24th birthday rescue!Beijing Jishui Tan Cardiology Joint Multi -disciplinary team to save severe aortic valve stenosis patients' lives

On July 21, 2022, with the efforts of Liu Wei, director of Jaishuantan Heart Innesday and all medical staff, the grandma Song, who was in a dying life when admission was in the hospital 24 days ago, was discharged from the hospital.

The picture shows Grandma Song's family sent the banner to the hospital

It is understood that Grandma Song has been suffering from "severe aortic saliva stenosis" for more than 20 years. It has reached the late stage when they are hospitalized. If the door is not opened, the chance of Grandma Song's survival is zero. However, because the condition is too severe, the only treatment method is to apply minimally invasive intervention surgery -TAVR replacement surgery of the percutaneous aortic valve. Liu Wei, director of the Department of Cardiology of Jishui Tan Hospital, had studied this technology in the United States in the early years, and was also one of the experts in the early domestic TAVR surgery. In view of the huge risks of surgery, under the organization of the Ministry of Medical Affairs, the Department of Cardiology, Anesthesiology, Vascular Surgery, ICU, nephrology, etc. were fully discussed. Medical staff said that in order to further stabilize the lung function of Grandma Song's surgery center, it was finally intended to support downstration surgery at ECMO.

However, even if the team had a thorough plan, there were some sudden difficulties during the actual surgery. Before the operation, the situation of Grandma Song continued to deteriorate, with less severe urine and hypoxia. The team immediately held an emergency meeting to advance the surgery time, and applied the blood filtering of the bedside before surgery to ensure that Grandma Song had the operation time window.

On the day of the operation, Grandma Song had a heart failure during the CTA inspection. With the cooperation of anesthesiologists and Director CT Bai Rongjie, she quickly handled her heart failure to ensure that the CTA inspection was quickly completed. After the CT examination, the medical staff quickly transferred Grandma Song to the catheter room for preparation preparation. After a rapid analysis of CT inspections, the team formulated a TAVR surgery strategy.

The picture shows Dr. ICU team preparing for ECMO

However, the operation process is still twists and turns. Deputy Director Jia Wei and Deputy Chief Physician of Cheng Zhiyuan in vascular surgery were preparing to implant the ECMO sheath tube. During the puncture of blood vessels, it was accidentally found that because Grandma Song had an intravenous filter of the lower limbs, both lower limbs were blocked. It's right. The team was temporarily changed to VA-ECMO through the right cervical vein and left femoral arteries. After the road is successfully opened, ECMO is connected to run normally.

The operation is also dangerous. When medical staff used a 23 mm balloon to expand the aortic valve, it was found that the possibility of coronary veins was more likely to be compressed. Director Liu Wei immediately decided to use Guidezilla and balloon for coronary arteries.

After surgery, Grandma Song pulled out the tracheal intubation that day, but because the heart function was too weak, Grandma Song was very weak after pulling the tube and was in a state of hypoxia for a while. However, under the careful care of the team and the general medical staff, the aftermath of Grandma Song's activity and heart failure symptoms were significantly improved compared with the first before the operation. After 24 days of treatment, all indicators were discharged from the hospital and were successfully discharged.

The picture shows the patient after surgery, and the ECMO is pulled out after surgery

As the only hospital in Beijing to independently complete the surgery of percutaneous percutaneous percutaneous aortic valve intervention, Professor Liu Wei led the team to intervene in structural heart disease, complex coronary intervention surgery and electronic physiological surgery. Continuously explore the latest technologies to help patients solve problems. The TAVR treatment supported by ECMO indicates that the technical level of the team and the multidisciplinary cooperation capabilities of Jishoutan Hospital have reached a new height. The team will continue to work hard to escort more high -risk cardiovascular disease patients in Beijing.

Liu Wei: Chief Physician, a doctor of medicine, graduated from Bethune Medical University in 1996, and went to Tan Tock Seng Hospital, Singapore National University, Datomo Hospital of Dongbang University in Japan. The exchange and interviews of the Department of Medicine at the University of Texas have accumulated rich experience in diagnosis and treatment of cardiovascular disease.

Good at coronary heart disease diagnosis and treatment, heart intervention therapy, and interventional treatment of aortic diseases. In particular, he has rich clinical experience in the diagnosis and intervention therapy of aortic diseases, and helps more than ten domestic hospitals to implement intervention.

He serves as members and secretary -generals of the China Medical and Health Association's Foreign Promotion Association Medical Quality Control Association, a member of the Cardiovascular Branch of the China Elderly Health Care Association, executive member of the Chinese Medical Promotion Association's chest pain branches, and deputy chairman of the Vascular Branch of the Beijing physiological science society. He is the deputy editor -in -chief of the Journal of Cardiovascular Diseases in Chinese and Western Medicine, and social positions such as English editors of China Medical Magazine.

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