The 83 -year -old man broke 2 large holes after his heart infarction, and the minimally invasive "supplement" heart was a new life.
Author:Hunan Medical Chat Time:2022.08.18
Sudden myocardial infarction encountered the heart perforation again, the heart broke 2 large holes, and the 83 -year -old Liu Xun died. Hunan Provincial People's Hospital's cardiology team combined with multi -department consultation, and successfully implemented the coronary intervention therapy and intervals of the intervals. The minimally invasive "supplement" heart was made to make the elderly a new life.
At present, Liu Yan was discharged from the hospital smoothly. It was the oldest patient who received acute myocardial infarction merged intervals (dual -hole) in the province.
[Before blocking: A large amount of left and right in the left room can be seen]
Liu Xun, who lives in Yiyang, came to the local hospital for chest tightness and could not breathe. He was diagnosed with acute myocardial infarction. After more than 20 days, he was transferred to the first medical area of Hunan Provincial People's Hospital.
When admitting to the hospital, breathing is poor, heart failure, shock, and includes a series of respiratory and circulating support therapy such as auxiliary breathing, aortic balloon reflection (IABP) implantation through ventilator to maintain life.
The inspection found that Liu Yan caused myocardial infarction due to the severe coronary veins, and what made people even more heartbreaking was that there were two 5.7mm and 7.7mm "holes" in the heart of the heart. Blood diversion into the right ventricle, pulmonary hypertension occurs, and the condition is becoming more dangerous.
Considering patients' dysfunction, heart failure such as basic diseases, heart failure, heart failure, critical condition, cardiac treatment ward immediately organized multi -disciplinary consultation, and multidisciplinary teams such as cardiology, cardiac surgery, anesthesiology, etc. It is believed that the risk of surgery is extremely high and difficult, and it is decided to implement coronary arterial intervention therapy and sealing clogging surgery.
[Director He Jin's team performed for Liu Yan]
Because the patient's cardiac perforation is close to the tip of the cardiac, and it is two perforations, and the myocardial tissue is very soft after myocardial infarction, and a little accidental perforation will further expand, the condition worsens, and the surgery is extremely difficult.
In order to ensure the smooth operation of the operation, He Jin, the director of the Cardiology Department, formulated a thorough and detailed treatment plan for sub -surgery.
The coronary blood vessels were opened first, and then the first perforation of the leather room intervals was performed. After one month, the second passage intervals intervals were performed. Pulmonary artery pressure also dropped to normal.
After recovery, Liu Yan's situation improved significantly and was discharged smoothly.
During the postoperative return visit on August 18, Liu Yan happily told the doctor that his quality of life now has improved a lot and he can also take care of himself.
[Double -seal blocking device no left -handed and right after surgery]
Director He Jin introduced that the spinal perforation is a rare and severe complication of acute myocardial infarction. The mortality rate is 67-82%in one week, and the survival rate of 1 year is only 7%.
The ventricular intervals after the patient occur after the acute myocardial infarction. If the effect of conservative treatment in the Department of Internal Medicine is poor and the mortality rate is extremely high, and the surgical breast opening treatment must be carried out until one month. One month.
Therefore, it is an ideal choice to use intervention surgery to block the perforation of the heart. The involvement of the surgery is less traumatic, the recovery is fast, and the cost is less.
Director He Jin said that the interval between intervals was discovered in time, actively maintaining the heart function, and repairing as soon as possible is the element of successful saving patients.
The team of the Heart Center of the Hunan Provincial People's Hospital dared to take responsibility, challenged, united and cooperated, and successfully cured the elderly myocardial infarction merging room interval with double -hole perforation patients, marking the ability of the provincial chest pain center to re -climb.
(Edit Rainbow.)
Special Author of Hunan Medical Chat: Peng Xiang Liu Jiajia Zhang Yan, Hunan Provincial People's Hospital
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