area near the vessel lining.

He instinctively wiped his sweaty hands on his spotless white coat, removing the sweat but unable to wipe away the deep-seated tension and anxiety.

Professor Rudolf Wagner's heart pounded fiercely, thump-thump-thump, as if someone inside his body were beating a drum. Fully focused on the screen, his body nonetheless trembled slightly with each powerful heartbeat.

Robin, like Professor Rudolf Wagner, stared tensely at the screen. From breathing with his mouth open for so long, his mouth felt dry; he gulped hard, but it hurt a little.

Because he was so tense, his oral glands had not secreted saliva for a long time.

The friction of dehydrated mucous membranes caused injury, rupturing capillaries; in an instant, Robin sensed the taste of fresh blood in his mouth.

But he paid no heed to his bodily changes; instead, he focused on the screen, both hands clasped, fingernails digging into the backs of his hands, the nail beds turning pale.

The rotablator probe's operation was precise to the millimeter; the thrombus and calcified plaques adhering to the vessel intima were finely ground away, and the right coronary artery gradually took on the shape a blood vessel should have.

Half an hour passed, Doctor Mei Ha'er's condition in the Operating Room was completely fine, and the life-threatening complications such as ventricular fibrillation that were expected to possibly occur did not appear.

With the opening of the right coronary Artery, myocardial blood supply improved, and the situation got a little better.

It took half an hour, and Zheng Ren only then fully opened the entire right coronary Artery.

At the moment the rotational grinding probe was withdrawn, Su Yun let out a long breath.

"Boss, you scared me to death."