Saving the life of a rare patient with congestive heart failure

Thanh Chân |

HCMC - The patient was admitted to the hospital in a state of complete exhaustion, had to use high doses of oxygen, and had bloating all over the body. Through ultrasound, the doctor discovered a large mass around the heart.

On June 4, People's Hospital 115 said that the unit had successfully treated a case of large amount of out-of-cardiot plaque overflow. This is a rare disease, with many difficulties in diagnosis and treatment, especially, it can be life-threatening if not detected and treated promptly.

The patient was admitted to the hospital in a state of complete exhaustion, requiring high doses of oxygen, low blood pressure and pulse very quickly, and bloating all over the body. Through ultrasound, the doctors discovered a large mass of fluid nearly 11 cm wide surrounding the heart. This is the cause of tight cardiac compression, difficult contraction and threatens the patient's life.

During the 2 months before being admitted to the hospital, the patient showed signs of increased chest pain, fatigue and shortness of breath. The patient had gone to many places for examination but could not detect the disease accurately and treatment did not improve. With a history of long-term alcoholism, cirrhosis and diabetes, the patient's health has declined significantly.

Faced with the critical situation, experts discussed and decided to intervene to pump the pus out of the pericardium urgently. This is not a simple stake-off and poses many potential risks because the pus is in an inaccessible location and the epidemic is thick. Doctors successfully inhaled 500 ml of thick pus, quickly reducing pressure on the heart.

Test results showed that this was a severe case of accurate congestive lumpy heart disease, not caused by tuberculosis bacteria or parasites. The patient underwent surgery to open the cardiac window to continue draining the entire remaining pus. At the same time, actively treat with strong antibiotics, treat underlying diseases tightly, support physical condition...

According to Dr. Duong Van Muoi Mot - Head of the Department of Cardiovascular and Thoracic Surgery, People's Hospital 115, thanks to timely and active intervention, after only 2 weeks of treatment, the patient recovered, no longer had chest pain or shortness of breath, good appetite, and normal exercise. A supercardiovascular ultrasound shows that the fluid around the heart has disappeared. underlying diseases such as cirrhosis and diabetes are also controlled stably. The patient has been discharged from the hospital.

Eczema is a serious infectious condition, but is currently quite rare due to the popular use of antibiotics worldwide. The disease is characterized by the buildup of pus in the pericardial cavity (the lining that surrounds the heart).

If not diagnosed and treated promptly, this condition can be life-threatening. The accumulated pus can spread into the blood, causing severe infections throughout the body, compressing the heart, obstructing blood circulation, leading to low blood pressure, shock and even sudden cardiac arrest.

People with weak immune systems, chronic diseases (such as cirrhosis, diabetes, cancer, ...) or alcoholism will be at higher risk. Symptoms are often unclear: chest pain, fatigue, mild shortness of breath, so they are easily overlooked.

Thanh Chân
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