37-year-old suffering from coronary heart disease, arterial bypass makes young people’s cardiovascular “maintenance-free” after surgery

[Source: Xinhua Daily Junction]

Intersection News How can the patient get a higher life in the future if he suffers from three-vessel coronary artery disease at a young age quality? On August 3, a 37-year-old male patient underwent total arterial coronary artery bypass graft surgery at the Great Vascular Center of the Affiliated Hospital of Yangzhou University. The symptoms of dizziness improved significantly and he could walk normally. What is special about this operation is that the grafts used for the heart bypass are arterial vessels taken from the patient’s body, which can maintain long-term patency.

The 37-year-old man suffers from diabetes himself, because of repeated chest tightness, dizziness, and inability to walk. When he was admitted to the hospital, when he was transferred from Suzhou Zhangjiagang emergency department to Yangda Affiliated Hospital, he had difficulty breathing and was in critical condition. Wang Qiang’s team from the Macrovascular Center of the Affiliated Hospital of Yangzhou University diagnosed him with three-vessel coronary artery disease. “Three-vessel disease mostly occurred in the elderly in their 60s and 70s. Considering the patient’s long life expectancy, after consultation, it was finally decided to perform total arterial bypass surgery.” Yangda Affiliated Hospital Cardiovascular Center Deputy Chief Physician Fuzhi said that total arterial bypass refers to taking some arterial blood vessels in the patient’s body as a bridge for bypass. Compared with traditional venous bypass, this is also a more optimized method for patients with longer life expectancy. Treatment options. Correspondingly, the difficulty of arterial bypass surgery will be relatively increased.

It is understood that compared with traditional venous bypass, arterial bypass can prolong the long-term survival rate of patients and reduce long-term cardiovascular and cerebrovascular diseases. There are obvious advantages in terms of adverse reactions and prolonging the survival period of patients. Especially after ten years of surgery, the arterial bypass vessels can still maintain a very high long-term patency rate. Patients can benefit from one operation for many years, and the reoperation rate is reduced. Wang Qiang, director of the Cardiovascular Center of the Affiliated Hospital of Yangda University, analyzed that in the past, most patients with coronary heart disease were over 60 years old. In recent years, the trend of coronary heart disease younger is more obvious. The young patient faces the next few decades of survival and needs to keep the heart healthy for a long time, so this time the team took the patient’s bilateral internal mammary arteries plus radial arteries, and gave his coronary arteries a complete resection. The advantage of reconstruction is that the patency rate after arterial bridge is very high, and it can be maintained after ten or even twenty years. The operation process was also relatively smooth, and the patient’s symptoms were significantly improved after the operation, the recovery was fast, the sternum healed well, and there were no obvious complications, and the patient could be discharged one week after the operation.

“When taking the patient’s radial artery during surgery, the doctor should avoid spasm of the artery and keep it open, which all increase It makes the operation more difficult.” Wang Qiang said that patients with coronary heart disease with longer life expectancy and even patients under the age of 65 can take arterial bypass. The implementation of arterial bypass surgery in Yangda Affiliated Hospital has brought good news to young patients with coronary heart disease. However, because total artery bypass grafting requires the removal of local arteries, each patient’s own conditions will also limit the operation. For example, patients who are obese, older, or suffer from diabetes and osteoporosis may have a tendency to have poor sternum healing, and the risk of poor sternum healing will increase after taking bilateral internal mammary arteries. Arterial bypass also depends on the patient’s own conditions.

Intern Zhang Xianyi

Correspondent Fu Xuan

Xinhua Daily·Interchange reporter Zhang Chen

Editor: Zhou Jing

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