“Ten years ago, specialists from the Chest Hospital put three blood vessel bridges in my heart, saving My life. This time, the blood vessels I have been blocked for so many years can be completely opened up, and it has saved me once again!”
Who would have thought, saying this The patient is a “little young” who is only 37 years old.
Mr. Gu suffered from severe coronary heart disease, which spanned ten years and was extremely complicated. In desperation, he found the team of Professor He Ben, director of the Heart Center of Shanghai Chest Hospital and director of the Department of Cardiology, hoping to make his heart “ beat vigorously again”.
Heart is on the verge of “strike”
Ten years ago, Mr. Gu, in his 20s, suffered a severe coronary Heart disease (three-vessel disease) underwent bypass surgery at the Chest Hospital, and the surgery was successful, but he did not have regular follow-up after surgery, nor did he insist on taking medication. In the past two or three years, the symptoms of heart disease reappeared, but Mr. Gu paid no attention to it. He did not come to Shanghai for treatment until he could not survive it.
When he came to the hospital, his heart was on the verge of “strike”, two of the bypassed blood vessels were blocked, his heart failure was severe, and his heart function was almost lost… The family said that he had I can’t sleep at night, I have to sit up and pant, feel flustered and chest tight, neither sitting nor standing.
After taking strict epidemic prevention measures, the hospital admitted him to the hospital, and immediately organized a multidisciplinary consultation with experts from the Department of Cardiology, Cardiac Surgery, Ultrasound, Radiology, Nuclear Medicine, and Anesthesiology. Emergency treatment plan, but found that “everywhere hit the wall”.
Another bypass surgery?
The risk of secondary bypass is very high, and the patient’s cardiac function is also poor, with an ejection fraction of less than 30%, which is even more difficult. Even if the bypass is successful, the symptoms can only be postponed.
A heart transplant?
The patient is so young, considering the quality of life in the future, this may be the last resort.
Drug conservative treatment?
May be able to partially restore the patient’s cardiac function, but if the problem of cardiac blood supply is not resolved, the clinical effect will be greatly reduced.
Minimally invasive intervention?
Mr. Gu had bypass surgery ten years ago, indicating that his condition was not suitable for intervention at that time. What’s more, after ten years of development of the disease, the situation has become more complicated. Sure enough, during coronary angiography, the doctors found that Mr. Gu’s heart was unobstructed in addition to the “anterior descending vein bridge”, and his own three blood vessels and two of the three bypassed blood vessels were all blocked from the beginning. There is no way to start.
For such a young patient, there is only one way left to “change the heart”?
Under the anxious expectation of the patients and their families, the Heart Center team of the Chest Hospital carefully studied the patient’s medical history data ten years ago. Finding a way to open up the “circular branch” that has been occluded for many years but has developmental advantages can improve the patient’s cardiac function.
But this blood vessel has been blocked for many years. CT showed heavy calcification. Angiography showed that there were many small side branches like jellyfish in the occluded segment. “Unclear, the plaque is as hard as a stone!
The difficulty of intervention operation is self-evident!
“The patient is so young, as long as there is a silver lining, we must work hard.” He Ben said firmly.
After careful preparation, Director He led the Cardiology Department Dr. Wang Jian to start this “hard battle”. He used the guide wire to explore and reach in little by little. As expected before the operation, the patient’s blood vessels were as hard as a rock! The surrounding situation is even more complicated, like groping through a dark thorn!
The surgical team was calm and calm, successfully emerged from the “messy”, and accurately found the target blood vessels. The technology allowed the catheter to pass little by little, and finally the stent was successfully implanted. The blood vessel that had been occluded for ten years was opened!
This superb minimally invasive interventional technology has opened up the patient’s stubborn blood vessels that had been blocked for ten years, and solved the problem from the source.
“After this operation, I will definitely protect my heart.” Mr. Gu said excitedly. He recovered quickly after surgery and was able to sleep on his back that night. The doctors repeatedly told him that after being discharged from the hospital, he must pay attention to strengthening exercise, live a healthy life, and follow up regularly, and he must not “splurge” his heart like before.
Author: Tang Wenjia
Editor: Tang Wenjia
Editor in charge: Fan Liping
Picture: Interviewee
*Wenhui’s exclusive manuscript, please indicate the source when reprinting.