50% death within 48 hours!The woman returned to the hospital for emergency surgery only 3 days after returning home

For 36-year-old Ms Geng (not her real name), the bigger and more dangerous hurdle was to give birth. She had been happy to return home after giving birth for only A few days when she was struck by A type A aortic dissection.Data show that the incidence of aortic dissection is about five out of 100,000, and it is even rarer for pregnant women.The fatal disease has a death rate of 50 percent within 48 hours, and once the aorta ruptures and hemorrhages, patients often die within minutes.Zhejiang Provincial People’s Hospital cardiac surgery and other multidisciplinary medical staff after receiving surgery overnight, launched a race with death……Geng, who lives in Hangzhou, is in joy after giving birth to a baby.One evening in early January, just three days after returning home from hospital, Ms Geng felt a slight tightness in her chest, but it quickly disappeared and she didn’t take it seriously.Unexpectedly, around noon the next day, Ms. Geng suddenly fainted. Her family was taken aback and sent her to a nearby hospital, thinking she was weak in the month.Ultrasound and other examination results like a clear sky thunderbolt, so that the patient and his family were frightened again, consider arterial dissection!Ms. Geng was transferred to Zhejiang Provincial People’s Hospital and diagnosed with aortic dissection (Stanford Type A).Zhou Bing, deputy director of the department of cardio-vascular surgery at the hospital, said aortic dissection progresses rapidly in a short period of time, and replacing the torn blood vessel with an artificial vessel as soon as possible is the only treatment.In the evening, chief physician Zhou Bing and attending physician Liu Zhifang stood on the operating table after full preparation of multidisciplinary participation.The doctor opened the chest cavity and opened the pericardium, and found that the blood vessels in the ascending aorta and root of the patient were dilated, thin and tense.Dissection of the aorta showed that the rupture of the dissection was located near the left and right crowns of the root of the aorta, and only the adventitia of the aorta was maintained, which could be ruptured at any time.The intima of the aorta was severed, the proximal end of the dissection involved the sinus of the aorta and the coronary mouth, the sinus of the aorta was severely deformed, and the aortic valve was severely closed.Director Zhou Bing and others removed the pathological aortic wall and aortic valve, performed mechanical aortic valve replacement and dissected aortic valve replacement as artificial vessels…After 8 hours of hard work, the operation was successfully completed in the early morning of the next day.After that, the patient recovered quickly under the meticulous care of the medical staff of the icu and the cardiac and vascular surgery ward.Ms Geng was discharged from hospital this morning.”Unlike most aortic dissection, the patient did not have obvious chest and back pain symptoms, but he was very lucky. The initial physician paid enough attention to the diagnosis and transferred the patient to an operable hospital.”Zhou Bing director said.”Aortic dissection is a serious life-threatening aortic syndrome. Early identification, diagnosis and treatment are particularly important.Typical symptoms of aortic dissection pain are intense burning, tearing, or pulsing chest pain, with metastatic pain related to the site of the lesion, for example, anterior chest, neck, and throat pain related to the ascending aorta, and back or abdominal pain more suggestive of descending aortic disease.Most patients have a history of hypertension.”Director Zhou Bing pointed out that acute aortic syndrome “performance” is sometimes very mysterious, 5% ~ 15% of patients with aortic dissection clinical symptoms are not typical.The clinical manifestations of patients with painless aortic syndrome are complex and varied, including dizziness, headache, syncope, limb sensory disturbances, chest tightness, shortness of breath, gastrointestinal bleeding, gross hematuria, etc., and patients without any prior symptoms.This “fancy presentation” of aortic dissection is easy to lead to misdiagnosis and missed diagnosis. For example, patients with aortic dissection with syncopation as the initial symptom are mostly found in type A, with high mortality but atypical symptoms.Director Zhou Bing said, for example, the patient did not have typical symptoms, to the operation of the onset of more than 20 hours, if the first doctor was not experienced or a little negligence, another delay, it is likely to be unable to rescue.Therefore, the early identification and diagnosis of atypical aortic dissection is a challenge for the initial physicians.According to introduction, winter is the high incidence of aortic dissection season, cold, poor blood pressure control and excessive eating and drinking are the inducing factors.

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