Introduction: Thoracic and abdominal aortic disease is a rare, serious disease and one of the major challenges for the surgeon with a high prognosis of complications and mortality. Surgery combined with endovascular intervention is a new, minimally invasive method with good early results and good mid-term results. Methods: We report a case diagnosed with thoracoabdominal aortic aneurysm underwent hybrid intervention at Dong Nai General Hospital Results: A 68-year-old female patient was diagnosed with Crawford Type V thoracoabdominal aortic aneurysm, underwent debranching surgery of the superior mesenteric artery and celiac trunk followed by stent graft deployment of the diseased aorta, the postoperative course was uneventful. Conclusions: Hybrid surgery to treat thoracoabdominal aortic aneurysms can initially be performed at Dong Nai General Hospital. The implementation of this technique at provincial hospitals helps to improve prognosis, reduce mortality and complications, and contribute to improving the professional quality of the hospital.
Background: Stroke is one of the leading causes of death and disability worldwide. Carotid endarterectomy for carotid stenosis is a proven method to reduce the incidence of cerebral infarction. Subjects and methods: All carotid artery surgery patients at Dong Nai general hospital from January 2017 to October 2021. Retrospective case series. Results: 64 patients were chosen, including 56 men (87.5%) and 8 women (12.5%), the average age is 69, 8 ± 9.8, 22 patients (34.8%) were symptomatic, 5 patients had carotid endarterectomy 2 times. Conventional endarterectomy with PTFE patch in 63 arteries (91.3%), eversion carotid endarterectomy in 6 arteries (8.7%). Post-operative results: 1 death due to bleeding (1.45%), 1 cerebral infarction (1.45%). Mid-term follow-up: 23.74 months. There was 1 death due to late bleeding after 2 months, 0 patients had ipsilateral cerebral infarction, 5 deaths from all causes (7.9%). Conclusion: Carotid endarterectomy is a safe and effective method for stroke prevention. This method can be effectively deployed in tertiary hospitals.
Background: Stroke is one of the leading causes of death and disability worldwide. Carotid endarterectomy for carotid stenosis is a proven method to reduce the incidence of cerebral infarction. Subjects and methods: All carotid artery surgery patients at Dong Nai general hospital from January 2017 to October 2021. Retrospective case series. Results: 64 patients were chosen, including 56 men (87.5%) and 8 women (12.5%), the average age is 69, 8 ± 9.8, 22 patients (34.8%) were symptomatic, 5 patients had carotid endarterectomy 2 times. Conventional endarterectomy with PTFE patch in 63 arteries (91.3%), eversion carotid endarterectomy in 6 arteries (8.7%). Post-operative results: 1 death due to bleeding (1.45%), 1 cerebral infarction (1.45%). Mid-term follow-up: 23.74 months. There was 1 death due to late bleeding after 2 months, 0 patients had ipsilateral cerebral infarction, 5 deaths from all causes (7.9%). Conclusion: Carotid endarterectomy is a safe and effective method for stroke prevention. This method can be effectively deployed in tertiary hospitals.
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