Chapter 498 361: Marfan Syndrome
"This situation isn't good."
Beside him, the deputy director of cardiothoracic surgery, Gao Quan, frowned deeply, speaking in a somber tone.
Upon hearing this, Qin Feng remained silent, because he also knew that an aortic dissection meant...
In cardiothoracic surgery, dealing with intrathoracic vessels, especially large-vessel anastomosis, the ascending aorta is the most difficult and risky.
And now, this dissection appearing in the ascending aorta is obviously not good news.
From the angiography, the dissection of the aortic wall starts at the root of the ascending aorta, with the tear in the intima beginning at the anterior wall of the proximal ascending aorta, extending distally to the descending aorta.
Moreover, not only that, this position has even affected branch aortic arch dissections, as well as aortic insufficiency.
In other words, even without the dissection this time, the patient had other preexisting issues.
But this time, they all erupted!
"Director Qin..."
Hearing this, Liu Chang's face was full of tension and anxiety.
"Don't worry, Dr. Liu, does the patient have any family medical history?"
Qin Feng consoled.
"His father has hypertension, nothing else though."
Liu Chang replied, recalling.
Upon hearing this, Qin Feng nodded, deep in thought.
The patient exceeds 2 meters in height, far above the average, and has very long limbs.
"Director Gao, do you think this surgery can be managed?"
"It can be done, but it's very difficult and extremely risky. It's best to wait until stabilization before performing surgery."
Gao Quan expressed his thoughts. Currently, the patient's condition is abrupt; if surgery is rashly attempted and rupture occurs, the situation would be uncontrollable.
"Alright."
Qin Feng nodded slightly, feeling that something still seemed off.
Although he had seen tall patients before, he felt this proportion was not quite right.
Half an hour later, the consultation concluded, and Qin Feng went to the emergency room.
Sun Peng's angina had relieved considerably, gradually stabilizing after medication.
This was a good sign.
"Xiaopeng, how do you feel?"
"Much better~"
...
As Liu Chang and Sun Peng conversed, Qin Feng again scrutinized the other party.
While Sun Peng had long arms, his hands were also large, with the palm exceeding 25 centimeters, and a broad span.
With such hands, holding a basketball with one hand would be effortless.
However, his fingers also seemed peculiar, particularly his thumb, which extended beyond the second joint of the index finger. Most people might not think much of it, but in Qin Feng's eyes, it seemed strikingly unusual.
"Dr. Liu, take off his shoes and socks."
Qin Feng couldn't help but entertain a special hypothesis in his mind and immediately spoke.
Hearing this, Liu Chang was curious but complied, removing Sun Peng's shoes and socks.
His exposed feet were also long, with the five toes, especially the thumb and all but the pinky, almost in a straight line.
Deformed skeletal structure!
Seeing this, Qin Feng's hypothesis was further confirmed.
Comparing it to the previous abnormal ECG, the possibility increased greatly.
"Liu Chang, come outside for a moment."
Thinking of this, Qin Feng spoke, prompting Liu Chang to follow.
"Director Qin, what's up?"
"Liu Chang, tell me, do the patient's parents or other immediate family members have any severe illnesses? Also, do they have noticeable height and skeletal issues?"
Qin Feng spoke in a serious tone.
"Severe illnesses? Skeletal issues?"
Hearing this, Liu Chang was taken aback, then fell into thought.
"His parents don't have much, but his grandfather was also very tall and died of a heart attack. I'm not too familiar, but have seen them a few times."
Family history!
"Take me to see the family."
Instantly, Qin Feng's mind locked onto a specific rare disease, and he immediately spoke.
"They'll be here soon."
Quickly, Qin Feng met Sun Peng's parents.
Upon entering the hall, he immediately spotted a very tall figure, reaching almost two meters.
"Director Qin, they're here."
Seeing the people approaching, Liu Chang quickly brought the couple over.
"Director Qin, these are the patient's parents, cousin, and cousin-in-law. This is Director Qin from our emergency department."
"Director Qin, hello, hello."
The man stepped forward, looking down at Qin Feng, clasping his hand with full-face tension,
"How is my son? Is there any danger?"
"Hello, the patient's current condition is not good, with an aortic dissection, which is very dangerous. We already had a consultation; as soon as the situation stabilizes, we'll arrange surgery immediately."
Qin Feng nodded, explaining,
"At that time, we will need you to sign for surgery and critical condition notice."
"Critical? Is it that serious with my son?"
Upon hearing this, the woman beside him almost fainted, and the man's face turned somewhat unsightly.
"Rest assured, there's no problem for now; we need to discuss with our cardiothoracic department further.
However..."
Speaking of this, Qin Feng paused, examining the man before him who was a full head taller than himself,
"I want to ask, does your family have a history of Marfan syndrome?"
???
Upon these words, the couple glanced at each other.
Standing at the side, Liu Chang shuddered violently, his face dramatically changed, his eyes glaring at Qin Feng with shock.
"Doctor, what is Mar... what syndrome?"
The man eagerly inquired.
"Here's the situation: while examining the patient, although the illness was caused by an aortic dissection, we also found other symptoms. Generally, without an underlying cause or triggering factors, such cases are rare.
Hence, I suspect the patient might have Marfan syndrome, leading to these typical cardiovascular issues."
Qin Feng patiently began to explain,
"Marfan syndrome is a hereditary congenital rare disease characterized by arachnodactyly. Its main features involve skeletal abnormalities, connective tissue disorders, cardiovascular anomalies, etc. It is genetic with connective tissue as the fundamental defect.
In simple terms, it's chromosomal dominant inheritance with very pronounced traits, especially abnormal skeletal stature.
Once someone has this condition, it could lead to organ underdevelopment, cardiovascular abnormalities, among others.
Typically, it involves heart valve and large-vessel anomalies, primarily aortic and valve disorders, already present in the patient."
After hearing the explanation, the patient's father's face grew more somber, subconsciously glancing down at himself.
"Alright, Dr. Liu, arrange a test for the child's father as well, to assess the situation."
Seeing this, Qin Feng instructed Liu Chang beside him.
If true, the patient very likely has hereditary Marfan syndrome!
However, there was one case he didn't mention, as Marfan syndrome is also known as the "Death Syndrome."
In cardiovascular medicine, it is a rare and deadly hereditary disease, typically resulting in a lifespan between 30-40 years.
If the hereditary severity is low, they might live longer, but as time goes on, the likelihood of developing conditions increases, potentially leading to accumulative symptoms and death.
No cure!
Even for Qin Feng, with the system at hand, without transcending current medicine, it is impossible to alter a person's decades-old genetic code.
...