Recently, Jiangsu Provincial People's Hospital cooperated with multiple disciplines and successfully performed transapical aortic valve implantation in 78-year-old Wu Lao in the compound operating room. "In only half an hour, the wound was only 4cm. It was like embroidering a small flower." Wu said.
Wu Lao suddenly chest tightness, asthma shortly before, Shaoxing Jiang, director of Department of Cardiovascular Surgery, Jiangsu Provincial People's Hospital after admission, found that two-dimensional echocardiography showed severe aortic valve insufficiency, chest CT showed bilateral pneumonia with pleural effusion , Dual-source CT examination prompted coronary heart disease, combined with many years of chronic obstructive emphysema and other complex basic diseases, surgical replacement valve is obviously not suitable for patients. Shao Yongfeng team organized multi-discipline multi-discussion and considered that transapical aortic valve implantation is the best treatment option.
The specialist cut a small opening in the proximal part of the fifth intercostal space on the left side of the left anterior chest of the patient. Then, by manipulating an elongated catheter, the new heart valve was delivered to the position of the aortic valve and the implant was successfully released. Intraoperative angiography showed that the new valve was well formed and accurately positioned. The entire operation was successful. After the operation, Wu Lao recovered very smoothly. On the fourth day, he could walk out of bed.
Shao Yongfeng said that the heart of the interventional minimally invasive surgery does not need to be stopped and there is no need for extracorporeal circulation. The operation is less traumatic, takes less time, and it avoids complications such as pulmonary infection. (Correspondent Dong Ju Special Reporter Wu Ni Na Reporter Cheng Shouqin)
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