Pros and cons of rheumatic heart disease replacement for mitral valve and aortic valve surgery!

Hello, rheumatic heart disease: moderate mitral stenosis with calcification; If the elderly have moderate stenosis and calcification, if the elderly have discomfort caused by heart disease, it is recommended to do surgery as soon as possible, and surgery will definitely be beneficial to the success rate of surgery when the physical condition is better. A lot of information is required for specific surgery, such as cardiac ultrasound.

At the age of 69 years old, the success rate of rheumatic heart disease replacement for mitral valve and aortic valve is also high, and the cardiovascular surgeon will evaluate the risk.

Advantages of rheumatic heart disease replacement for mitral valve and aortic valve surgery: the adverse effects of mitral valve and aortic valve removal on the body, etc.

Disadvantages of rheumatic heart disease replacement for mitral valve and aortic valve surgery: the surgery is traumatic, there is mortality, etc.

I hope the above reply is helpful to you, and I wish the elderly good health.

This kind of condition is more secure in the hospital, the hospital doctors are very authoritative, but the hospital is mainly surgery, the advantage of surgery is that as long as it is successful, the condition can be relieved quickly, and the CT results can be changed a lot at the same time, that is, the sequelae are large, the time can not be managed for a few years, can not go through multiple surgeries, and the life is short, that is, the difference between the pros and cons is too great, and the disadvantages far outweigh the pros.

Mild arthritis and rheumatism are OK, but long history is difficult. Mainly through drugs and physiotherapy to alleviate symptoms, knee pain, arthritis and other problems, you can understand the Jiuyao knee joint physiotherapy instrument, that is, after use, it is obvious that about 10 minutes will be a little warm, insist on using it every day, about 1 week, the initial cold and chilly knee area, difficult activities will be significantly improved, walking, climbing stairs, exercise has become a lot more powerful.

Last time, I bought the Jiuyao physiotherapy instrument for my grandmother at the affordable **, and I was worried about it at first, but then I observed it for 2 weeks, and my grandmother said that now my feet basically won't hurt, and I won't be numb, just like my own feet. If the landlord wants to know, you can go to the affordable ** to see the basic situation of Jiuyao physiotherapy instrument. Hope it helps.

Hello, TCM answers.

In fact, rheumatic heart disease can also be completely cured without surgery if you take Chinese herbal medicine, and the surgery is to replace the calcified valve, so that the new mechanical valve or biological valve, valve can make the cusp valve elastic, so that the cusp valve opening and closing is not so restricted. However, surgery can not eliminate the cold and dampness of the viscera, can not enhance the immune system of the viscera, can not activate blood stasis, and is afraid that the blood congestion will coagulate and fall off after the operation, resulting in cerebral hemorrhage or cerebral congestion, cerebral hemorrhage, etc. Therefore, it is necessary to take warfarin anti-coagulation for a long time, although warfarin can be anti-blood coagulation, but it is always a Western medicine, *** a lot, it will cause slow damage to other viscera, there are many patients who gradually form liver congestion, kidney failure, etc.

Surgery can change part of the results, but can not eliminate the disease**, most patients are still unhealthy after surgery, because it still exists, which is the bad point of Western medicine to treat the symptoms but not the root cause.

If the patient has many obvious symptoms after surgery, you can take Chinese herbal medicine ** is the healthiest, although Chinese herbal medicine is not scientific in the eyes of some patients, in fact, Chinese herbal medicine is very scientific, Chinese herbal medicine ** The composition and function of this condition are mainly to enhance the internal organs, essence and blood, improve the heart immune system, eliminate wind, cold and dampness in the body, and achieve dispelling wind and cold, activating blood and removing blood stasis. The cusp valve and valve are not affected by wind and cold, the valve metabolism will be well regulated under the protection of the immune system, the damaged valve will be gradually repaired, the cusp valve function will slowly produce elasticity, and the function of each viscera will not be hindered by any obstruction, and the body can be completely normal and healthy. I don't know about the famous doctors in Beijing, I only know the drugs and compatibility methods of Chinese herbal medicine to cure rheumatic heart disease.

Wishing you good health!

Hello. If the wound has just been healed, do not use overheated water in the bath, it will feel dizzy, and avoid spraying water directly on the wound, if there is redness, swelling, oozing, contact the doctor in time. Have regular exercise, eat low-cholesterol, low-fat, high-fiber foods, try to relax yourself, and avoid exertion.

According to your medical history, there was a paravalvular leak in such a short period of time after the operation, and at that time, the operation only tied up and collapsed the aortic valve and there was a problem, I suspect that you may have aortic arteritis, because rheumatic heart disease only affects the aortic valve and the mitral valve is relatively rare, I don't know if you usually have ulcers in the mouth, whether the blood sedimentation rate is high, if it is Takayasu's arteritis, then it is easy to get paravalvular leakage when the aortic valve is replaced, and you have to undergo aortic root replacement, so I recommend that you go to the rheumatology and immunology department for diagnosis.

