"Buried mine" in the chest. Ten-year entry physical examination "brought out" the


   expert reminder-there is a history of serious trauma to the chest. It is recommended to have a chest CT examination every year

  Text/Guangzhou Daily All-Media Reporter Zhang Qingmei, Correspondent Li Xiaohui and Zhang Cancheng

  The 31-year-old Xiao Liu finally succeeded in his job search. Unexpectedly, during the physical examination, he found a peach-sized pseudoaneurysm in the thoracic aorta. The medical examiner recommended that he go to a higher-level hospital for further diagnosis and treatment!

Xiao Liu came to the Department of Cardiovascular Surgery of the First Affiliated Hospital of Jinan University. After a thorough evaluation and analysis, the team of Director Zhang Xiaoshen decided to “de-bomb” Xiao Liu's operation as soon as possible.

  Experts analyze that this hidden danger in Xiao Liu’s chest is related to a serious injury in a traffic accident ten years ago! Experts reminded that pseudoaneurysms are at risk of rupture at any time. Patients with a history of severe chest trauma are recommended to have regular physical examinations every year. CT examination of his chest, in order to find the changes in the condition in time.

  The cause may be from an accident ten years ago

  "Pseudoaneurysms of the aorta of the thorax is not a shocking malignant tumor, but a partial rupture of arteries and blood vessels caused by infection, immunity, severe chest trauma, or some genetic factors. Swelling, the thinning of the blood vessel wall, the formation of tumor-like blood vessels, this kind of "tumor" is easy to rupture and cause massive bleeding and kill the patient, but most of it can be cured by surgery."

  According to Lu Hua, the deputy chief physician of Cardiovascular Surgery of the hospital, from the experience of Xiao Liu, he has no obvious family genetic history, but he experienced a serious car accident ten years ago. At that time, his chest was severely impacted and his ribs were broken. I used a ventilator to support several of them for a period of time. Therefore, it is considered that the cause of Xiao Liu's aneurysm is likely to stem from this car accident.

  It is not a malignant tumor, but it is in danger of being fatal at any time

  “Patients with pseudoaneurysms are at risk of rupture at any time. Once ruptured and bleeding, the mortality rate is almost 100%. Therefore, once discovered, surgery should be performed as soon as possible.” Lu Hua analyzed, “The basic method of this type of surgery is to treat the weak under cardiopulmonary bypass. The blood vessel was replaced, and the intraoperative vascular stent was used to block the breach and locally strengthen the blood vessel. Xiao Liu had suffered severe chest trauma, and there may be severe chest adhesions, and blood vessel tears may also lead to hemorrhage, which increases the risk of surgery. ."

  Cardiovascular Surgery quickly arranged a preoperative examination for Xiao Liu, rechecked the chest CT and performed three-dimensional reconstruction, and clarified important information such as the rupture, size and location of the pseudoaneurysm. The tumor did not have obvious progress, and the preoperative examination results It indicated that Xiao Liu's cardiopulmonary function, coagulation function, liver and kidney function examinations showed no obvious abnormalities, which is a favorable condition for surgery.

In addition, Xiao Liu was found to have hypertension in the preoperative examination, but after active treatment, his blood pressure was controlled and stabilized at a normal level.

  Based on the results of Xiao Liu’s preoperative examination, the surgical team formulated a surgical plan for ascending aorta repair and descending main stent implantation under cardiopulmonary bypass, and deep hypothermic circulatory arrest was used during the operation to assist the implementation of the operation.

  After more than 5 hours, the doctor successfully dismantled the "untimed bomb" in Xiao Liu's body.

After the operation, the patient's vital signs were stable, and the patient returned to the Cardiovascular Surgery Intensive Care Unit with a tracheal intubation ventilator. The ventilator was removed on the second day and started to eat. On the third day, he was transferred to the general ward to continue rehabilitation.

One week after the operation, the chest CT results showed that the tumor was blocked and the aortic blood flow was normal.

  Pseudoaneurysm caused by trauma can conceal the onset, do not take it lightly

  Lu Hua reminded that some of the pseudoaneurysms of the aorta and large blood vessels caused by trauma are delayed onset, and may not have any clinical manifestations at the time of the trauma, and the patient may also ignore it because there is no chest pain, chest tightness or other related clinical manifestations. The disease is possible, but because the blood vessels are impacted by external forces, small tears or ruptures may appear in the local weak parts. Over time, the pseudoaneurysm may be insidious onset. Related studies have reported that some Patients with chest trauma died suddenly 5-10 years after the injury. The cause was the rupture of the chest pseudoaneurysm.

  Therefore, if a patient has a history of severe chest trauma, it is recommended to perform a routine physical examination on their chest every year, and regularly monitor their blood pressure status and detect changes in the condition early.

If you have obvious symptoms of chest pain, you should go to the hospital as soon as possible to avoid delays in your condition.