Aortic Root Replacement chungchang hi a awlsam zawngin i zir dawn nia.

Kan taksa pum puia thisen pump chhuaktu thisen kalna kawng lian ber aorta tih hi i hre tawh ngei ang. Ngaihtuah teh, he main vessel, thinlung nena a inzawmna hmun ngei, "root"-a awm hi a chak lo deuh a, balloon ang maiin a bul chhuak ta a nih chuan engtin nge ni ang? Chu chu damdawi lamah chuan aneurysm kan tih chu a ni. Hei hi a hlauhawm hle a, a chhan chu engtik lai pawhin he bang chak lo tak hi a dissect thei a, a rupture thei bawk. Chutiang a nih chuan taksa chhungah thisen chhuak tam lutuk a awm thei a, nunna atana hlauhawm pawh a thleng thei bawk. Chuvangin, Aortic Root Replacement hi chutiang nunna atana hlauhawm dinhmun tihtawp nan surgery pawimawh tak a ni. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

He Aortic Root Replacement surgery hi eng nge ni?

A awlsam zawngin, hei hi i thinlung inzawmkhawmtu main artery aortic root-a aneurysm siam thatna tura operation a ni. A châng chuan i aorta zung leh a chhunga valve awmte chu thlak vek a ni. Hun dangah chuan i aorta zung chauh thlak a ni a, chu chuan i valve pangngai chu a awm reng a ni. I doctor chuan i valve dinhmun pawh tiamin thil tam tak a zirin eng surgery chi nge i tan a tha tih a rel ang.

He surgery chi hrang hrangte hi engte nge ni?

He surgery hi hmanraw lian pahnih a awm a. Pakhat chu aorta zung leh valve pahnih thlak a ni. A dang chu a zung chauh thlak a ni a, valve chu a awm reng ang. An pahnih hian thatna leh that lohna an nei ve ve.

1. Aortic Root thlak danglam (ARR) .

Hetiang tih dan hi Bentall procedure an ti bawk . Aortic aneurysm nei leh valve lama harsatna nei tan tih a ni. Entirnan, valve a khar tha lo a, thisen hnunglam a luang (aortic valve regurgitation) emaw, valve chu calcified (hardened) a nih chuan.

• Main advantage: Hei hi a thatna lian ber chu operation zawhah valve siamthat leh tur chuan operation hran neih a ngai tawh lo. Aneurysm leh valve problem pahnih hi a rualin a chinfel vek a ni.
• Risks: He surgery neih chhung hian mechanical valve i dah a nih chuan i dam chhung zawng thisen tithianghlimtu/anticoagulant i ei a ngai dawn a ni. Heng damdawi te avang hian thisen zam emaw thisen chhuah emaw a awm thei lo.

2. Valve-Sparing Root thlak danglamna (VSRR) .

Hei hi i aortic valve chu harsatna awm lovin a thawk tha a nih chuan a tha ber. Entirnan, valve atanga thisen chhuak emaw, thickening emaw a awm loh chuan he method hi thlan theih a ni. Hei hi a bik takin kum naupan lai atanga genetic condition avanga aneurysm nei tan chuan solution tha ber a ni.

Hetiang tih danah hian i aorta zung chauh thlak a, chutah chuan nangmah ngeiin i natural valve i dah leh a ngai a ni. Thil tih dan lian ber pahnih a awm a, chu chu a hmuchhuaktu doctor-te hming chawia sak a ni.

• Yacoub procedure: Hei hian aortic valve remodeling a huam a ni. Hei hi kum upa lam, non-genetic cause avanga aneurysm nei tan a tha fo thin.
• David procedure: Hei hi aortic valve dah leh a ni. Hei hi Jacob procedure aiin a tlangpui zawk mahse a buaithlak zawk. Naupang zawk genetic condition emaw bicuspid aortic valve nei tan a tha ber .

Aortic root chungchang tlem kan zir dawn em ni?

