On March 27, the Cardiovascular Center of Ho Chi Minh City University of Medicine and Pharmacy Hospital said that the unit had successfully treated an 83-year-old man with a serious heart disease. The patient was admitted to the hospital with severe difficulty breathing, acute heart failure gradually increased, accompanied by acute pulmonary edema due to severe double-leaf valve failure after acute myocardial infarction.
In addition to heart disease, there is also a problem of cerebral infarction, which poses many challenges in the treatment process. Thanks to personalized treatment combined with internal medicine, surgery and anesthesia, the patient recovered. This opens up new hope for the elderly with cardiovascular disease.
After consulting with many specialties, the doctors decided to apply intensive pre-operative treatment to control heart failure, optimize kidney and respiratory function and improve the patient's physical condition. Internal medicine treatment helps reduce the risk of surgical complications, improving recovery after surgery.
When the patient's condition became more stable, the cardiovascular surgery team replaced the 2-biofillary valve and coronary artery bridge. Choosing a biological valve helps reduce the risk of anticoagulants, suitable for the elderly. At the same time, coronary artery bridging helps improve blood flow to the heart muscle, reducing the risk of recurrent heart attack in the future.
According to Dr. Cao Dang Khang - Head of the Department of Cardiovascular Surgery, Ho Chi Minh City University of Medicine and Pharmacy Hospital, elderly patients often have many underlying diseases. Therefore, it is important to develop a suitable treatment strategy, optimize the patient's condition before surgery, and choose the safest surgical strategy.
After surgery, the patient was able to sit up, walk gently and live normally. The difficulty breathing completely disappears, heart function improves significantly. Post-operative ultrasound showed that the 2-leaf valve was working well, with no more valve opening causing reflux.
In particular, kidney function and respiratory function are restored, there are no signs of acute kidney failure or respiratory failure, pneumonia - common complications in the elderly after heart surgery.
