The heart is constantly jumping, the doctor opens a 6 cm incision to "take the new bridge" for the patient's blood vessels

Jimu Journalist Liu Xun

Correspondent Lu Hui Song Meng

One is a middle -aged uncle who is severely pedant vascular and cannot perform stent surgery, and the other is an elderly man who is completely blocked by blood vessels and suffers from various basic diseases. In the face of complex and difficult condition, the cardiac surgery team in Wuhan Asia Heart Hospital adopted Minimally invasive technology successfully completed the heart bridge surgery for the two through the incision of about 6 cm. It is reported that the two patients recovered rapidly after surgery, and they are currently restored to discharge.

Mr. Tian (first from left), Dad Jiang (first from right) with Director Chen Xufa

Chest tightness for many years, severe blood vessels

Dad Jiang (Hua surname) is 72 years old and lives in Anhui. In the past 8 years, he has often tight chest tightness and thought he was old and he was not too serious. In February this year, the elderly went to the local hospital for a fracture of the shoulder. The heart problems were unexpectedly detected. Many blood vessels had plaques, and the left anterior sub -vascular opening was closed.

However, the blood vessels of the elderly are very poor. They are almost all blocked, and they have lost elasticity. The plaques in the blood vessels are as hard as stones. The implantation of the heart stent cannot open the blood vessels. I heard that the operation might be "open chest and bone", and Dad Jiang was very resistant to his heart.

Coincidentally, Mr. Tian, ​​57, is also a patient with coronary heart disease. He has a long time tightness for several years. It was not until last year's physical examination that the cause was proclaimed. His two blood vessels were blocked by 95%. symptom. In July of this year, he went to Hunan to review and found that the third important blood vessels were also blocked, and severe narrowness and pedigree were not suitable for brackets. He could only consider the heart bridge.

At the end of August, the two went to Wuhan Asia Heart Hospital for treatment. After detailed examination and evaluation, Director Chen Xofa, the hospital's cardiac surgery, judged that Dad Jiang was old, and he had hypertension, diabetes, and obvious osteoporosis; The blood vessels of the lesions were completely blocked, without a trace of gaps, and the risk of stent intervention surgery was high. Neither of them were suitable for opening the chest surgery.

The heart is constantly jumping, and the "blood vessel bridge" is clever

After repeated discussions, the hospital's cardiac surgery team decided that in the case of constant heart, small incision performed coronary bridge surgery. For surgeons, higher requirements have been put on technology and experience.

"The small incision means that the surgical field of vision is also small, the operating space can be narrow, and the difficulty of surgery has increased." Chen Xufa introduced that the doctor "flying the needle wiring" and completing the bridge on the beating heart throughout the process. Frequency, and quickly and accurately complete the movement of the hand. Each step must be strictly sutured and accurate. It is necessary to ensure that the blood vessels are not leaked and the blood vessels are unobstructed.

On August 29 and September 1, Director Chen Xufa and the surgery team performed surgery respectively. The knife mouth was located between the fifth rib on the left side of the chest and only about 6 cm. two. At the same time, a section of arteries, as a "new path", bypass the clogging blood vessels and re -establish a vascular channel to restore the blood to flow.

With the close cooperation of multiple sections such as the Department of Surgery and Anesthesiology, the operation of the two was successfully completed. The surgery team set up a blood vessel bridge for their respective heart. Essence

Director Chen Xufa checked his body for Dad Jiang

Mr. Tian is grateful to Director Chen Xofa for treatment

Minimally invasive no bones, rehabilitation "acceleration"

Compared with the bridge surgery of traditional incisions, minimally invasive bridge surgery avoids the impact of the in vitro circulation system on the human body. Patients do not need to experience the damage of "heart stopping -re -jump". Advantage.

In addition, the surgery also avoided the sternum in the middle of the chest, maintained the thoracic integrity, the thoracic osteomy structure was not damaged, the trauma was small, the bleeding was small, the wound infection had a small chance of infection, the postoperative complications were less. The hospitalization time is reduced to reduce medical expenses.

It is reported that the two patients recovered rapidly after surgery, and both went smoothly on the first day of the operation. On the third day of the operation, they were transferred to the general ward and could walk normally and get out of bed. At present, both have recovered and discharged.

It is understood that in 2010, Wuhan Asia Heart Hospital took the lead in carrying out the first minimally invasive bridge surgery in Hubei Province to achieve a "big step" from opening the chest to a small incision. The surgical volume continued to rank first in the province. In 2015, Wuhan Asia Heart Hospital's technology "upgraded", and completed the nation's first nationwide minimally invasive bridge surgery in the country, creating a new situation in which coronary heart disease and minimally invasive bridge surgery. In 2018, Director Chen Xufa successfully implemented the first emergency minimally invasive bridge surgery in Hubei Province for a sudden acute angina patients with coronary heart disease, saving the patient's life.

(The above pictures are provided by correspondent Wang Biying)

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