Saving the life of a patient with severe heart failure after an acute myocardial infarction in Can Tho

Tạ Quang |

Can Tho - Currently, the patient is recovering well, his blood flow is stable, his heart function has improved significantly and he is practicing physical therapy for rehabilitation.

On August 4, Hoan My Cuu Long Hospital announced that the unit had just saved the life of a male patient (62 years old) with severe heart failure due to complications of peritoneal peritoneum and peritoneal advantageousone - one of the rare but extremely dangerous complications after acute myocardial infarction.

According to the hospital, Mr. E (62 years old, Dai Hai commune, Can Tho city) was admitted to the emergency room in critical condition and was diagnosed with acute myocardial infarction, had a heart attack, low blood pressure, fatigue, difficulty breathing and dizziness.

Bac si tham kham benh nhan E (62 tuoi, xa Dai Hai, TP Can Tho). Anh: Benh vien cung cap
Doctor examines patient E (62 years old, Dai Hai commune, Can Tho city). Photo: Provided by the hospital

Through an ultrasound, the doctor discovered that the patient had a punctured ventricular wall, causing abnormal blood flow between the two heart cavities, leading to severe heart failure and serious decreased heart contractility.

Immediately, the medical team held a multi-specialty consultation, prescribed inpatient treatment and special care at the hospital. However, because the damaged heart area is still very weak, if operated on immediately, it can cause the perforation to spread, with a high risk of complications and a threat to life. Therefore, the doctors decided to actively treat it first to stabilize health, give the heart time to recover, and then perform surgery after 2 weeks. This waiting time is to ensure a safer surgery and increase the patient's ability to recover.

After more than 4 hours of surgery, the perforation in the heart wall was successfully patched and the ptopanioc joint was reconstructed. The patient received intensive care at resuscitation after heart surgery.

Hien tai, ong E hoi phuc tot, huyet dong on dinh, chuc nang tim cai thien ro ret. Anh: Benh vien cung cap
Currently, Mr. E is recovering well, has stable blood flow, and has significantly improved heart function. Photo: Provided by the hospital

Currently, Mr. E is recovering well, blood is stable, heart function has improved significantly and is practicing physical therapy for rehabilitation to soon return to normal activities. The patient was discharged from the hospital 7 days after surgery and was monitored for outpatient follow-up as scheduled.

According to MSc. Dr. Tran Phuoc Hoa - Head of the Department of Cardiovascular Surgery - Thoracic Surgery - Resuscitation after heart surgery, this is a difficult surgery, requiring high skills and in-depth experience in cardiovascular treatment.

During the surgery, we used an epidural circulatory machine to replace the heart with a blood pump to nourish the body, helping the heart temporarily rest. After that, the team built 4 coronary artery bridges to improve blood flow to support the heart, then used a special solution to temporarily stop the heart from beating to treat the perforation in the heart wall (interventricular congestion). The entire process is closely coordinated to protect the patient's heart and brain function during the long surgery period," said Dr. Tran Phuoc Hoa.

According to Dr. Tran Phuoc Hoa, acute myocardial infarction is a dangerous emergency cardiovascular condition that can cause death or leave many serious complications such as heart failure, arrhythmia, heart failure, heart rupture, etc.

People, especially over 50 years old, with a history of high blood pressure, diabetes, smoking, and dyslipidemia, need to be examined periodically to detect underlying cardiovascular diseases early. When there are symptoms such as prolonged breast pain, shortness of breath, cold sweating, sudden fatigue, it is necessary to go to a medical facility with a cardiologist as soon as possible for timely diagnosis and treatment.

Tạ Quang
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