A narrow operation of aorta can avoid opening the chest

A narrow operation of aorta can avoid opening the chest
It is reported ' Reporter and king build the strongly fragrant peak of shadow reporter's village) Recently, domestic the first person who expand create, replace skill (TAVI) a little in the through the intersection of conduit and the intersection of aorta and petals of ball Finish in Shanghai Changhai hospital. , in the flat introduction, the aorta one is regarded as blood flow of heart " valve " according to the scene of head of the department of surgery of this courtyard of blood vessels The first, it shrink at heart and relaxation at want to open and close,in order to guaranteeing whether there aren't blood flow, and then the blood supply of the whole body. And a narrow patient of aorta, such as the regression of old arteriosclerosis changes, " valve " of its aorta The function is damaged, the important organ of patient's whole body is ischemic, oxygen deficiency, will also bring out the heart function depletedly, mortality is up to 30%~50% in one year. Holding the chest surgery wound big of traditional therapeutic method. And TAVI operation utilizes the conduit and the sacculus is expanded, plant the artificial artery one into through the arteria femoralis or apex of the heart, in order to resume the blood supply function of the left ventricle. Need extracorporal circulatory system with heart park, beat in the skill, need, sew up either while being postoperative, suitable for, can't tolerate advanced age old patient of major operation especially. It is reported, finish in international 2002 the first TAVI operation. The scene is flat to emphasize, method of this operation is being employed for fewer than 10 years in the world, needs time to appraise it objectively, so should avoid advancing rashly in popularizing the course clinically, should master indication and taboo disease strictly. For example, close the young patient not complete as to aorta one that rheumatic heart disease causes, it is unsuitable to walk and should perform the operation temporarily.

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