Aorta zung hi taksa thisen kalna kawng lian ber aorta peng hmasa ber a ni a, chutah chuan thinlung nen a inzawm a ni. Thingkung zung ang mai a ni. Thinlung atanga lo chhuak aorta chu chunglam hawiin a inher a, curve ang maiin a curve a. Chu curve chu aorta zung atanga tan a ni. He part hi a buaithlak hle.

• Aortic Valve: Hei hi gate ang maia thawk valve hian thinlung atanga thisen aorta chhungah a luang lut a, mahse a luang kir leh loh nan a veng a ni.
• Coronary Arteries: Thinlung hnena thisen petu thisen kalna kawng pawimawh ber pahnih chu he aorta bul atanga tan a ni.
• Sinus of Valsalva: Hei hi coronary arteries bul lama hliam tenau te hming an vuah a ni.

Kan naupan lai chuan heng part zawng zawng hi a flexible hle. Mahse kan tar chhoh zel chuan he flexibility hi a tlahniam zel a ni. Hei vang hian harsatna thenkhat a lo awm thin. He part hi a buaithlak em em a, a chunga surgery an tih pawh hi a buaithlak hle. Mahse, surgeon tawnhriat ngah leh thiam tak takte puihnain he surgery hi hlawhtling taka tih theih a ni a, i thinlung chu a hrisel leh thei bawk.

He surgery hi tuin nge mamawh tak tak?

He surgery hi aorta-a aneurysm nei, puak emaw, puak emaw hlauhawmna nei tan a ngai a ni. A châng chuan kum upat ruala aorta a inthlak danglam vangin hengte hi a lo awm ṭhin. Tin, Marfan syndrome leh Loeys-Dietz syndrome ang chi genetic condition te hian kum naupan lai atang pawhin thihna thlen thei aneurysm a thlen thei bawk.

Ngaihtuah teh, Marfan syndrome vei mi pakhatin enkawlna a dawng lo a nih chuan aneurysm puak leh thihna hlauhawmna a sang hle. Chu pawla mite thih kum chu kum 32 vel a ni. Mahse, he surgery hi i neih chuan i dam chhung chu mi pangngai dam chhung thlengin i ti sei thei a ni.Chuvangin, i chhungkuaa tu pawhin hetiang chi thlahtu natna hi an nei a nih chuan i doctor nen i risk chungchang sawipui a, operation hun tha ber tur i hriat chian a pawimawh hle.

Surgery hma, operation neih chhung leh operation zawhah eng nge thleng?

Hei hi surgery lian tak a nih avangin inbuatsaihna tha tak a ngai a ni.

Surgery neih hmain

I doctor chuan full examination a pe ang che. Ha enkawl turin ha enkawltu hnenah a refer bawk ang che. Hei bakah hian test eng emaw zat an ti dawn a, chungte chu:

• Thisen test: Kal hnathawh dan enfiah thin.
• Thinlung CT emaw MRI scan: Hei hian aorta hmun zawng zawng a enfiah thei. Harsatna dangte chu a chang chuan operation ang chiah hian siamthat theih a ni.
• Coronary Angiography: Thinlung thisen petu coronary arteries te dinhmun enfiah thin ang che.
• Duplex Ultrasound: Kawr chhunga carotid arteries awm dan a enfiah thin. Hengte nena harsatna a awm hian operation neih laiin paralysis a awm theihna a tipung thei a ni.

Tin, i doctor chuan heng thilte hi a zawt ang che:

• Damdawi i ei dan: Damdawi emaw vitamin i ei zawng zawng chu i doctor hnenah i hrilh tur a ni. Damdawi thenkhatah chuan operation hmain i ei tawh loh a ngai mai thei.
• Damdawi lam thil dang: Damdawi lam harsatna i neih chuan thisen sang ang chi i neih chuan zai hmain uluk taka control tur a ni.
• Tuna i dinhmun: Natna eng emaw, khawsik emaw, khawsik emaw i neih chuan min hrilh ngei ang.
• Meizial zuk: Zai hma thla khat tal meizuk hi tihtawp vek tur a ni .

