Aortic dissection is known as the “vascular bomb” of the human body. It is a disease of the cardiovascular system. The patient’s blood vessel wall is “thin as a cicada’s wing”. Coughing, bending over or emotional agitation may cause the aorta to rupture. Once the aorta ruptures, the patient often dies within minutes. A few days ago, the Cardiovascular Surgery Team of Hunan Provincial People’s Hospital successfully performed emergency surgery on a 43-year-old man with type A aortic dissection, saving his life.
Mr. Zhang, who lives in Pingjiang, Hunan Province, is a hypertensive patient. He has not been taking medication regularly, and his blood pressure is as high as 170/120mmHg. About 10 days ago, he suddenly felt chest tightness, thinking that it was caused by work fatigue, and he did not pay attention. Unexpectedly, after a few days, the chest tightness became more and more serious, and there were also discomforts such as dizziness and fatigue. After medical treatment in a local hospital, his condition did not improve, so he came to Hunan Provincial People’s Hospital for treatment.
The chest CT after admission showed that the ascending aorta was changed, and further aortic CTA examination showed that the ascending aorta was type A dissection. You know, aortic dissection is the most dangerous and fatal disease in cardiac surgical emergencies. If the patient cannot get timely and correct treatment, the mortality rate is as high as 50% within 48 hours, and the risk of death increases by 1% every hour.
Time is life! Professor Zhou Wenwu, director of the Cardiac and Great Vascular Surgery Department of Hunan Provincial People’s Hospital, immediately organized a team of experts to join the operating room, anesthesiology department, cardiopulmonary bypass group, and nursing group to activate the green channel for aortic dissection and perform emergency surgery for patients.
On April 16, 2022, Mr. Zhang, who was diagnosed for only 2 hours, was sent to the operating room, and the surgical team composed of Chief Physician Zhou Wenwu and Deputy Chief Physician Hou Anxing performed aortic valve surgery for him. + Ascending aortic replacement + aortic arch replacement + descending aortic stenting. The operation lasted 6 hours, and the patient was successfully pulled back from the death line!
After the operation, Mr. Zhang was sent to the intensive care unit of Cardiac and Great Vascular Surgery for further treatment. For such critically ill patients, surgery is only the first step, and postoperative rehabilitation is the top priority. Head nurse Xu Xiaoping led the nursing team to formulate a personalized nursing plan and closely monitor the patient’s postoperative vital signs and changes in consciousness.
Under the careful treatment and care of the cardiac and vascular surgery team, Mr. Zhang recovered quickly. The tracheal intubation was removed on the first day after the operation, and he was able to get out of bed on the second day. He was discharged from the hospital on the 28th.
“Since the Spring Festival, we have treated dozens of patients with aortic dissection.” Director Zhou Wenwu said: Aortic dissection is a very serious sudden disease of large blood vessels, and hypertension is the main causative factor. . Therefore, people with hypertension must pay attention to controlling blood pressure. Once severe chest pain occurs, especially metastatic or expanding chest pain, they must seek medical attention immediately, and undergo surgical treatment as soon as possible after a clear diagnosis.
Xiaoxiang Morning News reporter Xia Sheng correspondent Liang Huiyi Lei
News clues breaking news channel: Download the “Morning Video” client from the app market and enter the “Morning Help” topic; or call the morning video news Hotline 0731-85571188.