The interview was possible thanks to a collaboration between the Institute of Cardiovascular Surgery Prof. Dr. George.IM Georgescu and the Recovery Hospital in Iasi.
The beneficiary of this interventions is an 86-year-old woman who was hospitalized at the Institute of Cardiology due to a heart condition that required an aortic prosthesis.
On Thursday, the day before the operation, the woman fainted and fractured her left hip. Due to the new complication, the intervention was postponed.
Friday morning, a team of six medici, 14 nurses and auxiliary staff from the Institute of Cardiovascular Surgery “Prof. Dr. George.IM Georgescu” from Iasi and the Recovery Hospital from Iasi entered the operating room of the Center for Cardiovascular Surgery.
“The patient was prepared for a special heart operation. She was heart-sick and with many comorbidities, with a very high euroscor, she was proposed for implantation of the transcatheter aortic valve by femoral approach (without performing the incision of the sternum-n.red. When aortic stenosis reaches an advanced stage, it has several manifestations, one of which is syncope (loss of consciousness).
He also had such a fall during the morning. When she recovered, the patient complained of pain in her left hip. Imaging analyzes showed that the woman suffered a fracture of the femoral neck “, said Prof. Dr. Grigore Tinica, manager of the Cardiovascular Surgery Center.
Prof. Dr. Radu Botez, head of the Orthopedic Clinic at the Recovery Hospital, added that femoral neck fracture is quite common in women, especially in the elderly who suffer from osteoporosis.
“In this case, the cardiac catheterization operation could have been performed, but the fracture problem remained. After the intervention, I could not intervene because the patient could not be mobilized. On the other hand, I could not have operated on her. Her heart could not resist. Being constrained by circumstances, I said that we operate together “, explained Prof. Dr. Radu Botez.
“To remedy these medical problems, it was necessary to perform two of the most complicated heart and orthopedic surgeries we had to perform. He was in competition. If he was given anesthesia for orthopedic surgery, he did not have the heart for preoperative training. and postoperatively. If we did his heart surgery, mobilization was impossible “, said Prof. Dr. Grigore Tinica.
The intervention for heart disease lasted more than two hours, four hours less if doctors had resorted to another approach. After the heart problem was resolved, anesthesiologists, orthopedists and neurologists at the Recovery Hospital entered the operating room.
“After the heart operation, under the same anesthesia that was prolonged, the team from the Recovery Hospital prepared the patient and performed an implantation of an endoprosthesis for the fracture. The peculiarity is that a rather fragile patient, aged, during an operation surgical procedures were performed, equivalent to some transplants. The intervention turned out perfectly “, said prof.dr. Radu Botez.
The two doctors claim that, if an osteosynthesis operation had been performed, the patient would not have been allowed to mobilize or step on for three to six months. In such a situation, the patient would risk developing a lung disease and multiple organ dysfunction in a short time. Following the operation performed on Friday, the patient will be able to travel only one day after the operation.
“The patient was transferred to the Intensive Care Clinic, she is in good condition, with hemodynamic and vital parameters within normal limits. The patient, starting tomorrow, can get up. For an elderly patient with her problems it is really a help. enormous life chances offered to the patient from both directions “, said Prof. Dr. Grigore Tinica.
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