Zhuhai Zunyi Medical Cooperation, successfully completed the first TAVR surgery of Guizhou Aerospace Hospital

Text/Yangcheng Evening News all -media reporter Zheng Da Correspondent Liang Rui

Recently, with the assistance of Jiang Xiaofei team of the Department of Cardiovascular Medicine of Zhuhai City People's Hospital, Shen Wangui and Zhang Yukun's expert team successfully served as a Type 0 two -leaf petal and aortic valve severe stenosis with mild reflux The blood vessel roads are severe tortuous and low -body patients with a peritable aortic valve replacement (TAVR). This is the first TAVR surgery for the Department of Cardiology of Guizhou Aerospace Hospital, breaking through new medical technology, and bringing the gospel to more patients in the area.

75 -year -old male patients experienced no obvious causes of inducing fatigue three years ago, pneumonia with chest tightness and mandatory respiratory difficulties. The diagnosis of degenerative heart valve disease in the hospital was diagnosed, with severe stenosis of the aortic valve, heart failure, and heart function III level III level. (NYHA classification); coronary atherosclerotic heart disease; arrhythmia (sinus heart dynamic; complete left beam branches block).

In view of the complex situation of the patient and the challenging surgery, it has higher requirements for surgery and implanted valve. Under the organization of Jiang Xiaofei, director of the Department of Cardiovascular Department of Zhuhai City People's Hospital, the Cardiovascular Department of Guizhou Aerospace Hospital conducted detailed preoperative evaluation, preoperative analysis, and repeated discussions, and formulated appropriate surgical strategies.

During the surgery, under the guidance of Jiang Xiaofei, the internal department of Cardiovascular Department of Guizhou Aerospace Hospital Shen Wangui and Zhang Yukun's expert team conducted surgical exercises. Zhang Heng, director of the ultrasound image department, helped use the esophageal ultrasound to evaluate the pattern shape, the depth of the valve implantation, the reflux and the valve After one hour of tension and orderly operation, the Department of Cardiology, Guizhou Aerospace Hospital successfully completed the first schedule of the aortic aortic valve subtrangus (TAVR).

After surgery, the patient's blood flow was significantly improved. After waking up, he moved to the ward smoothly, extending the survival of patients and improving the quality of life of patients.

Jiang Xiaofei proposed that compared with traditional open surgery, TAVR surgery interventional by the femoral arteries does not require internal circulation, no chest opening surgery is required, and there is almost no obvious blood loss. The anesthesia time is shorter, the trauma is small, the recovery is obvious, and the surgical advantage is obvious.

It is reported that with the acceleration of the aging of society in my country and the expansion of elderly people with severe degenerative aortic aortic stenosis, the aortic valve stenosis has become an important disease that affects human life and social health. According to statistics, the incidence of the disease is 2.5 % of people over 75 years old, and 8 % of people over 85 years old can be the third common cardiovascular disease after hypertension and coronary heart disease. Once the patient has symptoms, if it is not treated in time, the average survival period is only 2 to 3 years. It can be seen that the disease has become an elderly disease that seriously threatens the life of the elderly.

Pure aortic valve replacement (TAVR) refers to the portal of the artificial membrane to the aortic valve loop by the conveyor system and fixed to the aortic valve ring to replace the aortic valve instead of the patient's lesion. As an emerging technology, for AS patients, the operation has the advantages of less trauma, no need to transfusion, short -term hospitalization time, and fast postoperative recovery, which brings a hope of healing for patients with high surgery or high risk of surgery.

Source | Yangcheng Evening News · Yangcheng School

Responsible editor | Zhu Jiale

School counterpart | Xie Zhizhong

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