Peak Back· Heart " born | Hengyang Central Hospital: heart non-stop bypass surgery smooth "heart road"

Editor's note: In 2021, in order to promote the construction of a regional medical center in Hengyang, Hengyang Central Hospital introduced a first-class domestic high-level medical team, that is, the "Wanfeng Academician Famous Doctor Expert Alliance Team", and jointly established the Wanfeng Cardiovascular Disease Diagnosis and Treatment Center of Hengyang Central Hospital. Wan Feng, a famous doctor known as the "pioneer of beating heart surgery", has performed first-class coronary artery bypass and valve replacement surgery for a group of cardiovascular patients since entering the goose. How to accelerate the creation of a distinctive cardiovascular specialty brand under the guidance of experts, Hengyang Central Hospital began the road of challenge.

Rednet Moment reporter Tan Qian reported from Hengyang

On a rainy rest day, the operating room of the Cardiothoracic Surgery Department of Hengyang Central Hospital staged one heart defense battle after another, three consecutive difficult heart surgeries a day, acute heart failure, coronary heart disease, and serious lesions of three blood vessels... The "battlefield" here will determine whether patients at high risk of heart disease can regain their lives.

After the beginning of the year, Hengyang Central Hospital admitted three cases of critical cardiovascular disease patients in a row. "The condition is serious, the risk is high, and the operation cannot be delayed!" After thorough preoperative preparation and careful evaluation by anesthesiologists, the three patients were immediately scheduled for surgery on the same day.

So, when many people were still immersed in sweet dreams, at 7 o'clock that day, the medical staff of the central hospital had begun to get busy, and at 9 o'clock, the first patient was pushed into the operating room.

"Moving the knife" on a beating heart, the surgical process is like walking on thin ice, which not only requires the main surgeon to have exquisite and skilled skills, but also requires the close cooperation of the whole team, and a little carelessness will cause serious complications. During the operation, a busy, attentive doctor deftly manipulates a special instrument to dance on the heart, skillfully. The whole team cooperates with tacit understanding to build a bridge of regeneration for patients. By 19:00 that night, 3 surgeries were successfully completed.

The heart is constantly beating coronary artery bypass successfully Three patients regained the "heart" life

The patient, Mr. Li, 73 years old, due to sudden palpitations and discomfort while walking, accompanied by shortness of breath, and had head burst-like pain, underwent coronary angiography in Changning People's Hospital in January, and the results suggested that the three blood vessels of the coronary arteries were seriously diseased and the myocardium was severely ischemic, and he was diagnosed with "acute heart failure, acute non-ST-segment elevation myocardial infarction", and was transferred to the central hospital for treatment.

The patient, Mr. Luo, 58 years old, suffered chest pain on the fourth day of the Chinese New Year, had a history of hypertension and diabetes, and was diagnosed with "coronary heart disease (left trunk + three lesions)" in Leiyang People's Hospital during the Spring Festival, and was admitted to the central hospital.

The patient, Mr. Chen, 55 years old, has no obvious cause of sudden chest pain in recent days, showing a burning sensation in the anterior chest, and the posterior coronary angiography suggests a serious narrowing of the three coronary vessels, and was admitted to the central hospital after being diagnosed with "coronary heart disease".

After discussion by clinical experts, all three patients needed non-extracorporeal circulation coronary bypass surgery to improve cardiac function and improve quality of life.

Usually, bypass surgery replaces cardiopulmonary function with an artificial cardiorespiratory machine and sutures the blood vessels in the case of cardiac arrest. Non-cardiopulmonary bypass means to operate in the case of "non-stop beating" of the heart, which is the best way to carry out heart bypass surgery at home and abroad, no blood transfusion is required during surgery, the damage to the patient is small, and the postoperative recovery is fast, but this also makes the operation more difficult, and has extremely high requirements for the main surgeon and team.

This operation, led by "pioneer and pioneer of cardiac surgery" - Academician Wan Feng personally took the lead, Professor Tu Hanjian of the Wanfeng Academician Famous Doctor Expert Alliance team as the first assistant, Qu Yunjian, deputy chief physician of the Department of Cardiothoracic Surgery of the Central Hospital, as the second assistant, equipped with a multidisciplinary diagnosis and treatment (MDT) team composed of cardiothoracic surgery, anesthesiology, critical care medicine and other specialists, escorted by "Clinical MDT", the three operations were seamlessly connected and successfully completed.

Tu Hanjian, a resident expert who is the first assistant of the operation, said that the three patients are in stable physical condition and recovery, and have been transferred from the intensive care unit (ICU) to the general ward, and will be discharged from the hospital in the near future. Subsequent patients should pay attention to the improvement of dietary structure, the adjustment of living habits, and the use of drugs according to medical advice.

"Thank you to Dr. Wan Feng's team for successfully performing this surgery for my family! What a savior for our family! When the patient's family talked about the operation, the words showed gratitude to the doctor, and the smile of happiness and joy was also filled with happiness and joy.

Experts are resident, academicians can be about normalized free clinics so that Hengyang patients run less errands

On February 18, Yancheng was experiencing a new round of strong cold wave, taking advantage of the interval between operations, The team of academician Wanfeng famous doctors and experts conducted another free consultation for cardiovascular difficult cases that had been examined and treated in other medical institutions.

Academician Wan Feng (first from the right) team of famous medical experts conducted a free consultation again for cardiovascular difficult cases that had been examined and treated in other medical institutions.

This is the second expert free consultation activity held by the Wanfeng Academician Cardiovascular Disease Diagnosis and Treatment Center of Hengyang Central Hospital. Since November last year, the center has carried out free medical activities from time to time every month in order to give back the support and trust of sanxiang's fathers and villagers, so that more patients with cardiovascular diseases, especially difficult and critically ill patients, can get better medical services. This time, 12 patients with difficult and critical cardiovascular cases were screened from dozens of applications for free consultation, and Academician Wan Feng examined and diagnosed them, and put forward a detailed treatment plan for each patient, and gave suggestions for surgical cardiac surgery to 5 of them.

In 2021, in order to further improve the level of cardiovascular surgery diagnosis and treatment, Hengyang Central Hospital grafted high-quality medical resources in Beijing and Shanghai, and joined hands with the domestic first-class cardiovascular specialist medical service institution - Wanfeng Academician Famous Doctor Expert Alliance team to establish the Wanfeng Academician Cardiovascular Disease Diagnosis and Treatment Center in mid-November 2021, which has now achieved initial results. With the goal of strengthening the construction of cardiovascular disease disciplines and improving the level of diagnosis and treatment of cardiovascular diseases, the two sides will rapidly improve the medical service capabilities of cardiovascular disciplines by deepening all-round and multi-angle medical collaboration in the fields of management, clinical and teaching.

2022 is destined to be an extraordinary year, and Hengyang Central Hospital has been pushed to a new height by history. Tu Hanjian introduced that the center will continue to adhere to the "patient-centered" service orientation, "let experts run more, patients run less errands", continue to promote the "expert resident, academician can be about" diagnosis and treatment service model, normalize the free diagnosis activities of famous doctors and experts, to meet the needs of more patients with high-quality and high-level medical services, and gradually solve the problem of "difficult to see a doctor and expensive to see a doctor" for cardiovascular disease patients in Hengyang.

The old year has been displayed a thousand weights, and the new year has entered a hundred feet. In the future, Hengyang Central Hospital will adhere to the orientation of "meeting the medical needs of the people", reform and innovation, forge ahead, comprehensively improve the connotation and quality of medical services, accelerate the construction of influential regional medical centers, and make the hospital move towards the goal of "central hospital, people's hospital, and satisfactory hospital".