Hunan as a rare "mirror man" cardiac surgery Department of the world's first mirror | people _ news
Information: "mirror man" normal differences.

Original title: Hunan success is a rare "mirror man" execution difficult heart surgery

CNS, Changsha, April 7 (reporters and Xu Zhixiong)-7th, Xinhua learned from the second xiangya hospital, the hospital successfully is a rare "mirror man" performed the difficult heart surgery. Literature shows that the operation was the world's first mirror image dextrocardia valvular disease complicated with atrial fibrillation freezing maze procedure.

"Mirror man" around internal organs all transposition, like a normal person "in the mirror", about one out of 10,000. For such patients, like "reverse", is a surgeon in a major test.

48 year old LAU in Hunan Yueyang people suffering from rheumatic heart disease and atrial fibrillation for years, recently increased, activity appeared a bit tired, chest tightness, heart palpitations, difficulty breathing.

"Eight or nine years old a chance for medical treatment, the doctors told my heart is in the right, later inspections found that visceral anti-. "Liu said, in decades, the transposition of the internal organs did not have much impact on their daily lives, only after heart disease increased, a local doctor said surgery on the right side of the heart is difficult to, be transferred to the second xiangya hospital.

Liming Liu, a Professor of cardiovascular surgery at the hospital to introduce, through comprehensive diagnosis, patients through surgery for mitral valve replacement and tricuspid valve repair, and use the frozen labyrinth (Maze) Elimination of atrial fibrillation surgery can cure heart disease for many years. "Maze operation is the most difficult of the four types of cardiac surgery, but her heart is in the right, we called mirror dextrocardia, making surgery more difficult and risk has increased several times. ”

Liming Liu said, surgery difficulty main reflected three a aspects: a is surgery doctor to station in patients of left, that usually surgery of anti-bit, surgery thinking and the operation are should "opposite", somewhat like back; II is heart Anatomy structure and ordinary of completely instead, as mitral valve, and tricuspid valve anatomy structure completely anti-bit, many heart within fine operation also into usually of backhand, must height watch; three is room fibrillation frozen ablation for international technology, Mirror image dextrocardia-heart of the numerous and complex maze ablation lines is exactly the opposite, because the world has not had the surgery, did not learn from the experience.

The day of surgery, anesthesiologists, surgical nurses, together with the doctor after a 3-hour delicate operation of tension, success for atrial fibrillation freezing maze via thoracic in patients with midline incision surgery, mechanical mitral valve replacement and tricuspid valve repair of prosthetic ring.

After the surgery, Ms LAU on cardiac function and arrhythmia (atrial fibrillation) returned to normal, significantly improve the quality of life, recently discharged. Surgical team of doctors through literature search shows that the operation was the world's first mirror image dextrocardia valvular disease complicated with atrial fibrillation freezing maze procedure. (End)

Responsible editor: Zhang Chun SN182

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湖南为罕见“镜面人”施行心脏手术 系世界首例|镜面人_新闻资讯
资料图：“镜面人”与正常人区别。

　　原标题：湖南成功为一罕见“镜面人”施行高难心脏手术

　　中新网长沙4月7日电(罗成 王建新 徐志雄) 7日，记者从中南大学湘雅二医院获悉，该院成功为一位罕见“镜面人”施行了高难心脏手术。相关文献显示，该手术系世界首例镜像右位心瓣膜病合并房颤冷冻迷宫手术。

　　“镜面人”体内器官全部左右反位，有如正常人的“镜中像”，发生几率约百万分之一。为该类病人手术，就像“开倒车”，是对外科医生极大的考验。

　　今年48岁的刘女士是湖南岳阳人，患有风湿性心脏病合并房颤多年，近来症状不断加重，稍一活动便出现疲乏、胸闷、心悸、呼吸困难。

　　“八九岁时一次偶然就医，医生告诉我心脏长在右边，后来一次检查发现内脏也是反的。”刘女士说，几十年来，体内器官的反位并没有给自己的日常生活带来太大影响，只是心脏病加重后，当地医生说心脏在右边很难进行手术，被转入中南大学湘雅二医院。

　　该院心血管外科教授刘立明介绍，通过全方位诊断，患者只有通过外科手术，进行二尖瓣置换和三尖瓣修复，并利用冷冻迷宫(Maze)手术消除房颤，才能治愈其多年的心脏病。“Maze手术属于难度最高的四类心脏手术，而她的心脏长在右边，我们叫镜面右位心，这使手术难度和风险增加了数倍。”

　　刘立明说，手术难度主要体现三个方面：一是手术医生要站在患者的左侧，即平时手术的反位，手术思维及操作均应“反其道而行之”，有点像开倒车；二是心脏解剖结构与常人的完全相反，如二尖瓣、三尖瓣解剖结构完全反位，许多心内精细操作亦变为平时的反手，必须高度留神；三是房颤冷冻消融为国际新技术，而镜像右位心的心内众多而复杂的迷宫消融线路更是完全相反，因全球尚未曾施行该手术，没有可以借鉴的经验。

　　手术当天，在麻醉医生、手术护士等的配合下，医生经过3个多小时紧张细致的操作，成功为患者实施经胸部正中切口房颤冷冻迷宫手术、二尖瓣机械瓣置换、三尖瓣人工瓣环修复术。

　　术后，刘女士心功能及心律失常(房颤)恢复正常，生活质量显著提高，于日前康复出院。手术组医生通过文献检索显示，该手术系世界首例镜像右位心瓣膜病合并房颤冷冻迷宫手术。(完)

责任编辑：张淳 SN182

文章关键词：
镜面人

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