Recently, the team of the third ward of the Department of Cardiovascular Medicine of Changsha Third Hospital successfully opened the blood vessels for Mr. Li, who had severe coronary artery stenosis and almost all occlusion, and avoided the risk of thoracotomy, which troubled Li. My husband's chest pain disappeared after a year. After the operation, he and his family expressed deep gratitude to the medical team.
66-year-old Mr. Li is from Xiangxiang, Hunan. Due to long-term heavy smoking and often staying up late, he developed chest tightness and chest pain a year ago, which were often induced after activities and emotional excitement.
Mr. Li performed coronary angiography in the local hospital, and the results showed that all three coronary vessels had severe stenosis: the anterior descending artery was diffuse and severely stenotic, the most severe stenosis was nearly 90%, and the circumflex artery stenosis 99 %, the right crown is severely stenosis. The doctor recommended that he be transferred to a higher-level hospital for treatment.
The extent and severity of the lesions are large and severe. Mr. Li went to major hospitals. The doctors all said that the treatment is very difficult. It is necessary to open the chest and perform coronary artery bypass surgery to completely solve the problem of diseased vascular stenosis.
is not only a high risk of surgery, but the estimated cost is as high as hundreds of thousands of yuan.
The risks of thoracotomy and the high cost of the operation made Mr. Li and his family discouraged. In desperation, he had to return to the local area to continue taking medicine and conservative treatment.
As the disease progresses, Mr. Li's chest tightness and chest pain are more frequent, and a little activity will induce chest pain: the previous going to the toilet or walking on the ground will induce the progress to washing, brushing, and eating faster. Chest pain. Mr. Li can only stay in bed at home and rely on his family to take care of his diet and daily life. He has no quality of life at all.
A coincidence, Mr. Li learned about Changsha Third Hospital through a friend, so he came to Changsha again for treatment with hope.
Li Feng, director of the third ward of the Department of Cardiovascular Medicine, carefully reviewed the relevant examination results of Mr. Li and the coronary angiography imaging data, and believed that the patient did have severe coronary artery stenosis, except for coronary artery bypass grafts. In addition, coronary stent placement can be tried.
Mr. Li and his family were overjoyed and went through the admission procedures immediately.
After admission, Li Feng led the department team to review the coronary angiography for Mr. Li again, but the result was not optimistic: the three blood vessels that the heart supplies its own blood supply were almost completely occluded!
This means that once a blood vessel is completely blocked, it is difficult for other branches to play a compensatory role, and life is hanging by a thread; and the stenosis of the anterior descending branch of is longer, and acute occlusion may occur at any time to cause acute myocardial infarction.
Surgery should not be too late. Li Feng led the department team to formulate a detailed and relatively safe surgical plan for Mr. Li-because the patient has many diseased blood vessels and severe stenosis, the risk of opening a surgery is very high, so he decided to divide the crown into two. Stent implantation: The first operation opens the anterior descending branch with a wide blood supply area, relatively light stenosis, but a long disease, and the second operation opens the circumflex branch and the right coronary artery that are close to occlusion.
Relying on rich experience and skilled surgical skills, Li Feng led the team to overcome multiple difficulties such as the complexity of the surgical process, and successfully inserted the stent and successfully opened the three occluded coronary arteries.
Combined with postoperative standard medical treatment, Mr. Li's chest tightness and chest pain have been greatly relieved. Now he has no chest tightness or chest pain when he walks around the ward. He is so happy that he can’t keep his mouth close, and everyone will praise: "Director Li’s medical ethics Noble and superb medical skills have cured my'heart' disease and brought me a new life!"
When he was discharged from the hospital, Mr. Li and his family also sent a banner to Li Feng to express the gratitude of the whole family.
Li Feng explained that the coronary artery is the blood vessel that supplies the heart itself. The coronary arteries include the anterior descending artery, circumflex artery and right coronary artery.
The accumulation of atherosclerotic plates in the coronary arteries leads to relative stenosis of the lumen. When the cardiac exercise load increases, relative oxygen supply and insufficient blood supply of the myocardium will occur, which is called coronary heart disease .
Most patients with coronary heart disease have lesions in one or two of the coronary arteries. Severe stenosis of the three vessels like Mr. Li is more common in patients with diabetes, long-term heavy smoking, and significantly higher blood lipids Normal people.
In addition to standardizing drug treatment and changing bad habits such as smoking cessation, for patients with severely stenotic lesions of multiple vessels, the vascular opening will inevitably face internal coronary stent implantation intervention (PCI) and surgical coronary artery bypass grafting (CABG) Choice between the two.
Compared with coronary artery bypass surgery such as high risk, high cost, need for thoracotomy, and long prognosis, coronary stent implantation interventional therapy has the advantages of less trauma, low cost, and relatively lower risk, so it is easier to be accepted by the public .
With the improvement of the operator’s operating skills and interventional equipment in recent years, the technology of coronary stent implantation is changing day by day. More and more patients with severe coronary artery stenosis and complex lesions have received minimally invasive interventional therapy Better treatment.
Correspondent Shen Li, Xiaoxiang Morning News reporter Mei Mei
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