preoperative assessment of patients
On September 20, the Department of Cardiovascular Surgery, Xijing Hospital, Air Force Military Medical University received a call from the emergency department requesting emergency consultation, and the attending doctor Yin Qiang rushed to the emergency room to check the patient's condition. After understanding the condition, the hospital immediately opened the green channel of aortic dissection to arrange hospitalization.
After Ms. Wang was admitted to the hospital, Liu Jincheng, Director of Cardiovascular Surgery, and Associate Professor Zuo Jian, led the doctors of the large vessel minimally invasive intervention team to discuss the condition immediately. According to the situation of mother and baby and the type of dissection, choosing the right individualized treatment plan is the key to saving the lives of patients and fetuses. After comprehensively considering the patient's situation, it was decided to implement minimally invasive aortic endovascular exclusion for the patient.
Considering the special situation of Ms. Wang’s 32 weeks of pregnancy, medical staff formulated a thorough surgical plan before the operation, and made a detailed assessment of the possible effects of anesthetics, contrast agents, fluoroscopy time, and operation time on the fetus, and strive to maximize Reduce the adverse effects on the fetus.
Aortic endovascular exclusion is a minimally invasive operation completed under local anesthesia, and the patient is awake during the entire operation. After the operation is performed through femoral artery puncture and pre-embedded vascular stapler, the aortic stent graft delivery system is smoothly introduced through the femoral artery puncture site, and the stent is adjusted, anchored and released under radiography. It only takes 45 minutes to complete the aortic lumen Isolation. After the patient recovered and was discharged from the hospital, the patient gave a thumbs up to the treatment team. After
, the head nurse Su Jie led the nursing team to take care of Ms. Wang. On the first day after the operation, Ms. Wang gave a thumbs up with a smile on her face. On the third day after the operation, Ms. Wang and her fetus returned to normal and were discharged smoothly with the hope of a new life.
According to Director Liu Jincheng, aortic dissection is one of the most dangerous cardiovascular diseases . The aorta is the largest artery in the human body. The blood ejected from the heart first enters the aorta and then diverges to various branch arteries. The aortic wall is composed of three layers of intima, media and adventitia. When certain factors cause a tear in the aortic intima, the blood in the aorta will rupture through the intima and enter the aortic wall and cause the normal artery wall to be torn Open, this is the aortic dissection. Hypertension is one of the main causes of aortic dissection. Pregnancy is an independent high-risk factor for aortic dissection, which may be related to changes in hemodynamics and hormone levels during pregnancy.
The Cardiovascular Surgery Department of Cardiovascular Intervention Team of Xijing Hospital specially reminds everyone :
hypertension patients and elderly pregnant women, especially those with hypertension during pregnancy, severe congenital heart disease, Marfan syndrome , familial aortic dissection , Pregnant women with a history of aortic dissection, it is best to have a comprehensive evaluation before pregnancy. During pregnancy, check-up and treatment should be performed in a general hospital that can perform extracardiac surgery, and aortic dissection should be highly vigilant. In the event of severe pain in the chest, lower back, a high degree of suspicion of the existence of aortic dissection, immediate hospital treatment.
Source: Text/Pictures Gao Rui, Wang Jiangli, All-Media Reporter of Xi'an Newspapers
Editor: Wang Shaoying
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