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Only abdominal pain, digestive disorders, the man almost died from an unexpected dangerous disease-Life Health

Sunday, April 17, 2022 18:00 PM (GMT+7)

Patient Nguyen V.Th was born in 1973 and lived in Song Lo – Viet Tri with a diagnosis of high blood pressure but no treatment and regular medical examination. One day before admission to the hospital, the patient had abdominal pain accompanied by digestive disorders.

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Doctors perform surgery on patient Nguyen V.Th

Cardiovascular Intervention Unit – Cardiovascular Center, Phu Tho Provincial General Hospital has successfully intervened in emergency care for a patient with a complicated Stanford B aortic dissection.

Aortic dissection is a condition in which the intima and medial layers of the aorta rupture, causing blood to flow between the arterial layers and dissect them to form a pseudoluminal lumen. With the pressure of the blood flow, the arterial layers will continue to dissect along the artery and they can further tear the arterial endothelium.

Despite advances in diagnosis and treatment, aortic dissection remains a deadly disease with a high mortality rate. Up to 21% of cases die before hospitalization.

Cardiovascular Interventional Unit – Cardiovascular Center has successfully performed emergency intervention for patients with complex Stanford B aortic dissection.

Patient Nguyen V.Th was born in 1973 and lived in Song Lo – Viet Tri with a diagnosis of high blood pressure but no treatment and regular medical examination. One day before admission to the hospital, the patient had abdominal pain accompanied by digestive disorders. Was admitted to the Department of Gastrointestinal Internal Medicine. After examining and performing diagnostic tests, the doctors ruled out gastrointestinal disease and discovered that the cause of abdominal pain was aortic dissection, causing ischemia of internal organs. Abdominal. The interdisciplinary consultation of gastroenterology and cardiology was taken place immediately. The doctors of the interventional cardiology department considered this to be an emergency, requiring urgent intervention.

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Patient Th. is recovering well after the surgery

There are 2 proposed options: Open surgery and percutaneous aortic intervention. Open surgery only has the advantage of low cost, but the patient has to undergo a major surgery with many risks of aggravation. The percutaneous aortic intervention technique has many advantages such as minimally invasive, maximum efficiency, and short recovery time. This technique has been mastered by doctors of Interventional Cardiology and has been successful in many patients. This is the new method. Phu Tho Provincial General Hospital is the only provincial hospital in the country that can do this method.

After explaining the patient’s condition and management plan, the patient’s family chose the option of percutaneous aortic intervention. Immediately the patient was transferred to the intervention room, the emergency intervention team for the patient.

After the intervention, the patient recovered well. After 1 week of intervention, the patient’s health was completely stable and was discharged from the hospital.

Patient Th said: At home, I just thought it was a common stomachache, but when I went to the hospital, I found out that I had a dangerous disease. Before the intervention, the family was fully explained by the doctors about the condition, treatment methods, benefits and risks of the intervention method. Knowing that this is the optimal, safe, gentle, and fast recovery plan, my family quickly decided to let me intervene here.

Resident doctor Do Viet Thang – Deputy Head of Cardiovascular Intervention Unit said: This is a special case because the dissection of the aorta is low, overlapping with symptoms of digestive diseases, so it is difficult to diagnose. detection and diagnosis of diseases.

The intervention process is also difficult because the false lumen presses the true lumen of the aorta almost completely, the segment dissection down to the iliac arteries on both sides, making it difficult to open the way to find the right position to put the leads. mind of the true heart. With determination, after more than 2 hours, we successfully intervened for the patient.

Cardiovascular Center – Phu Tho Provincial General Hospital, with a team of highly qualified and experienced doctors, has implemented many new and specialized techniques in the past time to help many patients receive treatment at the hospital. The province offers many opportunities to save the lives of many seriously ill people in time.

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