Text/Yangcheng Evening News all-media reporter Zhang Hua correspondent Wu Xiaodan
Photo/provided by the hospital
“Open the patient’s chest, all you see is the heart, which occupies almost the entire chest cavity. The volume is almost 4-5 times that of a normal heart, which is a rare situation.” On April 6, when Wang Xiaowu, director of the Cardiac and Great Vascular Surgery Department of Pearl River Hospital of Southern Medical University, was interviewed by reporters, he talked about a case of rheumatic heart that had just been surgically treated. Disease (hereinafter referred to as “rheumatic heart disease”) patients are also quite surprised.
“The 51-year-old patient was in the terminal stage of valvular disease, and his heart failure was so severe that he couldn’t lie down and eat, so he was transferred to Zhujiang Hospital for surgical treatment.” Director Wang Xiaowu said, “After the operation , not only save the patient’s life, but also save the family.”
He suffered from rheumatic heart disease twenty years ago
According to the reporter, the patient from Guangxi, Mr. Wen, is only 51 years old. “When I was in my twenties, I found out that I had a heart murmur. I didn’t have any symptoms at the time, so I didn’t care. Later, when I was in my 30s and 40s, the discomfort became more and more serious. Old and young, I have to earn money to support my family, and I have to carry it when I am sick. Later, I went to the town to find a home remedy, and took Chinese medicine. Each pair of Chinese medicine costs more than 60 yuan.
“During the Chinese New Year this year, the situation was so severe that I couldn’t lie flat, and my back hurt. I could only sit and sleep during the day and night. I couldn’t breathe when I lay down. I couldn’t eat it, so I went to the local hospital in Guilin for treatment.” Mr. Wen said, “However, I went to two hospitals. The local doctors thought it was rheumatic heart disease, but because the condition was too serious and the heart was too big, it was more difficult to remove the valve than before. The stenosis also has atrial fibrillation and pericardial effusion, the risk of surgery is very high, and it may not be safe to be discharged after surgery.”
On February 11, Mr. Wen and his wife came to Zhujiang Hospital. On the 17th, the experts performed surgery on Mr. Wen.
The team of Wang Xiaowu, Director of Cardiac and Great Vascular Surgery, Pearl River Hospital of Southern Medical University, performed surgery on the patient
one month after operation The weight has increased by 15 pounds
After systematic cardiopulmonary function adjustment one week before the operation, on February 17, Director Wang Xiaowu’s team performed an operation on Mr. Wen under general anesthesia. The moment the chest was opened, the doctor really let the doctor They were surprised. “This is a ‘cow heart’. Generally speaking, our adult heart is the size of our own fist, and Mr. Wen’s heart is the size of a cow’s heart. The chest cavity is full of hearts, about 4 times the size of a normal heart. -5 times.”
Because the rheumatic heart damaged the valve of the heart, the experts performed mitral valve + aortic valve replacement + tricuspid valvuloplasty + left atrial appendage removal + atrial fold for Mr. Wen. “We dealt with all the three valve leaflets in question, and also ligated the left atrial appendage to avoid the risk of cardiovascular and cerebrovascular diseases and strokes caused by atrial fibrillation.”
After surgery in the intensive care unit After intensive care, on February 27, Mr. Wen was successfully discharged from the hospital. On March 6, Mr. Wen returned to the hospital for a review.
“I don’t breathe at all now, and my symptoms have improved. Now I can eat five or six meals a day, eat well, sleep well, and have been discharged from the hospital for more than a month, and I have gained 15 pounds.” He repeatedly Thanks to the medical and nursing team of the Department of Cardiovascular Surgery of Zhujiang Hospital, “I feel very good now. In the future, my wife and I will return to the countryside of Guilin. Life will continue. I can still work in the field, and I will not be a burden on my son and daughter.”
Wang Xiaowu, Director of Cardiac and Great Vascular Surgery, Pearl River Hospital, Southern Medical University
rheumatic heart disease accounts for more than 50% of valve disease
p>
The disease that Mr. Wen suffers from is actually very common in clinical practice. According to reports, my country’s rheumatic heart disease is a valve disease, its main cause is Streptococcus infection, rheumatic fever caused by Streptococcus infection.
Director Wang Xiaowu said that after repeated infection of rheumatism, the valve will not be affected until 5 years later, which is manifested as a change in the heart valve. Atrial fibrillation, left ventricle enlargement, arrhythmia problems, and myocardial damage occur when the atrium enlarges. Eventually heart failure occurs.
According to statistics, the incidence of valvular heart disease in my country is about 2%. With the aging society, it is estimated that there are about 25 million valvular heart disease patients in my country. Studies have found that rheumatic heart disease is still the main cause of valvular disease. Although rheumatic heart disease is currently showing a downward trend in my country, it is still high compared with developed countries such as Europe and the United States, and it is still the main clinical cause of heart failure and death. One of the vascular diseases.
With the improvement of my country’s overall medical and health conditions, many previously common infectious diseases have been effectively controlled, and the number of sufferers has been greatly reduced, including rheumatic heart disease valvular disease caused by rheumatic fever. Therefore, the new incidence of rheumatic heart disease is significantly reduced, and most of them are people who have suffered from the disease before.
“Due to the high incidence of rheumatic heart disease in Guangdong Province, we currently perform 300-400 rheumatic heart disease operations a year, accounting for about one-third of all cardiac surgeries. Heart disease is still a very common disease.” Director Wang Xiaowu also introduced, “The youngest patient with rheumatic heart disease currently admitted to the hospital is a 12-year-old girl from a mountainous area. She needs to take medicine for life after valve replacement.” Therefore, experts remind the public , after the discovery of rheumatic heart disease, timely intervention is required to delay the progression of the disease. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)