? The coronary artery is blocked, take a blood vessel from the body to take a detour, just like a broken water pipe at home, then connect a water pipe. Nowadays, heart bypass has become a routine operation in the cardiothoracic surgery of major hospitals. Coincidentally, recently in Wuhan Central Hospital cardiac surgery ward, into two 78-year-old granny, a fat and a thin, have to bypass, but the surgery is not the same. The fatter one, Granny Lu, was optimistic, “I have exceeded the average life expectancy, and the rest is all the more earned by Director Shang for me.” She said cheerfully, her usual good health, half a year ago a little chest pain, walking panic, at first thought it was a stomach disease, did not take it seriously, and then frequent attacks, children brought a check, it turns out that the coronary arteries have three blockages, stents can not be installed, only surgery. The good thing is that the basic conditions of the blood vessels of the mother-in-law are good, so the director of the cardiac surgery department, Shang Yuqiang, considered carefully and boldly chose the non-stop heart bypass for her. This is different from the traditional stopping the heart, the use of extracorporeal circulation to the whole body blood supply, the heart, lungs and brain and other important organs of the human body have certain damage. The non-stop bypass is to install an immobilizer on the surface of the heart to hold the surgical site down, so the heart will not “mess up”, and then use a side wall clamp to hold a part of the aortic wall, and then “dig a hole and bypass”, some studies have shown that the incidence of non-stop stroke and atrial fibrillation are lower than those who stop beating. The study showed that the incidence of non-stop stroke and atrial fibrillation is lower than that of those who stop. The skinny grandmother was even sicker and had more blockages, so in response to this situation, Director Shang chose to stop the bypass and built four bridges in a row, all of which returned to the ward safely. [expert comment] “The same disease, surgery is not dull, must be personalized treatment.” Shang Yuqiang believes that adventurous and conservative are not desirable, suitable for the patient is the best. Bypass surgery is like old city renovation, which requires three-dimensional construction to solve traffic problems and better coronary blood supply through multiple life tubes. The surgery must first ensure the safety of the patient. The second thing is the effect. If a non-stop surgical approach is used, resulting in poor resolution of traffic problems in certain arteries, there will be no advantage over interventional stenting.