Chapter 1077 Marfan Syndrome! (Please Subscribe)

Xu Ziming heard a patient with aortic dissection and went to the emergency room in person.

After coming down, seeing Chen Cang, he asked directly, "Mr. Chen, what's the matter?"

For Chen Cang, Xu Ziming has always respected him very much. If it weren't for Chen Cang, what kind of mitral valve replacement would he have performed at his heart?

This is simply impossible!

Non-stop cardiac surgery is becoming more and more popular now. He and Xiehe's Wang Tong are now two benchmarks in this field.

However, they are very clear that all this comes from Chen Cang.

After hearing the consultation of the six emergency departments, Xu Ziming got up and rushed over.

Aortic angiography is performed by injecting a contrast agent and then developing it under CT to clearly see the location of aortic dissection.

Aortic dissection is neither a true aneurysm nor a false aneurysm, but the intima and media of the artery are damaged due to various reasons.

The aortic wall is peeled off into two layers. Under the impact of blood flow, the peeled part gradually expands to the proximal and distal ends of the aorta, forming separate expansions of the middle layer in different ranges, which is called aortic dissection. Like to call it aortic dissection.

Xu Ziming hurried out from the inside, holding the film in his hand, his face was obviously a little dignified.

Seeing this, Chen Cang quickly asked, "What's going on?"

Xu Ziming couldn't help but say, "The situation is a bit special!"

In a word, Chen Cang snorted in his heart: "In the ascending aorta?"

Xu Ziming nodded!

Chen Cang's main competition in the Cardiac Surgery Skills Competition at that time was the anastomosis of the great intrathoracic vessels.

In the intrathoracic large vessel anastomosis, the ascending aorta is the most technically difficult and risky anastomosis.

Now that the aortic dissection has appeared in the ascending aorta, this is obviously not good news!

Chen Cang quickly took the film and took a closer look, and immediately saw the location of the aortic dissection!

Moreover, it can be clearly seen that the dissection site of the aortic wall starts from the root of the ascending aorta, the intima rupture starts from the proximal anterior wall of the ascending aorta, and extends to the distal end of the aorta to the descending aorta!

After seeing it, Chen Cang couldn't help but think, such a situation... is really a bit complicated.

Because it has been involved in the dissection of the branch of the arcuate artery, as well as aortic valve insufficiency.

Watching the film, the three suddenly fell into silence.

"Go back to the emergency department first and find a way!" Ma Yuehui said directly, "There is still one question that needs to be clarified, what is the cause of the patient!"

While talking, a group of people pushed the patient to the emergency room, and the results of the inspection here came out one after another!

At this time, the doctor in charge of the bed has collected the history of the disease with the family.

Seeing Chen Cang and others coming back, he hurried over.

"Dr. Chen, through contact with the family, the disease history is as follows. The patient has a previous physical examination, no history of trauma or surgery, no hypertension, diabetes... The patient's parents have not found any family genetic diseases!"

The words of the doctor in charge of the bed made the three of Xu Ziming stunned!

What is the reason for that?

Although the etiology of aortic dissection has not yet been clarified, there must be some predisposing factors, right?

At this time, Chen Cang suddenly remembered something, turned around and went to the rescue room.

After entering, Chen Cang raised the patient's hands and looked directly at it!

Tian Zhengkai is a basketball star with long arms and big hands. Chen Cang also suddenly remembered such a thing.

I saw that his hands and fingers are very long!

Chen Cang's careful comparison shows that his hands are about 25cm long, and his height is 220... The ratio of hand to height is >11%!

Next, Chen Cang quickly observed his palm.

At this time, Tian Zhengkai's symptoms were relieved after using the drug.

Chen Cang hurriedly said, "Take your thumb in, and make a fist with your other four fingers!"

Tian Zhengkai nodded as he did.

Chen Cang immediately saw that the tip of Tian Zhengkai's thumb was beyond the lower edge of his palm!

This is the thumb sign!

Special skeletal changes and abnormal cardiovascular manifestations, although there are no eye symptoms, Chen Cang is only one point away from the diagnosis, and that is family history!

At this time, Xu Ziming and Ma Yuehui also saw Chen Cang's series of inspections clearly, and immediately realized what was going on.

Chen Cang hurriedly said to the doctor in charge: "Take me to see the family!"

The young doctor nodded and took Chen Cang directly to the emergency hall. Chen Cang also saw the patient's wife and parents.

After seeing his father, Chen Cang also suddenly understood that height was really inherited.

"Hello, I'm Chen Cang, Tian Zhengkai's doctor. Now I have a few questions to ask." Chen Cang asked straight to the point without being polite.

At this time, Tian Zhengkai's family has long been in chaos.

Tian Zhengkai's child was only two years old and was held in his arms by his wife.

The parents are less than sixty years old, and the father is very tall.

"Hello Dr. Chen, what's my son's condition now?" Father Tian asked worriedly.

Chen Cang said directly: "The situation is not optimistic. We are preparing for the operation. This time I am talking to you, firstly to understand some of the situation, and secondly to sign the consent form for the operation!"

After finishing speaking, Chen Cang said to the young doctor, "Go and prepare the informed consent form and the critical illness notice..."

After the bed doctor heard it, he got up quickly.

The Tian family members here were suddenly dumbfounded, and the Tian family members quickly asked, "Notice of critical illness? Doctor Chen, what's going on? Why are you in critical condition?!"

Tian Zhengkai's parents are just ordinary people. His father is a physical education teacher in a middle school and his mother is a math teacher. Now both of them are retired. Their hometown is in Beihe Province, and now they live in the capital and take care of their children.

The wife is now 28 years old and the child is only two years old!

In such a family, if something happened to Tian Zhengkai, the result would be self-evident.

As the backbone of the family, this disaster can be devastating.

You know, even if Tian Zhengkai is 33 years old, he still earns millions of dollars a year. Even in the capital, he is a high-income group.

If Tian Zhengkai...

Therefore, after hearing the news, the three of them turned pale.

Seeing this, Chen Cang explained the risk of the patient, and even described the mortality rate of the operation in detail.

After listening, the whole family fell silent.

The wife looked at Chen Cang with tears in her eyes, her hands trembling while holding the child: "Doctor, you must save him!"

"The child is less than two years old, and he has just learned to call his father..."

Before Tian Zhengkai's wife's voice could finish, she choked up.

Chen Cang reassured: "We will do our best."

After speaking, Chen Cang looked at Tian Zhengkai's father: "Excuse me, do you have a history of Marfan syndrome in your family?"