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新聞新知~腿部插入之心導管手術

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Mother who suffered palpitations for 12 years cured by heart op through her LEG
一位受心悸所苦長達12年的母親,經過從腿部插入導管的手術後痊癒。
By Daily Mail Reporter
Last updated at 2:37 PM on 9th July 2010

A mother-of-three who suffered heart palpitations for more than a decade has finally found relief after a heart operation carried out through her LEG.
Joanne Green, 34, had an abnormally fast beating heart and would become out of breath walking her children to school.
Doctors were alerted to the problem when her heart rate soared to 180 beats a minute when she was giving birth to her third child Harry in 2008.

Joanne Green, pictured with son Charlie, had a crucial operation on her heart carried out through her LEG. Doctors realised something was wrong with the mother-of three when she gave birth to her youngest son Harry

A heart specialist discovered Jo's heart had a second pathway in it that was allowing rogue electric impulses to disrupt its normal rhythm.

Joanne said: 'I was given two choices, I could either take medication for the rest of my life or I could have this quick procedure that would cure me.'
Experts at University Hospital in Coventry passed wires (catheters) from the top of Joanne’s leg until it reached her heart, where the problem was identified.
Cardiologist Dr Faizel Osman and his team then 'burnt' away a small area of the heart that was causing Joanne’s heart beat to race, using radio frequency energy.
Joanne was awake during the entire two-hour operation and was allowed home the same day.
'The operation felt a bit strange because I could hear the doctors giving each other instructions,' she said.

'But they were absolutely great and kept talking me through what was going on and what I could expect.
'I must admit it was a bit sore when they were trying to push the wires into my leg , but it didn't feel like a two-hour operation at all.'

A catheter can be guided to the heart either through the arm or, as in Joanne's case, through the top of the thigh

Six months later and Joanne was given the all clear by doctors. She has waved goodbye to the palpitations that plagued her for 12 years.
'I used to get out of breath just walking up the hill to pick the kids up from school and start getting palpitations,' Joanne from Coventry said.
'But now my asthma is much better too and I can't recommend it enough to other patients in the same shoes.'
Passing a catheter through the leg gave medics easier access to the vital organ and meant that they avoided more invasive open heart surgery.
Dr Osman said the operation had been a complete success.
He said: 'This treatment actually gives sufferers a cure. It means patients don't have to put up with ongoing medical therapy or symptoms as a result.
'It improves their quality of life.'

For more information on heart rhythms visit the British Heart Foundation website


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屏東縣首例免開胸治療先天性心臟心房中膈缺損 
2009/07/22 
 
屏東縣東港鎮邱姓男子30歲,因氣喘、呼吸不適、雙下肢水腫等症狀至安泰醫療社團法人安泰醫院就診。經診斷邱姓男子所患為先天性心房中膈缺損心臟病,安泰醫院心臟照護團隊與高雄 榮總 醫師通力合作,實施安普拉茲(Amplatzer)心房中膈缺損閉合器植入術,創下屏東縣免開胸治療之首例!
 
心房中膈缺損是指心房中膈發生破洞,使左心房含氧血回左心室的血流到右心房,而造成右心房及右心室血流量過度負荷,導致右心室擴大,嚴重者會造成肺高壓及肺部衰竭。此種疾病之治療傳統是以開胸開心手術,需使用體外循環,打開右心房行缺損修補術,前後需住院12-14天,且有麻醉、感染等風險及合併症,病人在胸前正中央亦會留下一道明顯的疤痕。近年來由於心導管的技術不斷進步,使用心導管置放心房中膈缺損關閉器的治療方法,不必開胸、無疤痕,術後不疼痛,因沒有輸血而不必顧慮感染疾病,是目前正在發展的治療趨勢。
 
蘇清泉院長認為這種傷害性小花費又較低的治療方式,能使心臟疾病的治療提昇至新的境地,經詳細評估過邱姓男子的病況後,率心臟團隊 王國勳 醫師、 陳詠絮 醫師及高雄榮總 黃大誠 醫師通力合作,於98年7月18日 幫邱員實施經右股靜脈行安普拉茲(Amplatzer)心房中膈缺損閉合器植入術。手術過程前後88分鐘,順利完成,病患已於98年7月21日 出院。
 
目前此種先進之療程所需住院日約3~5天,所需之全部費用約二十多萬元可由健保給付,民眾只需繳部份負擔。蘇清泉院長認為對於病況許可的病人採用這種心導管新治療法,乃屏東鄉親之福音。故安泰醫院導入先進醫療技術,為屏東縣首開心房中膈缺損病患置放關閉器之先河,以提供優質服務造福屏東鄉親。

 

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