The 5-year survival rate of this asthma without surgery is 0! Help, be happy, rely on it.

Mr. Wang Lao, 9 1 year-old, was recently hospitalized for asthma, dyspnea and heart failure. After arriving at the hospital, severe aortic stenosis was found by echocardiography. Traditional surgery for aortic stenosis requires thoracotomy, which is very risky for people over 65 years old. On average, 40% patients over 65 will be rejected by surgeons. Fortunately, there is now a catheter aortic valve implantation operation, so that older patients can get timely treatment.

Chen Yinghua, an attending physician in the Department of Cardiology of Taipei Rongzong, said that with the extension of life expectancy and the increase of the elderly, there are more and more patients with aortic stenosis. In people over 75 years old, 12% had aortic stenosis. In addition, the population of 1% was born with only two valves, which is more likely to cause valve stenosis than the average person with three valves.

"The most common symptoms of aortic stenosis are chest pain, dizziness and asthma. The initial symptoms may not be serious, but with the increase of age, the valve calcifies, the valve cannot be opened or covered, and the symptoms of chest tightness gradually appear. In severe cases, it will faint because the blood can't reach the head, and finally heart failure will lead to death. Chen Yinghua said. The normal aortic valve opening is about 3-4 square centimeters. When the aortic valve opening is less than 1 square centimeter, it is called severe aortic stenosis.

The most worrying thing is that if you don't accept aortic valve replacement and only use drugs, the one-year mortality rate will be as high as 50%, and the five-year mortality rate will even reach 100%, which is higher than many cancers.

Everyone who couldn't get out of the way during TAVI's operation has come back to life. Traditional treatment requires thoracotomy, but more than 30% patients with severe aortic stenosis are too risky for surgery because of age or other diseases, and even 40% surgeons will refuse surgery after evaluation.

However, the current TAVI is less traumatic than traditional surgery. Valve can be introduced through catheter for treatment, which is an alternative therapy for patients with high risk of receiving traditional surgery.

9 1 year-old patients who recovered quickly after operation were hungry as soon as they got out of the recovery room. Chen Yinghua introduced that Taipei Rongzong started transcatheter aortic valve replacement on 20 10, which is the first hospital in China to perform this operation. This kind of operation can reduce the chance of infection or other complications caused by age, and can shorten the observation time in the intensive care unit and shorten the hospitalization days.

Chen Yinghua said that with the close cooperation of heart surgery, anesthesiology, radiology and neurology of TAVI team of Beirong General Hospital, the valve was successfully implanted 100% in this operation, and the survival rate 100% after 30 days was higher than the world average. Moreover, within 30 days after operation, the incidence of complications such as stroke, massive hemorrhage, and moderate or above leakage around the implanted valve is zero.

Mr. Wang Lao also said that he could hardly feel the pain after opening the knife. Mr. Wang's son even laughed beside him, and his father woke up and was in good condition. He even told his family that he was hungry and ate a bowl of pork liver porridge when he came out of the recovery room.

Chen Yinghua said that in fact, young people can still use traditional surgical methods because of their better recovery ability, but if they are elderly patients who have undergone heart-related surgery before or have other risk factors, it is recommended to use transcatheter aortic valve replacement.

Because the valve of transcatheter aortic valve replacement is a special consumable, the valve cost is about 654.38+0.07 million yuan, and patients can evaluate it by themselves.