Attempting to revive a patient in cardiac arrest after a two-month waiting period for surgery

A woman in her 30s who had been waiting for heart surgery at Hanoi Heart Hospital experienced a life-threatening situation when she suddenly stopped circulating and fell into a coma. The patient had initially sought medical help in February due to fatigue, coughing, and left arm pain. She was diagnosed with moderate heart valve regurgitation and given medication, but her condition did not improve. When she was examined again at the hospital, it was found that she had severe mitral and tricuspid regurgitation, heart failure, infective endocarditis, and pulmonary hypertension, requiring immediate surgery.

The woman’s condition worsened significantly while waiting for surgery. She went into cardiac and respiratory arrest in early April. Doctors at the hospital acted quickly, performing cardiopulmonary resuscitation to save her life. Despite her heart beating again, the woman remained in a coma and was in critical condition. She was transferred to the Intensive Care Department for further treatment as her prognosis was poor.

After 13 days of intensive care and treatment, the woman began showing signs of improvement and regained consciousness. However, her heart failure continued to be a challenge, necessitating urgent surgery. Associate Professor Hien, the hospital director, noted the seriousness of the case and the risks involved in performing heart surgery on a patient who had been in a coma for an extended period.

The patient successfully underwent heart surgery to address the severe infection and heart failure on June 11. Infective endocarditis is a serious condition that can lead to damage to the heart valves and spread to other organs if left untreated.

Factors contributing to the development of infective endocarditis include congenital heart disease, hypertrophic myocardium, damaged heart valves or history of previous infective endocarditis.

The woman’s recovery after two months of treatment and surgery is a testament to the dedication and skill of the medical team at Hanoi Heart Hospital.

Infective endocarditis is a challenging condition to treat patients may experience recurring symptoms even after leaving the hospital.

By Sophia Gonzalez

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