Jimiao News Reporter Liu Xun
Correspondent Lu Hui Song Meng
Mother was diagnosed with a serious heart problem, and his son accompanied him to the hospital. Unexpectedly, he was also "exposed" the same heart disease . The mother and son became "patients" and were hospitalized for surgery together. House Hospital of Asian Heart Hospital Experts said that both of them suffer from obstructive hypertrophic cardiomyopathy, which has a family genetic tendency. In severe cases, arrhythmia, heart failure , and even sudden death of . With the help of minimally invasive technology, the mother and son "slimmed down" their hearts and were discharged from the hospital recently.
Mother and son have surgery on the same day
The mother's heart is "obese" and it was passed on to her son
Ms. Su (pseudonym) from Anhui (pseudonym) is 60 years old and works in her hometown for many years. For more than ten years, she has always had the old problem of chest tightness and and palpitations, especially when she does heavy work. Even though I took medicine to treat it, my symptoms have continued to worsen in recent years. I have been breathing heavily after I left for a while and I was unable to lift heavy objects. Local doctors recommend transferring to the hospital for treatment.
On October 10, Ms. Su, accompanied by her son Mr. Zhang (pseudonym), rushed to the Wuhan Asian Heart Hospital for treatment. Further examination found that the thickness of her heart's ventricular septum reached 34 mm, three times thicker than that of a normal person. She was eventually diagnosed with obstructive hypertrophic cardiomyopathy, as well as atrial fibrillation and severe mitral valve regurgitation.
Doctor examined Ms. Su
"This type of cardiomyopathy is mostly autosomal dominant, and a 50% probability will be passed on to the next generation. It is best for your son to have a test as well." Director Xiao Hongyan, director of the hospital's multidisciplinary precision diagnosis and treatment center, suggested. Ms. Su was confused. Her son was young, so how could he have heart problems?
As expected, the inspection results confirm the experts' speculation. Mr. Zhang is also obstructive hypertrophic cardiomyopathy, and his condition is even more serious: his ventricular septal thickness reaches 37 mm, and he also has problems such as ventricular premature beats, ventricular tachycardia .
The doctor examined Mr. Zhang
What made Xiao Hongyan worried was that Mr. Zhang was still young, but his heart had myocardial fibrosis, and ventricular tachycardia was seen in the monitoring, and the risk of sudden death was much higher than that of Ms. Su.
Mr. Zhang then remembered that two years ago, he occasionally had chest tightness and dizziness, but he didn't care, let alone went to the hospital for examination. "If I hadn't accompanied my mother to see a doctor, I wouldn't have known that my heart had a big problem."
A needle "heat death" lesions, and the heart successfully "slimmed"
You should know that the heart is a hollow organ surrounded by a circle of muscles. If the myocardium is too thick, the left ventricular heart cavity will become narrow, the blood flow is blocked, and it cannot be supplied to the organs of the body, resulting in dizziness, fatigue, chest tightness after fatigue, chest pain, , and even fainting and sudden death.
"Can no longer delay!" Director Xiao Hongyan's team strictly evaluated and determined that both the mother and son met the surgical indication , and decided to perform percutaneous myocardial ventricular septal radiofrequency ablation (Liwen surgery) on the two.
"We remove the excess myocardium, make the hypertrophic ventricular septal thinner and blood circulation smoothly." Xiao Hongyan introduced that under the guidance of three-dimensional B-ultrasound imaging, the doctor pierced a 1.7 mm special needle to the hypertrophic part of the heart. Through thermal energy, the hypertrophic ventricular septal muscles are necrotic to solve the obstruction problem, and the heart continues to beat throughout the whole process.
It is reported that this is an emerging technology developed in recent years. Compared with traditional drug treatment and surgical procedures, the trauma is less and can reduce complications. However, due to the high technical difficulty, a complete series of examinations is required before the operation, and the doctor will formulate a personalized surgical plan.
On October 17, with the cooperation of multiple disciplines such as the operating room, anesthesia department , ultrasound department, etc., the team of Tao Liang and director Xiao Hongyan took the mother and son successively, successfully "slimming" the heart. At the same time, the problem of mitral valve regurgitation was also alleviated, avoiding valve replacement surgery. The two recovered quickly after the operation, recovered and discharged from the hospital after 5 days. They will undergo regular follow-up examinations.
Mr. Zhang helped his mother to move in the ward with him
So far, the hospital has completed 58 Liwen surgeries. Director Xiao Hongyan introduced that patients who successfully operated in the hospital had significantly relieved the intracardiac obstruction, and the thickness of the ventricular septal gradually became thinner after one month, and would approach normal levels after half a year.
Picture Photography: Wang Biying
(Source: Jimu News)
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