Dr. Charles Moore nodded, he was a little tired from the disease, and instead of putting on another pair of sterile gloves and continuing to dissect with Zheng Ren, he turned around and waved his hand and returned to his seat.

Zheng Ren knows that coronary artery ectasia is rare, and there is no particularly good way to treat it, and interventional stents are a means.

But Dr. Charles Moore is at the Mayo Clinic, the world's number one hospital for heart treatment, and there is no reason why he can't get a stent.

The condition is a little confusing, because the system panel is only pale red, and it is estimated that the situation is not serious. What bothered Dr. Charles Moore was probably stable angina.

This type of angina, like angina with myocardial ischemia, is not fatal.

Zheng Ren was a little curious, this old man's dissection technique was the most exquisite he had ever seen. The previous discussion seems to have opened a new door, so Zheng Ren wants to ask about the specific situation.

Taking off his gloves, before Zheng Ren could speak, a person hurriedly broke in.

"Dr. Zheng, why are you here. Professor Danilo Acosta said.

Zheng Ren smiled and asked, "Have you completed the preoperative preparations?"

"Once done, if your time allows, you can always start the surgery. Danilo's words were more polite, but his expression betrayed the truest thoughts in his heart.

He was very impatient, very impatient.

"Speak quietly. Dr. Charles Moore's assistant scolded.

Danilo rushed in in a hurry, not noticing who was sitting inside. He didn't sleep all night, he was exhausted, he had a big temper, and he was about to curse when he turned his head sideways.

However, the moment he saw Dr. Charles Moore, all the anger on his face seemed to be blown away by a strong wind, and he said gently and humbly: "Hello Dr. Charles, why are you here?"

"What surgery?" asked Dr. Charles Moore, with his eyes closed and his brow furrowed slightly.

"When we were studying nephrogenic hypertension, there were some problems, and we consulted with Dr. Zheng, who thought it could be operated. After ......"

"Is it percutaneous radiofrequency ablation for the sympathetic nerves of the kidneys?" asked Dr. Charles Moore.

"Yes, yes. Danilo replied immediately.

"Oh, you see, I'm going to say that interventional surgery has no future. Dr. Charles Moore's eyes opened slightly, glanced at Zheng Ren, and asked, "What's wrong, what are you going to do?"

"I judged that the process of radiofrequency ablation caused the fusion of the renal sympathetic nerve and the renal artery, combined with renal artery stenosis, resulting in the patient's intractable hypertension. Zheng Ren smiled: "Do a stripping operation, and then the lower renal artery stent will be fine." ”

Dr. Charles Moore did not say what the future of interventional surgery would be, but thought for a moment and said, "You guys go for surgery first, I'll see later." ”

Hearing Dr. Charles say this, Danilo was relieved.

Coming out of the lecture hall, Su Yun was a little strange and asked the professor, "Why do I feel that Dr. Charles is biased against interventional surgery?"

Professor Rudolf Wagner smiled helplessly, but his smile stiffened, and finally turned into a sigh.

"Don't pretend, say it. Su Yun was unhappy.

"Brother Yun, 9 years ago, Dr. Charles Moore was diagnosed with coronary atherosclerotic heart disease and had stent surgery. After the operation, there was a problem, and the angina symptoms were not relieved. The professor explained.

When Zheng Ren heard this, his heart moved, and he asked, "Is it coronary artery ectasia complicated by surgery?"

"Yes. The professor replied.

As an interventional doctor with Nobel Prize ambitions, he calls Charles the devil behind his back, how can the professor not know.

Su Yun glanced at Zheng Ren with disdain, this thing said that he was not interested in the Nobel Prize, but in fact, he privately investigated the relevant people. If he didn't know about it, how would he have known that Dr. Charles Moore had coronary artery ectasia after surgery.

"That's a pity, but there is no possibility of sudden death due to myocardial ischemia, as long as you monitor whether an aneurysm will form. Zheng Ren said casually.

"It is easy to form an aneurysm, and the degradation and loss of elastic fibers in the middle layer of the coronary blood vessels are considered to be the central link of the disease, but there are many causes, and it is difficult to find a definite cause and treat it. Su Yun has a very detailed understanding of heart diseases, although it is a rare disease, but he talks about it casually.

"That's right. Zheng Ren nodded and said, "Although under normal circumstances, you can solve the problem with a bracket, but Mayo has been delaying this side, and I suspect that there will be more trouble." ”

"I don't recommend it, Dr. Charles Moore is an elderly patient, missing the elastic fibers in the middle of the coronary artery, the coronary artery is very thin and brittle, and conservative treatment is still recommended if there is no aneurysm. ”

Zheng Ren knew that what Su Yun said was right, and it was the common idea of most doctors.

Coronary artery ectasia without complicated aneurysms is not fatal, the only trouble is the need to take warfarin for a long time and the problem of stable angina.

It's just pain, and conservative treatment is better than risky surgery.

However, this also explains why Dr. Charles Moore is biased against interventional procedures.

When the coronary stent is entered, a rare coronary artery dilation is formed, and if you change to someone else, you will also have a strong sense of distrust in interventional surgery.

But this matter has nothing to do with Zheng Ren, and he doesn't want to get involved in this kind of troublesome treatment. Su Yun is right, all surgeries for elderly patients must be cautious, otherwise the surgery will be done and they will have to face countless troubles.

Back in the nephrogenic hypertension lab, there are a lot of people here, each busy. It's a far cry from the early hours of the morning when there were only two doctors and two nurses on the night shift.

This is the real Mayo Clinic, Zheng Ren thought to himself.

Professor Rudolf Wagner and Su Yun were in charge of handling the various preoperative paperwork, and Zheng Ren did not care about their communication.

Despite the passive skills of language proficiency, Jung in is not interested in interpersonal communication and only thinks about surgery.

Looking at the patient lying inside through the transparent glass, the blood pressure is very high, and this is still under the premise of pumping blood pressure medication.

The situation didn't seem to have changed in any special way, Zheng Ren thought to himself.

Then try it, he immediately entered the system space, exchanged surgical training, and began the last simulated surgery before the operation.

The operation went well, after all, Zheng Ren had simulated it many times and found the most basic cause.

Looking at the evaluation of 98% completion of the operation, Zheng Ren is still very satisfied.