Shanghai Yueyang Hospital pioneered acupuncture anesthesia intervention to treat patients with ruptured aortic sinus tumors

Recently, the heart center of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine (hereinafter referred to as "Shanghai Yueyang Hospital") successfully treated a middle-aged woman with a ruptured aortic sinus tumor. Experts have overcome the danger and used the minimally invasive interventional technology under acupuncture anesthesia to dismantle the heart "bomb" that may endanger the patient's life at any time, and composed a song of life that is not afraid of risks and hearts.

The Heart Center of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine successfully treated a middle-aged woman with a ruptured aortic sinus tumor (Photo provided by the interviewee by the Central Broadcasting Network)

Ms. Wang, 38, has had intermittent chest pain for more than two years, and has visited many hospitals in other places without a clear diagnosis. In the past six months, the degree and frequency of her chest pain have increased significantly, so she went to the hospital again. This time the cause was finally identified, and it turned out to be a terrible aortic sinus tumor rupture. "Your situation is very dangerous, and it can be life-threatening at any time!" The local doctor advised Ms. Wang to undergo open heart surgery immediately.

After inquiring from many sources, Ms. Wang learned that Professor Zhou Jia, president of Shanghai Yueyang Hospital, is a well-known cardiothoracic surgery expert in China and has come to Shanghai for medical treatment. "We will do our best and work together!" Zhou Jia received the diagnosis and admitted her to the cardiothoracic surgery ward of the Heart Center of Yueyang Hospital.

After admission, Ms. Wang's ultrasound examination showed that the right coronary sinus tumor of the aortic ruptured into the right atrium, with a tumor size of nearly 1 cm and a fissure of about 4 mm; left ventricular fullness; three valve reflux; and continuous machine-like murmurs heard on cardiac auscultation, accompanied by tremor. The patient's tumor has ruptured, there will be an accident at any time, and surgery must be performed as soon as possible to have a chance of long-term survival.

Aortic sinus tumor is a rare congenital heart disease that routinely requires open heart surgery under cardiopulmonary bypass. "Patients currently have small aortic sinus tumor incisions, and the incisions are some distance from the coronary artery opening and the aortic valve margin, and there is a full opportunity to try minimally invasive interventional treatment first." Zhou Jia decisively decided to give Ms. Wang interventional surgery. At present, the use of minimally invasive interventional methods to treat aortic sinus tumor rupture is less carried out in China, which is very difficult, which is a great challenge for doctors, which is also the first case of similar surgery in Yueyang Hospital.

On the morning of January 21, under the personal guidance of Zhou Jia, the MD team of the Heart Center performed interventional surgery on Ms. Wang. The procedure was completed in one go and took only 1 hour. Zhou Jia was immediately auscultated on the operating table: the heart continuity murmur disappeared immediately, and the operation was successful.

Full preoperative preparation, precise operation during surgery, sincere cooperation of the team, skillful cooperation of one link after another, the "hole" in the patient's heart, so it was perfectly "repaired" by the doctor. "The operation is over, bless you!" Under the gentle call of the medical staff, Ms. Wang immediately woke up. "The Shanghai doctor is so powerful, I give you a thumbs up!" Still on the operating table, she couldn't help but give a thumbs up.

Ms. Wang was able to get down and walk around when she returned to the ward, and she recovered quite well on the first day after the operation. After two days of postoperative antibiotic treatment, the patient is discharged from the hospital on the third day.

Zhou Jia introduced that congenital aortic sinus tumor is a rare congenital heart disease, generally more men than women. Rupture occurs in about 40% to 70% of patients, often easily penetrating the right heart, especially the right ventricle causing aortic leak. When the tumor ruptures, there may be sudden severe chest pain, palpitations, shortness of breath and other discomforts. Once ruptured, if not treated in time, the disease develops rapidly, can cause sudden death or rapid onset of progressive heart failure, and early surgery is the only effective treatment method.

"As long as patients have a glimmer of hope, doctors should face the risks, accept the challenges, and work hard." Zhou Jia pointed out that with the development of interventional cardiology, compared with traditional cardiopulmonary bypass open surgery, interventional occlusion provides a treatment method with less trauma, fast recovery and fewer complications for some patients with ruptured aortic sinus tumors, achieving precise treatment and greatly reducing the pain of patients.