Recently, the team led by Xu Zhiwei from the Department of Cardiology at the First People’s Hospital of Huai’an City successfully performed David’s surgery - aortic root replacement with preserved aortic valve.

As a first-class hospital at the prefecture level, Xu Zhiwei’s team in the Department of Cardiology and Vascular Surgery at Huai’an First People’s Hospital adheres to the service concept of "putting patient interests at the center", faces difficulties, and continuously learns and improves. They have successfully "unlocked" this "cardiac technology" and are able to carry out David’s surgery in a standardized and independent manner. Recently, with the assistance of Xu Zhiwei’s team from the Cardiology Department of Huai’an First Hospital, Mr. Wang, 50 years old, became one of the beneficiaries of the "Top Pyramid Surgery".

Mr. Wang underwent a cardiac ultrasound examination a month ago and found that the aortic root was dilated. Later, a chest and abdominal CTA examination revealed: "Ascending aortic aneurysm like dilation, considering an aneurysm, with a maximum diameter of about 65 mm..." Mr. Wang is a popular online lyricist who is relatively young and has high requirements for quality of life. Later, he went to the outpatient clinic of Xu Zhiwei, Deputy Chief Physician of Cardiac Surgery at Huai’an Hospital, to seek treatment.

The heart is the engine of the whole body system, pumping blood through strong contraction. Rich arterial blood is pumped out of the heart, flowing into the aorta through the "one-way valve" of the aortic valve, and then transported to the whole body through the aorta. The importance of the aorta is self-evident. The aortic sinus is a "sensor" located at the beginning of the aortic root and is an important structure for supplying blood to the heart. However, Mr. Wang’s ascending aorta and aortic sinus developed lesions, resulting in valve involvement and reflux, further exacerbating the left heart burden. Once the lesion further develops, it may lead to tumor like dilation or even the formation of aortic dissection. At that time, the large blood vessels of the lesion may rupture at any time under the impact of blood flow, which is extremely dangerous! At the same time, myocardial blood supply can also be greatly affected. If not actively treated, myocardial infarction or left heart failure may occur, seriously threatening the patient’s life safety.

In traditional surgeries in the past, even if the aortic valve was not diseased or had mild lesions, it would still be "innocent implicated" and replaced along with the diseased blood vessels. The replacement of artificial valves can be divided into two types: biological valves and mechanical valves. Patients who undergo mechanical valve replacement require lifelong oral anticoagulants; The lifespan of the biological valve is between 15 and 20 years. Although anticoagulants are not required after surgery, many middle-aged and young patients may have to face the pressure of a "second surgery".

In order to improve the quality of life of patients, rather than simply having the right to ’survive’, David surgery has emerged.

After comprehensive evaluation, Xu Zhiwei and his team successfully completed David’s surgery for Mr. Wang. Mr. Wang remained stable in all aspects after the surgery, with minimal drainage of the wound cavity. He has now recovered well and is discharged from the hospital.

Don’t forget your original intention and forge ahead. In the future, the team led by Xu Zhiwei from the Heart Surgery Department of Huai’an First Hospital will continue to adhere to the patient-centered service philosophy, continuously improve, and provide patients with more cost-effective, optimal surgical results, and better long-term benefits.

This article is reprinted from "Dingxiangyuan"

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