Dr. Han Lin of Shanghai Changhai Hospital solemnly reminded that because the patient cannot be seen face-to-face and cannot be equipped with a hole to fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

There are many factors that go into the risk of surgery, including secondary surgery, advanced age, coronary artery bypass surgery that may need to be performed at the same time, and the functional status of other vital organs throughout the body. If the cost of the operation is within 100,000 yuan, it will be very good. It's too late to get home for a month.

Dong Chao of Fuwai Hospital.

Hello! According to the above situation, it is necessary to have surgery to fundamentally solve the problem in the pants book. The second valve replacement is okay and safe. If the mitral valve is replaced again, the total hospitalization cost is about 6-70,000 yuan.

Rapid heart rate after valve replacement is often indicative of cardiac insufficiency, and the predisposing factors are inflammation, fatigue, and poor rest. So first find the reason and **.

Medication: Digoxin 1 tablet, once a day, 3 months to 6 months, heart rate below 70 beats, stop the drug at the same time. Da Long 1 tablet, 2 times a day, when the heart rate drops to less than 100 minutes, change to half a tablet each time, 2 times a day, heart rate below 70 times when the drug is stopped.

Diuretics and potassium supplements are taken daily for 2 to 3 months.

Dr. Zhang Qinghua Zheng Jinjing reminded that due to the inability to diagnose patients face-to-face, they cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

Judging from the materials you provided, you are currently rheumatic new heart disease, after mitral valve replacement, aortic regurgitation, tricuspid regurgitation, pulmonary hypertension, and need a second valve replacement. The risk of the second valve replacement is higher than that of the first operation, mainly the degree of intraoperative adhesions, pulmonary artery pressure and preoperative cardiac function, because the patient has been 19 years after surgery, so the degree of adhesion should be lighter, and the success rate of the patient's surgery should be above 95 by adjusting the heart function and reducing the pulmonary artery pressure before the operation. Regarding the cost of surgery, it mainly depends on what valve is replaced, if it is a domestic valve, the cost is about 70,000 yuan.

Wu Naishi. Dr. Wu Naishi solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition of Qianchangjian, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

You'll need to have two valves replaced, and the tricuspid valve may need to be repaired. The total medical cost of the operation (including the cost of imported valves) is about 70,000 yuan, and it takes at least 20 days for the average patient to leave Beijing from coming to Beijing, and he is generally hospitalized for 7 days after the operation, and staying in a sedan chair near the hospital for a few days after discharge.

Dong Chao of Fuwai Hospital.

Question: Should mitral valve stenosis be replaced? Disease: Rheumatic heart disease.

He was diagnosed with rheumatic heart disease in 1984. In 1985, he underwent closed dilation. In 1993, he underwent balloon dilation in the Second Hospital of Harbin Medical University.

Atrial fibrillation developed in 2004, and sinus rhythm was maintained until 2007 after two electrical cardioversions. In 2008, he did balloon dilation in the Second Hospital of Harbin Medical University, and at present, his heart function is declining, atrial fibrillation, and he can lie flat without edema.

Laboratory and examination results: right ventricular outflow tract inner diameter.

Aortic root inner diameter Left atrial inner diameter.

Left ventricular end-to-sooder inner diameter Left ventricular end-to-diasm diameter.

Ventricular septal thickness The thickness of the posterior wall of the left ventricle.

The amplitude of the posterior wall of the left ventricle is the diameter of the right ventricle.

Right atrial diameter mm Pulmonary artery inner diameter.

Pulmonary orifice velocity Aortic orifice velocity.

Mitral Valve E Peak Flow Rate Mitral A Peak Flow Rate m s

Tricuspid orifice flow rate.

Left ventricular function test: EF: 60% D: 26% SV: 70ml

1.The left atrium is enlarged, and the remaining atrioventricular cavity is normal in size.

2.The aortic root is normal with a slightly reduced amplitude. The aortic valve is thickened, reflective, mildly calcified, and has mildly limited opening. Poor closure.

3.Thickening of the anterior and posterior leaflets of the mitral valve, strong reflection, adhesions, calcification, limited opening, opening diameter, area, and poor closure.

4.There are no organic changes in the residual valve.

5.The ventricular septum and the posterior wall of the left ventricle are not thick, and the amplitude is normal.

6.The internal diameter of the pulmonary artery is normal.

7.Color Doppler: diastolic mitral valve orifice with red festoon blood flow.

Intraatrial systole in the left atrium shows blue colored blood flow originating from the mitral orifice, and the blood flow velocity of the aortic orifice is slightly faster. Diastolic red festonian blood flow from the aortic valve orifice can be seen in the left ventricular outflow tract, and blue festonian blood flow from tricuspid valve can be seen in the right atrial systole, area.

8.Tissue Doppler: The basal segment of the ventricular septum at the level of the mitral annulus is unimodal.

Ultrasound diagnosis: rheumatic heart disease, moderate mitral stenosis with mild regurgitation, mild aortic stenosis with mild regurgitation, mild tricuspid regurgitation.

The last hospital visited: the Second Hospital of Harbin Medical University.