Intersection News Uncle Zhang, who used to suffer from myocardial infarction, has recently experienced chest tightness, chest pain, and difficulty breathing. After going to the Affiliated Hospital of Yangzhou University for an examination, it was found that a “big bag” was bulging in the heart. It turned out that there was a 6 cm aneurysm in the left ventricle, which was in urgent need of surgical removal.
“Aneurysms are most commonly seen after acute massive myocardial infarction with necrosis and are replaced by fibrous scar tissue, which is part of the myocardium. It thins and bulges outward to form a ventricular aneurysm. In severe cases, it will suddenly rupture and lead to massive hemorrhage and death, so it is also called the ‘heart’s time bomb’.” After communicating with the patient’s family, the Yangzhou University Affiliated Hospital has a heart attack. Wang Qiang, director of the Vascular Center, and his team successfully performed aneurysm resection for the patient. “Aneurysm can lead to severe heart failure in patients, and patients with EF20% aneurysm complicated with coronary artery disease are rare. Before surgery, a balloon counterpulsation was installed to assist the patient’s heart, and during the process dynamic Observe the state of his cardiopulmonary function, and seize the opportunity to perform surgery.” Wang Qiang said.
“This is an immediate operation. We carefully designed the scope of ventricular aneurysm resection before surgery, removed the patient’s necrotic myocardium and ventricle during the operation, reconstructed the left ventricle through advanced technology, and then It has returned to the shape of the left ventricle of a normal person.” Wang Qiang told reporters that in the follow-up operation, some of the patient’s blood vessels without necrosis were bypassed to ensure the blood supply of the patient’s blood vessels. The ultrasound test was performed again after the operation. At this time, the patient’s cardiac function had improved, and the value was close to 40%. At present, Uncle Zhang has recovered well and will be discharged from the hospital in the near future.
Director Wang Qiang said that some patients should find a professional doctor for diagnosis and treatment as soon as possible after a period of time after myocardial infarction, if they find a ventricular aneurysm with a tendency to expand or chest tightness and asthma. Treatment will be better.
Correspondent Fu Xuan
Xinhua Daily·Interchange reporter Zhang Chen
Intern Zhang Wei
Editor: Zhang Chen