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HEART TRANSFORMATION

HEART TRANSFORMATION Congenital heart displacement is an extremely rare heart malformation. Usually the heart comes with many defects. 5-8 1,000,000 BEFORE THE OPERATION out of Huang Rongming's heart was not located in the left chest. It was situated in the upper belly, covered by a thin layer of skin. 200,000, Normal heart position yuan The cost of the surgery Incidence ratre of congenital heart displacement Lower set of ribs were also missing. THE HEART HUANG RONGMING'S HEART Superior There was almost no septum between the left and right atrium, and blood would travel between the two chambers, resulting in the mixing of arterial and venous blood. vena cava The conjoint part of the superior Aorta (to body) Right pulmonary arteries Left pulmonary arteries vena cava with the right atrium was partly blocked by abnormal tissue. Left pulmonary veins Right pulmonary veins Part of the pericardium was missing, and the lower set of ribs was also missing. . Left atrium ******** -- Mitral valve Right atrium - Left ventricle Tricuspid valve The two main arteries came from the right ventricle. - Pericardium Inferior vena cava Right ventricle Septum THE PROCEDURE: To do the open-heart surgery, doctor needed to put Huang into general anesthesia, a reversible state of no awareness, and used cardiopulmo- nary bypass (CPB), which involves the diversion of blood from the heart and lungs through a heart-lung machine and the return of oxygenated blood to the aorta. Although previous examinations had revealed Huang's heart and rib deformities, only during the operation, did the CARDIOPULMONARY BYPASS (CPB) (Extracorporeal circulation) medical team of 30 realize how weak his heart was. Cold Blood vessel deformities appear both in the heart and the neck. Although cardioplegic solution Pump previous examinations had revealed abnormity, the presentation was not very clear. Doctors had to adjust to the situation. Cold water THE HEART HAD ONE THIRD OF THE POWER OF A NORMAL HEART From body 1/3 Heat exchanger Aorta Oxygenator . LA A slight touch would make the heart tend to stop work, which then resulted in life-threatening low blood pressure. RA LV RV Doctors needed to use the Y To body Pump cardiotonic agents to boost the functions of the heart so that i would not stop abruptly during intubation. Reservoir But the cardiotonic agents would influence the effect of the anesthetic drugs. Pump The two needed a subtle balance. which depended on the experience of the doctors. OPERATION ON THE HEART Shortly after the CPB, when the heart gradually stopped pumping. and the body relied on extracorporeal circulation, doctors conducted the operation to change the heart's deformities. Removed redundant tissues inside a main An artificial shell was made, to function as ribs and protect the heart. Heart was covered with bovine pericardium where blood vessel. Stop using the CPB needed. Doctors implanted artificial septum between the chambers of the heart. Source: Wuhan Union Hospital GUILLERMO MUNRO / IU ZHIHUA / CHINA DAILY HEART TRANSFORMATION Congenital heart displacement is an extremely rare heart malformation. Usually the heart comes with many defects. 5-8 outof 1,000,000 BEFORE THE OPERATION Huang Rongming's heart was not located in the left chest. It was situated in the upper belly. covered by a thin layer of skin. 200,000, Normal heart position yuan The cost of the surgery Incidence ratre of congenital heart displacement Lower set of ribs were also missing. THE HEART HUANG RONGMING'S HEART Superior There was almost no septum between the left and right atrium, and blood would travel between the two chambers. resulting in the mixing of arterial and venous blood. vena cava The conjoint part of the superior Aorta (to body) Right pulmonary arteries Left pulmonary arteries vena cava with the right atrium was partly blocked by abnormal tissue. Left pulmonary Part of the pericardium was missing, and the lower set of ribs was also missing veins Right Left atrium pulmonary veins Mitral valve Right atrium - Left ventricle Tricuspid valve The two main arteries came from the right ventricle. - Pericardium Inferior vena cava Right ventricle Septum THE PROCEDURE: To do the open-heart surgery, doctor needed to put Huang into general anesthesia, a reversible state of no awareness, and used cardiopulmo- nary bypass (CPB), which involves the diversion of blood from the heart and lungs through a heart-lung machine and the return of oxygenated blood to the aorta. Although previous examinations had revealed Huang's heart and rib deformities, only during the operation, did the CARDIOPULMONARY BYPASS (CPB) (Extracorporeal circulation) medical team of 30 realize how weak his heart was. Blood vessel deformities appear both in the heart and the neck. Although Cold cardioplegic solution Pump previous examinations had revealed abnormity, the presentation was not very clear. Doctors had to adjust to the situation. Cold water THE HEART HAD ONE THIRD OF THE POWER OF A NORMAL HEART From body 1/3 Heat exchanger Aorta •.