Bomb disposal unit racing against death: The Spring Festival holiday saved the lives of 10 patients with aortic dissection

Qilu Evening News Qilu One Point reporter Chen Xiaoli correspondent Sun Haosen

The risk of aortic dissection is extremely high, and once an acute attack occurs, time is of the essence. During the seven-day holiday from Chinese New Year's Eve to the sixth day of the first lunar month, Sun Qiang, director of the Department of Cardiovascular Surgery at the Second Hospital of Shandong University, saved the lives of 10 patients with aortic dissection. Among them, 3 cases of type A aortic dissection underwent Sun, s Operation (Sun surgery: all-aortic arch artificial vascular replacement and stent weevil surgery); 3 cases of type A aortic dissection underwent Sun, s Operation+Bentall, s Operation (aortic valve and ascending aortic artery replacement and coronary artery transplantation); and 4 cases of type B aortic dissection underwent aortic laminated stenting luminal isolation (TEVAR surgery). At present, 10 patients are recovering smoothly.

Macrovascular disease, especially aortic dissection, is one of the most complex and dangerous cardiovascular diseases, and the incidence of aortic dissection in China has increased at a rate of 20% per year in recent years. Acute aortic dissection sudden onset, mortality within 48 hours up to 50%, acute period of each hour increase, mortality increased by about 1%, many patients in the ambulance transit on the unfortunate sudden death, and even during the ward preoperative preparation of blood vessel rupture and death. Therefore, once a patient with aortic dissection is diagnosed, surgery must be performed in a race against time.

Due to the late start of the field of cardiac surgery in China, the development of medical resources and technical levels between regions is unbalanced, resulting in a low overall success rate of aortic dissection. Sun Qiang, director of the Cardiovascular Surgery Department of the Second Hospital of Shandong University, has been committed to the research in the field of large-vessel surgery, the team actively treats the aortic dissection, through continuous practice and research to improve the classical surgical style and do a good job in perioperative management, and actively cooperates with the hospital interventional medicine department, vascular surgery, anesthesia second department, intensive care medicine department and other departments to carry out multidisciplinary consultation, surgical quality and treatment effect have been significantly improved, and the team has been in the leading position in the province and the advanced position in China in the field of surgical treatment of large vascular diseases. While saving patients' lives, it also creates great social benefits.

According to Sun Qiang, in addition to hypertension, the cause of aortic dissection also includes hereditary connective tissue disease (Marfan syndrome), aortic sclerosis, trauma, aorticitis and infectious diseases, etc., therefore, remind the majority of hypertensive patients friends, usually to actively control blood pressure, Marfan syndrome patients should be regularly reviewed, once found that the aorta dilation in line with the surgical indications should be actively surgical treatment, there is a family history of aortic aneurysm or has had acute chest pain and other factors must be checked regularly.

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