Surgery to treat atrophy, aortic deformity

Aortic atrophy is a very rare congenital condition, belonging to the group of congenital heart diseases, with a very high risk of death if not detected and treated early. The pathology of aortic malformation causes the patient to fall into a state of heart failure and the likelihood of the patient living to a very low adulthood. One of the most commonly applied treatments for this pathology is aortic surgery.

1. Aortic atrophy

Aortic atrophy belonging to the group of aortic mump malformations is one of the rare congenital heart diseases, with a rate of about 3 per 1 million children born with this pathology. This is an extremely dangerous pathology because without quick treatment, the patient will suffer from heart failure, the likelihood of death is very high, there are even babies who have just been born 4 days have died from this condition. Some of the symptoms for the diagnosis of aortic malformation are signs of heart failure, the appearance of a difference between the blood pressure index in the hands and the blood pressure index in the legs, symptoms of disorders of the respiratory system … In some cases, patients in adulthood may suffer from accompanying diseases such as communication, damage to the heart valves … In particular, the accompanying condition of inter-cardiac disease usually accounts for a proportion of about 0.07/1000 live babies, contemplating 1% in rare congenital heart diseases. Some typical symptoms of this condition include violet nodes, increased purple, pulmonary edema, consed heart failure

In order to treat aortic atrophy, it is necessary to perform a bridge surgery in addition to the natural anatomy structure of the body in order to bring the blood flow in the aortic back to normal levels, meeting the needs of the body.

2. Aortic Surgery

Heart failure

Contrained aortic surgery for patients with severe heart failure

Aortic surgery is the most effective treatment for aortic atrophy as well as aortic malformation, however this method also has some relative contraincularities that need to be noted as follows:

  • Patients experience fixed pulmonary hypertension.
  • Patients with heart failure and liver failure, severe renal failure.
  • Patients with complex congenital heart conditions.
  • Patients experience progressive bacterial infections.

Before the surgery, it is necessary to ensure some stitches during the preparation of the patient as well as the preparation of the surgery as follows:

  • Notify families and patients of aortic surgery prepared to perform, to family members and patients to confirm and sign the surgical consent form.
  • Before the surgery 1 day, the patient is cleaned of the body, bathed 2 times with a solution of water in harmony with Betadine, ensuring the body is clean before the surgery.
  • Before the surgery, use Betadine soap to hit the patient's chest area, then put the antiseptic solution on the site where the surgery is required.

Aortic surgery for aortic malformation is performed according to the following techniques:

  • Place the patient in a back position, or in some cases may leave the patient lying on his left side at an angle of 45°
  • In-administration anesthesia flattens the left lung.
  • Proceed to open the patient's chest by making an incision between the sternum, the upper line of the upper line in the inter-rib cavity IV-V
  • Perform anti-freezing of the entire patient's body with Heparin.
  • Establish and connect the patient's reconnection system and an artificial cardiologist to run a supporting cardiac system outside the patient's body.
  • Proceed to create an oral connection between the side of the artificial vessel and the lower aortic of the patient.
  • Perform the upper bridge to the upper aortic.
  • Perform a clamp on one side of the upper aortic, note not to stop the patient's cardiac arrest when performing this operation. In some cases, the entire aortic can be clamped and the injection pump can be used to transmit a solution that paralyzes the heart and the base of the aortic for the purpose of cardiac arrest.
  • Create an oral connection between the artificial aortic bridge and the patient's upper aortic.
  • Observe and restore, treat other damages of the heart such as heart problems, inter-fibrillation or atrial fibrillation.
  • Remove the clamped aortic clamp at the previous steps and proceed to the recovery technique, which makes the heart work again.
  • Close the incision of the skin in full order of layers such as scales, muscles and skin as the patient's body surgery order.

After the aortic surgery, the treating doctor as well as the medical staff need to observe and monitor some complications on the patient, thereby taking timely measures as follows:

Pulmonary xquang

Patients who are res repatriated after surgery should receive a lung scan for monitoring
  • Monitor the patient's survival index including pulse, breathing rate, blood pressure, temperature.
  • When the patient is res repatriated after surgery, a lung scan is required for monitoring.
  • Be aware of some early complications such as pericardism bleeding, blood spills or even pleural effusion. If the patient suffers from the above conditions, it is necessary to diagnose the level of the disease for medical treatment according to the regimen suitable for each patient, may have to have pleural circulation or perform surgery again.
  • Monitor the condition of the incision such as swelling, edema, abnormal discharge, bleeding incision or not.
  • If the patient has a collapsed lung after surgery, a bronchoscopy is required to suck the lungs or re-operate.
  • Patients experiencing complications of heart failure should receive immediate cardiac support and resuscitation.
  • For post-surgical infections, blood cultures and antibiotics should be performed.
  • Some other complications such as stenosis persist, require medical treatment and nong or reconstruct surgery.
  • Some cases of damage to the doechi nerve or diaphragm nerve

Aortic atrophy or aortic mump malformations account for a very small percentage, rare congenital heart disease drugs that should not be ignored and need to be found early for treatment because it affects the patient's life in a very short time. Once the diagnosis is determined, aortic surgery and post-surgery complications should be performed so that the patient can recover as soon as possible.

To protect general cardiovascular health and detect early signs of myocardial infarction and stroke, customers can sign up for the Cardiovascular Screening Package – Basic Cardiovascular Examination package of Share99 International Health Hub. The examination package helps to detect cardiovascular problems early through tests and modern imaging methods. The examination package is for all ages, genders and is especially necessary for people with cardiovascular disease risk factors.

Customers can directly go to Share99 Health System nationwide for examination or contact the hotline here for assistance.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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