• : Oxygenator •. LA A slight touch would make the heart tend to stop work, which then resulted in life-threatening low blood pressure. RA LV RV Doctors needed to use the Y To body Pump cardiotonic agents to boost the functions of the heart so that it Reservoir would not stop abruptly during intubation. But the cardiotonic agents would influence the effect of the anesthetic drugs. Pump The two needed a subtle balance. which depended on the experience of the doctors. OPERATION ON THE HEART Shortly after the CPB, when the heart gradually stopped pumping. and the body relied on extracorporeal circulation, doctors conducted the operation to change the heart's deformities. Removed redundant tissues inside a main An artificial shell was made, to function as ribs and protect the heart. Heart was covered with bovine pericardium where blood vessel. Stop using the CPB needed. Doctors implanted artificial septum between the chambers of the heart. Source: Wuhan Union Hospital GUILLERMO MUNRO / LIU ZHIHUA / CHINA DAILY HEART TRANSFORMATION Congenital heart displacement is an extremely rare heart malformation. Usually the heart comes with many defects. 5-8 outof 1,000,000 BEFORE THE OPERATION Huang Rongming's heart was not located in the left chest. It was situated in the upper belly. covered by a thin layer of skin. 200,000, Normal heart position yuan The cost of the surgery Incidence ratre of congenital heart displacement Lower set of ribs were also missing. THE HEART HUANG RONGMING'S HEART Superior There was almost no septum between the left and right atrium, and blood would travel between the two chambers. resulting in the mixing of arterial and venous blood. vena cava The conjoint part of the superior Aorta (to body) Right pulmonary arteries Left pulmonary arteries vena cava with the right atrium was partly blocked by abnormal tissue. Left pulmonary Part of the pericardium was missing, and the lower set of ribs was also missing veins Right Left atrium pulmonary veins Mitral valve Right atrium - Left ventricle Tricuspid valve The two main arteries came from the right ventricle. - Pericardium Inferior vena cava Right ventricle Septum THE PROCEDURE: To do the open-heart surgery, doctor needed to put Huang into general anesthesia, a reversible state of no awareness, and used cardiopulmo- nary bypass (CPB), which involves the diversion of blood from the heart and lungs through a heart-lung machine and the return of oxygenated blood to the aorta. Although previous examinations had revealed Huang's heart and rib deformities, only during the operation, did the CARDIOPULMONARY BYPASS (CPB) (Extracorporeal circulation) medical team of 30 realize how weak his heart was. Blood vessel deformities appear both in the heart and the neck. Although Cold cardioplegic solution Pump previous examinations had revealed abnormity, the presentation was not very clear. Doctors had to adjust to the situation. Cold water THE HEART HAD ONE THIRD OF THE POWER OF A NORMAL HEART From body 1/3 Heat exchanger Aorta •.• : Oxygenator •. LA A slight touch would make the heart tend to stop work, which then resulted in life-threatening low blood pressure. RA LV RV Doctors needed to use the Y To body Pump cardiotonic agents to boost the functions of the heart so that it Reservoir would not stop abruptly during intubation. But the cardiotonic agents would influence the effect of the anesthetic drugs. Pump The two needed a subtle balance. which depended on the experience of the doctors. OPERATION ON THE HEART Shortly after the CPB, when the heart gradually stopped pumping. and the body relied on extracorporeal circulation, doctors conducted the operation to change the heart's deformities. Removed redundant tissues inside a main An artificial shell was made, to function as ribs and protect the heart. Heart was covered with bovine pericardium where blood vessel. Stop using the CPB needed. Doctors implanted artificial septum between the chambers of the heart. Source: Wuhan Union Hospital GUILLERMO MUNRO / LIU ZHIHUA / CHINA DAILY HEART TRANSFORMATION Congenital heart displacement is an extremely rare heart malformation. Usually the heart comes with many defects. 5-8 outof 1,000,000 BEFORE THE OPERATION Huang Rongming's heart was not located in the left chest. It was situated in the upper belly. covered by a thin layer of skin. 200,000, Normal heart position yuan The cost of the surgery Incidence ratre of congenital heart displacement Lower set of ribs were also missing. THE HEART HUANG RONGMING'S HEART Superior There was almost no septum between the left and right atrium, and blood would travel between the two chambers. resulting in the mixing of arterial and venous blood. vena cava The conjoint part of the superior Aorta (to body) Right pulmonary arteries Left pulmonary arteries vena cava with the right atrium was partly blocked by abnormal tissue. Left pulmonary Part of the pericardium was missing, and the lower set of ribs was also missing veins Right Left atrium pulmonary veins Mitral valve Right atrium - Left ventricle Tricuspid valve The two main arteries came from the right ventricle. - Pericardium Inferior vena cava Right ventricle Septum THE PROCEDURE: To do the open-heart surgery, doctor needed to put