Director Lu Huihui's team performed surgery on Ms. Qin
Red Net Time News September 6 (Correspondent Song Juan) Ms. Qin from Xianyuling, Hetang District, Zhuzhou City has been unable to fall asleep at night for more than 10 years. She is prone to wake up after sleeping, and is accompanied by a headache. She seeks medical treatment everywhere, but failed. At the suggestion of a friend, I visited the Department of Thoracic and Cardiac Large Vascular Surgery of Hunan Provincial Hospital of Traditional Chinese Medicine. After Director Lu Huihui asked about his medical history, he arranged relevant examinations.
Right-cardiac acoustic imaging examination showed that a large amount of right-to-left shunt in the heart showed that the foramen ovale may be prostate, and the TCD foaming experiment was positive, and it was diagnosed as patent foramen ovale (PFO), which is a type of congenital heart disease.
Simply put, there is a "hole" on the "wall" in Aunt Qin's left and right atrium. This "hole" is the culprit of Aunt Wang's migraine and sleep disorders. The "hole" needs to be repaired through surgery. After
was identified, Director Lu Huihui's team and Director Huang Dingwei of the Department of Ultrasound Imaging discussed in detail, he planned to perform patent ovale obstruction surgery. Because the foramen ovale itself is small, transesophageal cardiac ultrasound can achieve clear and accurate positioning of the image without radiation, which can ensure the patient's comfort and safety to the greatest extent.
The operation time was less than 30 minutes, and the "hole" in Aunt Qin's heart was repaired. The operation was smooth. She could get out of bed and move freely the next day after the operation and be discharged on the third day. At present, Aunt Qin's symptoms of headache, sleep disorders, palpitations and chest tightness have improved significantly.
Director Lu Huihui introduced: "Foramen ovale is a physiological channel during the embryonic period of the heart atrial septum. Under normal circumstances, infants close around 2 months after birth. If they fail to close over 1 year old, a patent foramen ovale will form. In recent years, more and more studies have found that patent foramen ovale is closely related to diseases such as stroke and migraine. Patent foramen ovale is one of the most common congenital heart abnormalities in adults at present."
"Most patients' patent foramen ovale generally does not affect blood shunt in the heart, so there are generally no symptoms. When various reasons such as screaming, coughing, diving, etc., the increase in the chest pressure in the chest cavity is caused by various reasons such as screaming, coughing, diving, etc., the increase in the chest cavity pressure caused by various reasons such as screaming, coughing, diving, etc. , etc., the patent foramen ova can cause obvious right-to-left abnormal shunt in the heart. At this time, various emboli can enter the left heart system through the patent foramen ova, causing abnormal embolism. This can cause clinical syndromes such as stroke, migraine, and decompression diseases. With the improvement of awareness of cerebral infarction, some heart diseases can also cause cerebral infarction, which requires careful examination to determine the cause. "
According to his introduction, transesophageal heart ultrasound can intuitively and clearly display the location, anatomy and peripheral information of the foramen ova, and select a occluder that matches the patient, monitor and guide in real time, and detect the fall or displacement of the occluder in a timely manner. To avoid X-ray radiation from patients and doctors throughout the operation, doctors can take off their thick lead clothes and put them on light clothes. Patients no longer need to inject contrast agents, and they are also suitable for patients with contrast agent allergies and renal insufficiency. At the same time, it has the advantages of safer, simpler operation, less trauma, less risk, and faster recovery of patients, making foramen ovale enclosure surgery enter a new era. At present, this technology has been maturely carried out in the Department of Thoracic and Cardiac Large Vascular Surgery of Hunan Provincial Hospital of Traditional Chinese Medicine.
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