Mr. Ryker’s mammary artery had a large area of calcification and stenosis. Plus, there were other areas of calcification scattered throughout the arteries. Riley carefully positioned the catheter tip and placed a stent, then another, corrected the blockages that he could via an artificial material holding the artery open. Unfortunately, the stents weren’t nearly enough to restore blood flow to the tissue. He withdrew the catheter.
“He’s going to need a coronary artery bypass graft,” he told another nurse, while Trinity applied pressure to where the catheter had been withdrawn. “Find an available vascular surgeon stat and let’s get Mr. Ryker into the operating room.”
So much for taking Trinity out to eat any time soon. They’d be here for several hours yet.
Trinity wasn’t sure how she’d gone from being in the catheter lab to the operating room as that wasn’t usual protocol. At least, it hadn’t been standard at the hospital where she’d worked in Memphis, but there she was. In the operating room. With Riley.
She was working as his assistant and blowing CO2 into Mr. Ryker’s open chest. That helped keep blood from interfering with Riley being able to readily see where he was making the anastomosis in the mammary artery to loop the vessel into the right coronary artery. While keeping the CO2 blowing at just the correct angle, she watched him carefully cut away a pedicule and reroute the artery. Painstakingly, he sutured the arteries together, making sure not to damage the vessels.
Another nurse dabbed at his forehead. Trinity found herself wishing she was the one touching him. Silly really. They were at the hospital. Working to save a man’s life. Touching the cardiac surgeon while he performed a procedure should be the absolute last thing on her mind.
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