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Dr. Trung described the artificial blood vessel placed for patient M. – Photo: THU HIEN
I want to thank with all my heart all the doctors and nurses at the hospital where I treat, those who have helped me to treat me successfully. After my first surgery in 2013 and this time again, I now feel like my life has a deep attachment to Vietnam forever.
Mr. LM shared
“I once saved my life in Vietnam. And now, I continue to escape death for the second time thanks to the doctors of this country. 100% of the blood in my body is now Vietnamese” – Mr. M. share.
Escape death tightly
Over a year ago, while in Vietnam, Mr. LM had severe pain in his chest that later spread to the abdomen. Mr. LM was admitted to the hospital in critical condition. Through examination plus the fact that Mr. LM has a history of high blood pressure and surgery in 2013, doctors suspect that his symptoms are related to thoracic aortic dissection. The results of the CT scan showed that, as expected, the aortic aorta divided in two to create a pseudo-lumen, which caused pressure on the actual vessel to reduce the amount of blood flow to the arteries of the organ (intestine, Liver Kidney …) .
However, the condition is not dangerous to the organs and can be controlled with medication. Therefore, Mr. LM wanted to return to France for treatment. However, the doctors convinced Mr. M. to stay in Vietnam for treatment. “With the conscience of a doctor, I cannot allow the patient to return to the country when there is a very high risk of death during the trip,” said Dr. Jean – Marcel Guillon, Hospital FV.
Explaining the determination to “hold” the patient, Dr. Luong Ngoc Trung (FV Hospital) analyzed: “When the plane takes off and lands, the change in air pressure will cause a sudden increase in blood pressure, which can easily rupture an arterial dissecting aneurysm or turning a fatal disease into a complication of aortic dissection. Furthermore, we believe we can treat this disease well. “
Thanks to both the heart and the experience of the doctors, Mr. M. decided to stay for treatment and that was the decision to save his life. By day 3, Mr. M’s condition began to worsen as abdominal and chest pain responded less to pain relievers. The results of the second CT scan showed that the pseudosphere of the artery was more enlarged than before, medical treatment with drugs was no longer effective, otherwise, timely surgery would lead to extremely dangerous complications.
Brain weight surgery
In parallel with persuading the patients to accept the surgery, the doctors conducted a video call consultation with doctors in France (at the request of Mr. LM), deciding to choose the plan to place the human blood vessel. creation (stent-graft) by intravascular intervention. Ophthalmic surgery opened a small incision in the groin, determined the actual vascular lumen and the pseudovascular lumen with the help of intravascular ultrasound (IVUS) to make the stent a reality.
The doctor skillfully placed 3 stents in the correct position of the damaged artery, preserved the artery under the left arm instead of ablation, and added a bridge to the left subarctic artery as suggested by the team of doctors in France. . “The option of the group of French doctors is a fairly safe option, but the patient has to undergo additional open surgery under anesthesia. We have decided to choose a more difficult option with the desire to limit the invasive arteries of the disease. people, “said Dr. Trung explained.
According to Dr. Trung, the biggest challenge with this surgery is that Mr. M’s entire aorta has been removed, so serious complications can occur. Doctors must emphasize that the precision of the calculation is very high, because a deviation of only a few millimeters will lead to many consequences, such as occlusion of the visceral artery, leakage of the stent graft after placement, and further damage. serious.
In the end, the operation was successful after about 2 1/2 hours of brain. The results of the postoperative images showed that the damaged aortic branches have regained shape and flow well, the blood vessels that feed the organs are restored to perfusion.
Aortic dissection is proportional high mortality
According to Dr. Trung, although there have been many advances in the diagnosis and treatment of this disease, dissection of the aorta remains a disease with a high mortality rate. Consequently, the disease occurs in men twice as much as in women. The most susceptible age is 50-70 years, with common manifestations such as heart attack, back pain, abdominal pain … severe, it can lead to anemia, myocardial infarction if it is removed. position near the heart (type A) …
‘Vietnamese doctors saved our lives …’
