Doctors Surgery Cardiovascular and thoracic Hospital (BV) Vietnam Germany recently rescued a patient’s waist aortic rupture (SEA) due to motorcycle accidents in interventions Stent Graft place.
Doctors Surgery Cardiovascular and thoracic Hospital ( BV ) Vietnam Germany recently rescued a patient ‘s waist aortic rupture ( SEA ) due to motorcycle accidents in interventions Stent Graft place .
This patient is first broken waist in Vietnam SEA and SEA emergency chest second burst was lucky Vietnam-Germany Hospital doctors save lives in Cardiovascular Interventions – set Stent Graft .
An emergency cardiovascular accidents are extremely rare.
Patients ( BN ) D. Ngo Thanh , 19 ( Me Linh District, Hanoi ) after being rescued has no memory of the accident happening to me . Awake , talking after Stent Graft intervention set a date but also very tired , just remember D. motorcyclists and other motor was a hit . D. was taken to hospital at 22 pm the night Vietnam Germany 2/9 in the state of drowsiness , pulse 110 beats / minute , blood pressure up to 160mmHg in his right hand . Test results and CT images of patients showed broken waist SEA causing large mediastinal hematoma and pericardial included traumatic brain injury ( brain contusion ).
Prof. Nguyen Huu Testament , Head of Cardiovascular Surgery and Thoracic Vietnam-Germany Hospital said: SEA traumatic rupture is a rare disease . SEA is so broken waist . Eo is the intersection SEA SEA and SEA chest straps . A large surgical center as Vietnam BV German couple first met in 1 case because this is too serious an injury . Most patients sometimes broken waist ( my wife acute ) , causing severe bleeding into the pleural cavity and promptly died right not to BV , diagnosed through autopsy . In some cases, only injuries – contusions touch SEA waist , so after the accident showed normal patients , after a period ( usually a few weeks to several months , sometimes years later ) the injury will stretch to the created out of the room or room rates SEA ( chronic rupture ) . The majority of patients underwent surgery survived in this situation.
Previously, Vietnam-Germany Hospital has successfully treated several cases of traumatic rupture of the waist SEA chronic form . However, even a dark emergency situations encountered in practice – can save lives of patients if surgery or intervention , it is really broken SEA waist , but not too large rupture area , so the first time blood flow out around the organization temporarily blocked , creating a very large hematoma around SEA , after a few hours or a few days , the hematoma will break off causing fatal blood supply , virtually no surgery could be possible . Due to this diagnosis can be difficult , requires a highly specialized , so far still very rare , and most deaths are not treated promptly . D. Where is the patient in this situation.
The doctor stood before the choice : life-saving surgery patients , or a combination of both interventions and surgical interventions ( Hybrid ) . Previously only solution is surgery patients survived . But the extremely difficult surgery , survival is very small because the waist is very difficult SEA approach to handling damage . Moreover, as in emergency conditions severe bleeding ; if clamp circuit to handle injuries also cause brain damage and other organs in the body.
Therefore, many patients die while not failure due to breaks that other functions ( brain , organs , intestines … ) due to lack of blood during surgery . Interventions by instruments , but not completely replace classical surgery , but is a good solution to save BN for limiting risk , so much simpler procedure , the patient almost are not damaged during the intervention , no complications agencies ( most patients are in a state of D. brain contusion ) , check the status of patients immediately after the intervention, no scars , no sugar surgery , postoperative gently . The doctor decided to put plans Stent Graft intervention to be most beneficial to patients . However, Prof. Nguyen Huu Testament also prepared surgical team must be covered in case if a large number of side branches SEA – including the arteries that feed the brain , it opens the blood vessels supplying the brain connections go the other way ( Hybrid schemes ) . Fortunately, the patient was simply D. intervention alone.
Ca intervention occurred within 30 minutes by Prof. Nguyen Huu Testament as crew chief . BN has been off the ventilator soon, sober , and continue to be exposed to be checked , monitored and brain injuries in the abdomen closed .