Surgery neih lai hian

I muthilh vek theih nan anesthesia pek i ni ang. Tichuan heart-lung machine (cardiopulmonary bypass) nen i inzawm ang . He machine hian operation chhungin i thinlung leh lung hnathawh a thawk ang. Chumi hnuah chuan surgeon chuan hengte hi a zawm ang:

1. Median Sternotomy: Hnung ruh (sternum) then hran a, thinlung luh theihna turin rilru lai takah incision siam a ni.

2. Aneurysm lakchhuah: Aorta chak lo leh bulh tak chu tan chhuakin lakchhuah a ni.

3. Graft Insertion: A lakchhuahna hmun thlak nan artificial blood vessel (graft) dah a ni.

4. Valve thlak emaw, save emaw: A hmaa kan sawi tawh ang khan ARR emaw VSRR emaw method angin valve i thlak emaw, nangmah ngeiin i valve i dah leh emaw a ni.

5. Coronary artery bypass grafting: Thinlung a thisen petu coronary arteries te chu graft thar nen an inzawm a.

6. Incision chu stitching: A tawpah chuan chest incision chu stitching leh a ni.

He surgery hi darkar li atanga darkar ruk inkar a ni tlangpui.

Surgery an neih hnuah

Operation hnuah intensive care unit (ICU)-ah ni engemaw zat i awm a ngai dawn a ni. Tichuan regular ward-ah sawn i ni ang. Damdawi ina awm chhung zawng hian kar khat vel a daih thei. Hemi chhung hian:

• Painkiller ka pe ang che.
• I thawk chhuahna tur machine-ah i connect mai thei.
• Thisen zam a awm loh nan stocking bik bun thin a ni.
• Mi thenkhat chu thisen tithianghlim thei damdawi an pe thin.

Surgery hian eng hlawkna, hlauhawmna, leh hlawhtlinna rate nge a neih?

Engtikah nge doctor i hmuh ang?

I dam chhung hian i taksa kha uluk takin ngaihven rawh. A hnuaia mi hi i hriat chuan , i doctor ko nghal rawh:

• Incision chungchanga zawhnate chu:
• Incision vel a sen, na, a hring emaw, a lum emaw.
• Bandage chu a hnim lutuk a, thisen emaw, tui thianghlim emaw a chhuak chhuak thin.
• Green emaw yellow emaw atanga chhuak thin.
• Incision kilte chu a inthen darh vek a.
• Zawhna dangte chu:
• Chawlh lai pawhin rilru na emaw thawk harsa emaw.
• Ke a hring emaw, ke a che thei lo emaw.
• Luak chhuak, mutthilh, emaw, hah lutuk emaw.
• Thisen emaw green/yellow mucus emaw khuh.
• Khawsik leh khawsik nei.
• Thisen chhuak chu stool ah a awm.

Engtikah nge Emergency Treatment Unit (ETU)-ah i kal a ngaih?

Aneurysm enkawl loh i neih chuan a hnuaia symptoms te hi i hmuh chuan hospital emergency department (ETU) hnai ber pan nghal tur a ni. Hengte hi aneurysm ruptured chhinchhiahna a ni thei:

• Rilru emaw, hnungzang chunglam emaw, tuar theih loh khawpa natna. Taksa chhung lam a\angin thil eng emaw pawt chhuak ang maiin a lang thei.
• Sweating leh clammy tih hriatna.
• Thâwk harsa.
• Luak chhuak emaw, lu hah emaw.
• Heart rate a sang chho zel.
• Nausea leh luak chhuak.

Lung zai chungchang i hriat hian hlauhna i neih hi thil pangngai tak a ni. Mahse, he surgery hi i nunna chhanhim thei tur leh hun rei tak chhung nun hrisel taka nun theihna hun remchang pe theitu che a ni tih hre reng ang che. I doctor leh medical team te hi heng surgery chi hrang hrang tihnaah hian tawnhriat ngah tak an ni. Chuvângin, zawhna emaw, hlauhna emaw i neih apiang chu sawipui rawh.