Mr. Tuyen, 66 years old, smoked for more than 40 years, chronic obstructive pulmonary pulmonary, medical examination doctor diagnosed the aortic aneurysm due to atherosclerosis.
On April 1, Dr. Nguyen Anh Dung, Head of the Department of Surgery – Blood Protection, Tam Anh General Hospital in Ho Chi Minh City, said that the bulge was formed due to atherosclerotic plaques on the aortic wall causing ulcers, causing this area to lose elasticity and bulging.
Dr. Dung said that smoking for many years is a factor that promotes the formation of atherosclerosis in the aorta, and on the background of these atherosclerosis has ulcerative lesions. This is the reason why the arteries are narrowed and may have complications of artery ulcer is the formation of aneurysm (aortic aneurysm) or artery dissection. Mr. Tuyen has a history of chronic obstructive pulmonary disease (COPD) so the condition is more complicated. The bulge in the bag, the doctor decided to intervene early to prevent rupture causing bleeding, thrombosis leading to stroke, myocardial infarction, clogging of the lower limb artery …
Previously, with the lesions of the aorta such as Mr. Tuyen, the doctor had to perform a large surgery, incised the incision between the chest and removed the aortic aneurysm, replaced by artificial blood vessel transplants. Patients are used for artificial cardiac heart to replace the heart function during surgery. The heart is stopped with heart paralysis, the body temperature of the patient is lowered to stop circulating when performing removal and the replacement of the aortic part of the aorta. This process has some serious complications such as respiratory failure, arrhythmia, myocardial damage due to anemia, brain stroke. Currently, the doctor chose to set Stent Graft because this technique minimizes reducing risks during and after surgery.
The aneurysm is located in the opposite position of the artery under the left blow. If the stent graft is put into covering the entire bulge bag, it will always cover the blood vessels to feed the brain, causing brain anemia. Therefore, the crew decided to have surgery and intervention in the same day (Hybrid surgery “2 in 1”), avoiding the patient undergoing many surgeries later.
Doctors put stent graft to prevent the broken chest aortic aneurysm for the patient. Image: Thanh Luan
The head in the surgery, the doctors perform the transformation of the blood vessels to feed the brain (carotid artery) and the arm (the lower artery) on the left via the neck surgery instead of opening the chest, reducing complications. The crew uses artificial vessels to connect between the two artery arteries, and create a direct connection between the common and the left blow.
In the second surgery, after the shooting accurately determined the aneurysm, the doctors put the stent graft from the thigh artery to the aorta to cover the aneurysm without affecting the blood vessel to raise the brain. As a result, the aneurysm is no longer under the pressure of aortic blood flow, preventing the risk of breaking. After 5 hours of surgery, the patient was closely monitored for respiratory, circulating, stabilizing blood pressure, heart rate … After two days of surgery, the patient was discharged from the hospital.
The largest blood vessel in the body is the aorta, which comes from the heart and carries the rich blood oxygen to other organs such as the chest, abdomen, limb … chest aorta occurs when a segment of the aorta runs through the chest is damaged, gradually weakening, enlarged. There are two forms of aortic aneurysms (two -sided two -sided, symmetrical aorta) and a bag (the side of the aorta bulging, asymmetric). When aneurysm, the ability to break naturally is very high.
MSc.BS.CKI Le Chi Hieu, Department of Surgery – Blood Protection, Tam Anh General Hospital of Ho Chi Minh City, said the common cause of atherosclerosis is atherosclerosis. Blood vessels filled with atherosclerosis will become less flexible. Other risk factors such as genetics, male gender, advanced age (over 60 years old), a history of hypertension, chronic obstructive pulmonary disease, coronary artery disease, smoking, chest trauma due to car accidents, labor accidents …
Healthy lifestyle helps reduce atherosclerosis – the leading cause of the disease. Dr. Hieu recommends that people maintain blood pressure and cholesterol levels within normal limits, eat well for cardiovascular health, not exposed to cigarettes, exercise at least 150 minutes per week with moderate intensity exercises such as walking, cycling, yoga, dancing, swimming … Periodic cardiovascular health check, especially people with risk risk factors.