Dazhong Net·Poster News reporter Liu Zhen correspondent Geng Liang Weifang reports
The heart is the “engine” of the human body, and its importance is self-evident. But various types of “problem hearts” caused by congenital “construction” errors or acquired lesions can be tormented. Surgery on the heart is high risk and difficult.
Weifang Yidu Central Hospital Cardiac and Great Vascular Surgery dared to explore and challenge, and recently independently completed a difficult coronary artery bypass graft + aortic valve replacement surgery, which made this heart disease patient regain his “heart”. “pregnancy.
The patient, a 63-year-old male, was admitted to the Department of Cardiovascular and Major Vascular Surgery in this hospital because of “chest tightness for more than 5 years and palpitations for 5 days” and “heart valve disease aortic stenosis (severe)” on ultrasound examination. The admission diagnosis was 1. Heart valve disease aortic valve stenosis (severe) 2. Hypertension 3. Old cerebral hemorrhage 4. Old cerebral infarction. The patient has a complex medical history, suffering from cerebral hemorrhage 20 years ago, cerebral infarction 3 years ago, and a 20-year history of hypertension.
After admission, various auxiliary examinations were completed. The results of coronary angiography showed that the patient was complicated with coronary heart disease, and the coronary artery disease was severe. -50%, circumflex stenosis 50%. This means that the patient’s surgical plan will be changed accordingly. Coronary artery bypass grafting is required at the same time as aortic valve replacement. The operation is complicated, difficult and high-risk.
In order to achieve technological breakthroughs, the Cardiac and Great Vascular Surgery team has conducted many discussions with the anesthesiologists and cardiopulmonary bypass doctors. After fully considering the difficulties and risks that may be faced during the operation, a careful operation has been formulated for the patient. Plans and plans for dealing with various unexpected situations. After full preparation, with the full cooperation of the anesthesiology department and the operating room, cardiopulmonary bypass was established for the patient, coronary artery bypass grafting and aortic valve replacement were performed, and the patient’s heart was rejuvenated. The operation lasted 5 hours and 50 minutes, and the operation was a complete success without blood transfusion.
After the operation, the patient was transferred to the cardiac surgery intensive care unit for continuous monitoring and treatment. On the 2nd day, the patient was taken off the ventilator and fed orally, and on the 5th day, he was transferred to the general ward for rehabilitation treatment, and was discharged smoothly on the 12th day. The patients and their families were satisfied with the treatment process and results.
Weifang Yidu Central Hospital Cardiac and Great Vascular Surgery has routinely carried out difficult operations such as heart valve surgery, coronary artery bypass surgery, congenital heart disease correction surgery, interventional and surgical operations for aortic dissection. Since the beginning of this year, with the strong support of the hospital leaders, the cardiac surgery medical team of the hospital has updated the operation concept, improved the technical level, and attached great importance to external contacts. It has successively established good cooperation with Beijing Anzhen Hospital, Shandong University Qilu Hospital, and Shandong Provincial Hospital. relation. Through the combination of expert assistance and independent development, all the medical staff rely on their excellent skills and extremely responsible spirit, accumulate a lot, face difficulties, and give full play to their technical advantages, so that the risk of cardiac surgery is greatly reduced, and the safety is obviously guaranteed. Good news for patients with such diseases. The successful operation of this operation marks a new stage in the development of the Department of Cardiac and Great Vascular Surgery in the hospital.