Sister Su, who has suffered from hypertrophic obstructive cardiomyopathy for many years, has had strange symptoms this year: she was very dizzy when she burst into foul language with her husband, and almost fell to the ground and injured herself, which surprised and puzzled her and her family.
Excited, burst into foul mouth, and almost fainted.
This year's 49-year-old sister Su lives in the northeast and has long-term symptoms such as chest tightness, palpitations, and fatigue. 10 years ago, the doctor found that Sister Su had hypertrophic obstructive cardiomyopathy (characterized by "obesity" of ventricular muscle, commonly known as "heart blockage") through cardiac ultrasound. More than half a year ago, Sister Su underwent radiofrequency ablation of myocardium, but unfortunately the effect was not ideal.
People who have been sick for a long time are prone to emotional ups and downs, and their temper may come up if they don't agree. "Every time I get emotional, I feel like I'm going to faint. "Husbands and wives inevitably talk about trivial matters. At the beginning of this year, the "danger" that occurred during a dispute between Sister Su and her husband made the family stunned and palpitated. At that time, Sister Su was arguing, and she jumped up in anger, and she couldn't control her foul mouth, but she immediately felt that she was very dizzy, and the world was spinning, but fortunately, her family quickly held it up.
Unexpectedly, it was not over at the beginning. In the past year, Sister Su couldn't help but yell at her husband many times when her dizziness quickly intensified, although in the end she turned the "danger" into a way to avoid falling to the ground and hurting herself, but it was not a long-term solution to worry about it again and again.
In fact, according to the actual situation of Sister Su's condition gradually worsening in recent years, the doctor has recommended her to undergo surgery many times, but she has been delayed again and again because she is afraid of major thoracotomy surgery. Not long ago, Sister Su tried her best to learn that the team of Cui Yong, director of the Department of Cardiac and Vascular Surgery of Zhejiang Provincial People's Hospital, had adopted minimally invasive ventricular muscle "** outflow tract dredging and a variety of valve surgeries that were very mature, so she was full of expectations to come to Hangzhou accompanied by her family.
Strange symptoms originate from:"Plugging the heart"
Director Cui, I know that my heart is not good, and I am almost in the mood to be sick for a long time, but how can I have such strange symptoms when I am excited! Sister Su was admitted to the Cardiac and Vascular Surgery Ward of Zhejiang Provincial People's Hospital and couldn't help but ask.
Director Cui Yong patiently explained that hypertrophic obstructive cardiomyopathy is also known as "heart blockage", that is, the thickening of the ventricular septal muscle near the heart outlet, blocking blood flow and causing serious heart disease. Patients with mild symptoms may have a little chest tightness when they are more active, but when patients with severe symptoms are excited and exerted, the blood flow at the heart outlet will be blocked and occluded, and then cerebral ischemia, and the person will faint all at once.
In the past, there was a lady who suffered from severe hypertrophic obstructive cardiomyopathy and fainted as long as she laughed, and now you say that you feel like you are going to faint when you yell at your husband, and the same is true. Director Cui Yong said that the examination found that there were abnormal muscle bundles in the ventricle of Sister Su's heart, and there were remnants of "flesh" that obviously blocked the exit, and the next step would be minimally invasive surgery"Plugging the heart"All of them are removed to address the patient's problems such as left ventricular outflow tract obstruction and mitral valve, as well as a series of severe symptoms caused.
Cui Yong (first from left) is waiting for a ward round.
After a detailed preoperative evaluation and thorough preparation, Director Cui Yong's team successfully performed the right armpit morrow (left ventricular outflow tract dredging) surgery for Sister Su, with an incision of only about 4 cm. The surgery went smoothly and was removed"Plugging the heart"- hypertrophic myocardium, and successfully repaired the mitral valve. The results of intraoperative esophageal ultrasound showed that the outflow tract obstruction was completely relieved. On the 9th day after surgery, Sister Su was discharged from the hospital.
Nearly 1,000 heart surgeries, "minimally invasive" up to 80%.
Director Cui Yong introduced that hypertrophic obstructive cardiomyopathy is an autosomal dominant disease with a familial genetic tendency, which is manifested by excessive hypertrophy of the heart muscle, resulting in obstruction of the blood flow out of the heart, especially when the heart rate is increased or active. In the early stage, patients may have no obvious symptoms or feel a little chest tightness and discomfort after activity, but the condition will gradually worsen, and at the same time, there will be valve function problems, and patients with severe obstruction may even have the risk of syncope and sudden death.
Traditionally, this surgery requires an incorporating of about 20 cm in the middle of the chest, but our first minimally invasive surgery has an incision of only about 4 cm and the incision is made in the right armpit, so there is no scar from the front. Years of clinical practice have also shown that it is more conducive to the recovery of postoperative respiratory function and reduces surgical complications such as bleeding and pain. ”
Director Cui Yong said that the Department of Cardiac and Vascular Surgery carries out nearly 1,000 cardiac surgeries every year, of which more than 80% are minimally invasive surgeries, involving hypertrophic obstructive cardiomyopathy, heart valve disease, congenital heart disease, some macrovascular surgeries and left heart assist devices, etc., covering almost all diseases in cardiac surgery.
For patients with obvious chest tightness, wheezing, chest pain and other discomforts, especially those with a family history of hypertrophic cardiomyopathy, they should see a doctor as soon as possible and be diagnosed in a timely manner**; In addition, it is now winter, which is the season of high incidence of cardiovascular diseases, so it is important to seek medical attention in time if you feel unwell.
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