First Combined Heart Valve Surgery Achieves Full Success! HeYou Hospital Cardiac Surgery Department Reaches New Technical Milestone

Recently, the cardiac surgery team of our hospital successfully performed the first multi-valve combined repair surgery under cardiopulmonary bypass for a patient with complex valvular heart disease.

Currently, the Cardiac and Great Vessel Surgery team at HeYou Hospital has gathered top expert resources and established a comprehensive treatment system covering the full cycle of cardiac diseases, capable of performing high-difficulty surgeries including Tetralogy of Fallot and aortic dissection.Professor Li Dongyu, Director of the Department, is a renowned national expert who has performed nearly 10,000 complex cardiac surgeries, including the first heart transplant surgery at China Medical University, and pioneered off-pump coronary artery bypass grafting in Liaoning Province in 2001. He specializes in coronary artery bypass grafting, complex congenital heart disease surgery in infants and children, and minimally invasive valve surgery, with extensive clinical experience in heart valve repair and major vascular surgeries such as aortic dissection.

Mr. Zheng, a 58-year-old patient, was admitted due to progressively worsening chest tightness and shortness of breath. He was diagnosed with severe mitral/tricuspid regurgitation complicated by chronic heart failure, along with underlying conditions including coronary heart disease, hypertension, and diabetes. Under the coordination and support of hospital leadership and the Medical Affairs Department, Director Li Dongyu's cardiac surgery team collaborated with a multidisciplinary team including cardiology, anesthesiology, intensive care unit (ICU), cardiac intensive care unit (CCU), operating room, and ultrasound medicine to conduct a comprehensive assessment. Based on the patient's condition and treatment preferences, a surgical plan of "mitral bioprosthetic valve replacement + tricuspid valvuloplasty + patent foramen ovale closure" and an emergency response protocol were formulated.

Following systematic preoperative preparation, the combined valve surgery was successfully performed on May 22. Director Li Dongyu's team worked in close coordination with the anesthesia team led by Director Luo Furong, the cardiopulmonary bypass team, the ultrasound medicine department, and nursing staff, ensuring a smooth surgical procedure. Transesophageal echocardiography was used for real-time monitoring of valve function, cardiopulmonary bypass parameters were precisely adjusted, and autologous blood transfusion technology was employed to reduce transfusion risks. Postoperative ultrasound evaluation showed good valve opening and closing function, with significantly improved hemodynamic parameters.

The patient regained consciousness 3 hours post-surgery and was successfully weaned from ventilator support with extubation 5 hours after the procedure. No allogeneic blood transfusion was required during the perioperative period. Through early respiratory function exercises and independent sputum management, the patient was transferred to a general ward on postoperative day 4. Currently, the patient's symptoms of chest tightness and shortness of breath have significantly alleviated, mental state is good, and activity tolerance has markedly improved.

The successful implementation of this surgery fully demonstrates the advantages of close collaboration between the cardiac surgery team, led by Director Li Dongyu, and the cardiology team, led by Director Cao Shiping, showcasing the exquisite surgical techniques and perioperative management capabilities under the multidisciplinary treatment model. In the future, the cardiac surgery department will continue to deepen synergistic development with the cardiology department, persistently promote technological innovation and standardized diagnosis and treatment, and jointly build a regional cardiovascular disease diagnosis and treatment platform, providing patients with full-cycle, high-quality medical services.