Mrs. Xu, 75, lives in Taichung and has always been in good health. She usually keeps in good health by soaking in medicinal liquor. Since July last year, I feel wheezing and uncomfortable when I walk. I saw a doctor and found that it was severe aortic stenosis with respiratory failure. After the emergency respirator was inserted, I found that I had colorectal cancer and was referred to Taipei Rongzong for treatment.

What is severe stenosis of cardiac active valve?

Generally speaking, the opening of the active valve of a healthy heart is about 3~4 square centimeters. With the increase of age and calcification, the opening of the active valve is less than 65438 0 cm2, which means that the active valve of the heart is severely narrowed. Zhang said, the attending physician of Taipei Veterans General Hospital, "In Taiwan Province Province, more than 75% of the elderly, about 65,438+02%, have the problem of visceral valve stenosis. If patients are not actively treated, about 70% will not live for one year, and the average mortality rate of patients who only use drugs within one year is 50%. Therefore, they should receive surgery immediately after discovering this disease! 」

With the extension of life expectancy, geriatric diseases and * * * diseases have increased, and patients with aortic stenosis have indeed increased. Colorectal cancer is the most common cancer in China in the past 10 years. Mrs. SEO also has aortic stenosis and colorectal cancer, and the treatment is more complicated!

How to treat heart disease and colorectal cancer simultaneously?

Since 1999, Beirong is the first hospital in Taiwan Province Province to perform catheter aortic valve implantation. Painless technique was used in the operation 102, with a total of 17 1 case, the oldest being 102 years old. The evaluation of Beirong Catheter Valve Treatment Team on this old woman surnamed Xu is that if chemotherapy is used to treat colorectal cancer first, then active heart valve surgery may lead to poor healing of wounds and bones, resulting in other postoperative risks. If TAVI is used to treat severe stenosis of cardiac active valve, and then minimally invasive surgery is used to treat colorectal cancer, the surgical risk of the elderly can be reduced and the postoperative recovery rate can be improved.

Therefore, Beirong's catheter valve treatment team put the catheter into the thigh by injection, and urgently performed catheter active valve implantation, which solved the old lady's heart disease problem. The condition of heart failure has been greatly improved one week after operation. After that, the colorectal surgeon performed laparoscopic surgery and removed the second-stage colorectal tumor. The postoperative recovery was good and no subsequent chemotherapy was needed. Currently, it is being followed up in the outpatient department.

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