Huang into general anesthesia, a reversible state of no awareness, and used cardiopulmo- nary bypass (CPB), which involves the diversion of blood from the heart and lungs through a heart-lung machine and the return of oxygenated blood to the aorta. Although previous examinations had revealed Huang's heart and rib deformities, only during the operation, did the CARDIOPULMONARY BYPASS (CPB) (Extracorporeal circulation) medical team of 30 realize how weak his heart was. Blood vessel deformities appear both in the heart and the neck. Although Cold cardioplegic solution Pump previous examinations had revealed abnormity, the presentation was not very clear. Doctors had to adjust to the situation. Cold water THE HEART HAD ONE THIRD OF THE POWER OF A NORMAL HEART From body 1/3 Heat exchanger Aorta •.• : Oxygenator •. LA A slight touch would make the heart tend to stop work, which then resulted in life-threatening low blood pressure. RA LV RV Doctors needed to use the Y To body Pump cardiotonic agents to boost the functions of the heart so that it Reservoir would not stop abruptly during intubation. But the cardiotonic agents would influence the effect of the anesthetic drugs. Pump The two needed a subtle balance. which depended on the experience of the doctors. OPERATION ON THE HEART Shortly after the CPB, when the heart gradually stopped pumping. and the body relied on extracorporeal circulation, doctors conducted the operation to change the heart's deformities. Removed redundant tissues inside a main An artificial shell was made, to function as ribs and protect the heart. Heart was covered with bovine pericardium where blood vessel. Stop using the CPB needed. Doctors implanted artificial septum between the chambers of the heart. Source: Wuhan Union Hospital GUILLERMO MUNRO / LIU ZHIHUA / CHINA DAILY HEART TRANSFORMATION Congenital heart displacement is an extremely rare heart malformation. Usually the heart comes with many defects. 5-8 outof 1,000,000 BEFORE THE OPERATION Huang Rongming's heart was not located in the left chest. It was situated in the upper belly. covered by a thin layer of skin. 200,000, Normal heart position yuan The cost of the surgery Incidence ratre of congenital heart displacement Lower set of ribs were also missing. THE HEART HUANG RONGMING'S HEART Superior There was almost no septum between the left and right atrium, and blood would travel between the two chambers. resulting in the mixing of arterial and venous blood. vena cava The conjoint part of the superior Aorta (to body) Right pulmonary arteries Left pulmonary arteries vena cava with the right atrium was partly blocked by abnormal tissue. Left pulmonary Part of the pericardium was missing, and the lower set of ribs was also missing veins Right Left atrium pulmonary veins Mitral valve Right atrium - Left ventricle Tricuspid valve The two main arteries came from the right ventricle. - Pericardium Inferior vena cava Right ventricle Septum THE PROCEDURE: To do the open-heart surgery, doctor needed to put Huang into general anesthesia, a reversible state of no awareness, and used cardiopulmo- nary bypass (CPB), which involves the diversion of blood from the heart and lungs through a heart-lung machine and the return of oxygenated blood to the aorta. Although previous examinations had revealed Huang's heart and rib deformities, only during the operation, did the CARDIOPULMONARY BYPASS (CPB) (Extracorporeal circulation) medical team of 30 realize how weak his heart was. Blood vessel deformities appear both in the heart and the neck. Although Cold cardioplegic solution Pump previous examinations had revealed abnormity, the presentation was not very clear. Doctors had to adjust to the situation. Cold water THE HEART HAD ONE THIRD OF THE POWER OF A NORMAL HEART From body 1/3 Heat exchanger Aorta •.• : Oxygenator •. LA A slight touch would make the heart tend to stop work, which then resulted in life-threatening low blood pressure. RA LV RV Doctors needed to use the Y To body Pump cardiotonic agents to boost the functions of the heart so that it Reservoir would not stop abruptly during intubation. But the cardiotonic agents would influence the effect of the anesthetic drugs. Pump The two needed a subtle balance. which depended on the experience of the doctors. OPERATION ON THE HEART Shortly after the CPB, when the heart gradually stopped pumping. and the body relied on extracorporeal circulation, doctors conducted the operation to change the heart's deformities. Removed redundant tissues inside a main An artificial shell was made, to function as ribs and protect the heart. Heart was covered with bovine pericardium where blood vessel. Stop using the CPB needed. Doctors implanted artificial septum between the chambers of the heart. Source: Wuhan Union Hospital GUILLERMO MUNRO / LIU ZHIHUA / CHINA DAILY

HEART TRANSFORMATION

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The graphic shows the operation of a 24 year old that was born with his heart outside his body, just the fact that he lived 24 years is already a miracle, doctors encountered many complications during...

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