China has a large population base, a large number of people, and a full range of diseases. The rich medical health data provides a good clinical basis for precision medical research. Cardiovascular diseases with high prevalence, high disability rate and high mortality rate are more suitable for precise medical needs and conditions in technical applications, especially in the difficult surgical treatment field.
In April this year, Shanghai Deda Hospital admitted a male patient to hospital for treatment, dizziness occurred in the past half month, relieved after rest, increased body position, accompanied by palpitations, no nausea, vomiting, no headache, no shortness of breath, difficulty breathing Wait. Chest examination results in augmentation of the aorta and increased heart shadow. Cardiac color Doppler ultrasound shows congenital heart disease: atrial septal defect (lower cavity type, 17 mm, left to right shunt), aortic root tumor (60 mm wide sinus), aortic regurgitation (right, no sinus bulging, A small amount of reflux during diastole). Aortic CTA prompted aortic root tumor (the widest inner diameter of 59 mm); atrial septal defect.
The patient's omnidirectional imaging examination confirmed the ascending aortic aneurysm, aortic regurgitation, atrial septal defect, and Marfan syndrome. With state-of-the-art equipment, superior diagnostic skills and extensive clinical experience, the Deda Heart team was able to evaluate the structural shape and accurately measure each with a “one-stop†CT scan of low-dose cardiac vessels and a powerful post-processing workstation. Item parameters. Advanced imaging means provide intuitive image navigation that makes the surgical procedure simpler, more precise, more controllable and safer.
After careful preparation and over three hours of hard work, they successfully performed a case of Bentall surgery and atrial septal defect repair. Although the patient's sinus is small, the suture is smooth. The operation progressed well, and the patient recovered smoothly after operation. The tracheal intubation was removed 2 hours after operation, the vital signs were stable, and the indexes were normal. On the first day after surgery, he was transferred to the general ward and discharged from the hospital on the 10th day after surgery.
Deda Hospital's professional follow-up team will continue to follow up on them, identify potential problems, and promptly review and properly process them. Due to the large wound surface of the Markov syndrome Bentall, the quality of the aortic wall is not ideal, the operation and extracorporeal circulation time is long, and there is often more bleeding after surgery. Therefore, the amount, color and nature of the drainage fluid of the mediastinum, pericardium, and pleural drainage tube should be closely observed after operation, and records should be made in time.
Another male patient had a chest pain for 2 days and a 10-year history of uncontrolled hypertension. After echocardiography and blood chemistry, the diagnosis was a type A aortic dissection.
Preoperative CTA
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