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

I doctor chuan i aortic root chu a lian deuh a, operation i mamawh thu a hrilh che em? Chu thu i hriat chuan hlauhna leh lungkhamna tlem a awm chu thil pangngai a ni. "Heart surgery" tih thumal hi tu nge duh lo? Mahse, lungngai suh. Tunlai hian technology a lo changkang hle a. Vawiin hian hlawhtling tak, special surgery kan sawi dawn a, chu chuan he harsatna hi a chinfel sak a, chu chu i thinlung hmun hlu ber, nangmah ngeiin i natural ‘valve’ a nih chu la chhuak lovin a chinfel sak dawn a ni.

Valve-Sparing Aortic Root Replacement hi eng nge ni?

Hei hi hrethiam tur chuan thinlung hnathawh dan hi awlsam takin han thlir hmasa ila. I thinlung hi i in chhunga tui pump angin ngaihtuah rawh. He pump hian i taksa pum puiah thisen a pump chhuak thin.

• Aorta: Hei hi thinlung atanga chhuak tube lian ber, lian ber a ni. Taksa pumpuiah thisen a phur a.
• Aortic Root: Hei hi main artery atanga thinlung nena inzawm hmasa ber a ni. Motor-a tube i dahna hmun ang mai a ni.
• Aortic Valve: Hei hi thawnthu pawimawh ber a ni. Thinlung nena a inzawmna hmunah chuan kawngkhar ang maia che thin part a awm a. Thinlung hian thisen a pump chuan he kawngkhar hi a inhawng a, thisen a chhuah tir thin. Tichuan he kawngkhar hi thinlung chhunga thisen lo lut leh tawh lo turin a khar ta a ni. Hei hi `(Aortic Valve)` kan tih chu a ni.

Tunah chuan mi thenkhatah chuan he lungpui lian tak, thinlung nena inzawm, `(Aortic Root)` zung hi a chak lo deuh a, a bulh tan a, balloon ang maiin a lian chho tan ta a ni. Hei hi `(Aortic Root Aneurysm)` kan ti a. Hetianga a lian chhoh chuan chu kawngkhar, chu valve chu a khar tha lo. Tichuan thisen chu hnunglam hawiin a leak tan a, `(Aortic Regurgitation)`.

Tun hma chuan hetiang harsatna hi a lo chhuah hian surgeon-te chuan aortic root leh aortic valve te chu an la chhuak vek a, artificial aortic root leh valve hmangin an thlak thin. He surgery hi Bentall procedure an ti a .

He surgery hmang hian eng dinhmun nge enkawl?

He surgery hi `(Aortic Root Aneurysm)` tih hming pu condition tan tih a ni ber. Chumi awmzia chu aorta zung chu balloon ang maia a hring chhuah chuan a ni. Hei hi a hlauhawm thei a, a chhan chu a bituk aia lian a nih chuan a puak (rupture) emaw a tear (aortic dissection) emaw a ni thei.

Mi thenkhat chuan genetic connective tissue disorder an nei a, chu chu Marfan syndrome ang chi hi a ni. Hetiang natna vei te hi aortic root aneurysm vei theihna chance a sang zawk a ni.

He surgery atan hian tute nge tling?

I doctor chuan he surgery atana candidate tha tak i nih leh nih loh hriat nan test hrang hrang a ti ang. A tlangpuiin he surgery atan hian candidate tha tak i ni mai thei.

• I Aortic Valve-ah calcification a tlem hle emaw, a awm lo emaw a nih chuan.
• Valve a chhiat nasat loh chuan.
• Valve a thawk tha a nih chuan, emaw, siamthatna tenau hmanga siamthat theih a nih chuan.
• He surgery hi kum 75 hnuai lam leh genetic disease nei tan chuan a tha hle.

Operation hmain engtin nge i inbuatsaih thin?

Hei hi surgery lian tak a nih avangin a atana inbuatsaih tha a pawimawh hle. I surgeon chuan he thil chungchangah hian thupek chiang tak a pe ang che.

• Damdawi: Tuna i damdawi ei mek zawng zawng chu i doctor hnenah i hrilh tur a ni. Operation hmain damdawi thenkhat (a bik takin thisen tithianghlimtu) tihtawp emaw thlak emaw turin a ti thei che a ni.
• Chaw nghei: Surgery hma zan zanlai hnuah engmah ei leh in lo turin an ti ang che. Tui pawh in suh.
• Test: Doctor chuan surgery ruahman nan test eng emaw zat a ti ang.
• Echocardiogram (thinlung scan) 1.1.
• Thisen test a ni
• EKG gated CT scan hmanga tihchhuah a ni
• Lung lam MRI
• Coronary Angiogram hmanga enfiah a ni
• Meizial zuk: Meizial zu mi i nih chuan operation hma thla khat tal meizuk kha i chawlhsan vek a pawimawh hle.
• Zawhna zawt rawh: I ngaihtuahna emaw, hlauhna emaw i neih apiang chu i doctor nen zalen takin sawi rawh. Engkim chiang taka hriat chu thlamuanna ropui tak a ni ang.

