Saving the life of an elderly person suffering from aneurysm at Assiut University Hospital
A medical team at the Department of Vascular Surgery at the Faculty of Medicine, Assiut University, succeeded in saving the life of a 75-year-old man suffering from abdominal and back pain and abdominal and thoracic aortic aneurysms under the auspices of Dr. Tariq al-Jamal, Mustafa Saad Head of Vascular Surgery.
Dr. Hisham Abu El-Oyoun, a professor of vascular surgery and medical team leader for the 7th day, said that the team was formed by Dr. Ashraf Mohammed Abu Bakr, the vascular surgeon and Dr. Osman Mahmoud Ahmed, the vascular surgeon. Required to show near the right kidney artery of the aortic extension, which does not allow the installation of stents and covered in the normal way "EVAR"The solution was to resort to technique chimney technique for rt renal artery ""To allow the installation of the coiled stents and to exclude the aneurysm of the circulatory system.
Dr. Hisham Abu El-Oyoun, a professor of vascular surgery, showed that there is a severe weakness in the heart muscle and heart efficiency, 29%, which makes surgical intervention or anesthesia very dangerous to the patient's life. The patient was also interviewed, Which showed an aortic expansion of about 8 cm.
Dr. Othman Mahmoud Ahmed, a lecturer in the Department of Vascular Surgery, said that after an extensive discussion between the intervention team and the anesthesia team led by Dr. Said Metwally, the anesthesiologist and his assistant team, the best way to perform the catheterization was settled.epidural"In case of need.
Dr. Othman Mahmoud pointed to the intervention through the interventional catheterization and the installation of the stents covered the abdominal aorta and the installation of a stent covered with the right kidney artery through the portal arterial under the left armpit technology "Chimney technique"And showed the dye after the intervention to exclude the expansion and success of the blood circulation with the blood flow naturally to the arteries of the lower limbs and left and right kidney artery.
He went out to the patient to take care to follow the heart muscle and pressure for 24 hours "and then went out in good health for the internal department in preparation for the exit from the hospital, stressing that the Department of Vascular Surgery and Assiut University conducted the eighth case of treatment of the aortic and abdominal aortic stenting technique covered stents, Its type is in Upper Egypt, where the method is usedchEVAR It is used to support the kidneys kidney kidney technology Chimney In addition to the process EVAR And is also the first case in Upper Egypt under local anesthetic.
Assiut
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