On September 21, Da Nang Hospital said that doctors of the Cardiovascular Surgery Department of the hospital had just successfully operated on and saved patient N.A.T. (born 1992, residing in Hoa Cuong ward, Da Nang city) who had a critical acute type A thoracic aortic dissection.
Previously, Mr. T. was taken by his family to Da Nang Hospital for emergency treatment in a state of sudden severe chest pain in the back of the sternum, the pain quickly spreading to the abdomen.
Conducting examinations, emergency tests and CT scans of blood vessels, doctors discovered that the patient had acute type A thoracic aortic dissection on the background of thoracic aortic aneurysm and severe aortic valve regurgitation. This is a particularly serious injury related to Marfan's syndrome.
The patient's aortic dissection has become complicated, causing blockage of the right kidney artery and left iliac artery. CTA images also recorded dissected lesions that have progressed deeply, spreading to the common carotid artery on both sides, the left subclavicular artery and the coronary artery root on both sides.
Recognizing this as a critical case, with an immediate risk of death, Da Nang Hospital immediately held an emergency consultation. Doctors from the Cardiovascular Surgery Department coordinated with the Anesthesia and Resuscitation Department to perform emergency surgery, combining many complex techniques to treat aortic damage and accompanying complications.
After more than 7 hours of high concentration on the operating table, the surgery was successful. Just one day after surgery, patient T. was awake, without weakness or paralysis, hemodynamics stable, the anesthetic condition of the left leg completely disappeared, liver and kidney functions are recovering positively. By the second day, the patient could eat and exercise gently in the hospital room.
According to BSCKII Nguyen Minh Hai - Head of Cardiovascular Surgery Department, Da Nang Hospital, Mr. T.'s acute thoracic aortic dissection case is directly related to Marfan syndrome (a genetic disease of connective tissue due to a gene mutation).
This disease has a very high mortality rate, up to about 50% within the first 24 - 48 hours from the onset if the patient is not intervened by surgery in time," Dr. Hai informed.