Engtin nge surgery hi tih a nih?

He surgery hi darkar 4 leh darkar 6 inkar a ni tlangpui. Surgeon tawnhriat ngah takin kut hmanga a tih chuan thinlung hi hun rei lote chhung, darkar khat vel chhung a titawp thin. Hetianga hmalakna tur hrang hrangte chu hetiang hi a ni mai.

1. Anesthesia: Pakhatnaah chuan mut thuk taka dah turin anesthesia pek i ni ang. Chuvang chuan engmah hrehawm i nei lovang.

2. Chhung hawn: Doctor chuan thinlung luh theihna turin rilru lai takah (median sternotomy) incision a siam a.

3. Heart-lung machine: A dawtah chuan heart-lung machine (cardiopulmonary bypass machine) nen in connect leh ang. He machine hian operation chhungin i thinlung leh lung hnathawh a thawk ang. Hun engemaw chen i thinlung titawp turin damdawi a pe bawk ang che.

4. Valve separation: Surgeon chuan i aortic valve chu a chhehvel tissue atanga uluk takin a then ang.

5. Siamthat: 1.1.Valve flap-a chhiatna tenau a awm chuan siamthat nghal a ni.

6. A chhe lai lakchhuah: `(Aortic Root)` a hring leh a chhe lai chu tanin lakchhuah a ni.

7. Artificial tube implantation: Chu ai chuan puan bik atanga siam artificial tube ``graft`` lak a ni a, i tan a size dik takah siam a ni a, chu hmunah chuan dah a ni.

8. Valve chu reattaching: Tichuan , nangmah ngeiin natural valve , uluk taka lakchhuah tawh chu tube dah thar chhungah dahin, sewn leh a ni (reimplant).

9. Checking: Engkim a tha em tih te, valve a inhawng leh khar tha em tih te, leak a awm em tih te enfiah thin ang che.

10. Closing: Chumi hnuah chuan thinlunga thisen petu coronary arteries te chu graft thar nen an inzawm khawm a. Heart-lung machine atanga lakchhuah i ni a, i thinlung hian hna a thawh leh chuan i rilru chhunga incision chu khar a ni.

11. Final checkup: Operating room atanga an chhuah hmain ``transesophageal echocardiogram'' tih a ni a, chu chuan surgery hlawhtlinna a nemnghet thin.

Surgery lama tunlai hmasawnna

Hun a kal zel a, doctor-te chuan he surgery hi hlawhtling zawka siam turin technique thar an rawn dah belh ta a ni.

• Annulus tihtlem: A awlsam zawngin sawi ila, valve (aortic annulus) vawngtu base chu i taksa nena inmil turin compress a ni. Hei hian nakin lawkah valve atanga thisen a chhuah loh nan a veng ang.
• Aortic Sinus thar siam (Neosinus): Natural aorta zung hian vibration te te a nei a. Graft thar hi straight tube a nih avangin vibrations te te pawh a siam bawk. Hei hian thisen kal chu a natural zawk a, valve leaflets chhiatna a ti tlem bawk.

He surgery hian eng hlawkna nge a neih?

He surgery hian Bentall surgery hlui (valve nen valve thlak a ngai) aiin thatna lian tham engemaw zat a nei a ni.

Operation hnuah a dam leh theih nan eng chen nge a duh?

Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung dah i ni ang a, chumi hnuah regular ward-ah sawn i ni ang. Damdawi in atangin ni 4 atanga ni 7 chhungin i haw thei tlangpui.

Hemi hun chhung hian, .

• Cardiac rehabilitation program-a tel hi thil tha tak a ni. Dam chak zawk leh chak zawka i awm theih nan a pui ang che.
• Doctor chuan kar 6 vel chu rit phurh emaw, lirthei khalh emaw ang chi engmah ti lo turin a sawi.
• Follow-up appointment: I dam hnuah doctor pan leh a ngai tawh lo ang tih i ngaihtuah mai thei. Mahse chutiang chu tih a pawimawh . I thinlung dinhmun hi checkup reng reng a pawimawh.

Engtikah nge doctor ko nghal tur

In lama i haw hnuah a hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.

Surgery lian tham eng pawh tih hmain hlauthawng tih hi thil pangngai a ni. Mahse, he surgery hi i nunna chhanhim nan leh hun rei tak chhung hrisel taka i awm theih nan tih a ni tih hre reng ang che. Hemi chungchang hi i chhungte leh i thiante nen sawiho rawh. Hemi hun chhung hian an thlawpna hi i tan chakna nasa tak a ni ang.