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Double Heart Valve Surgery Patient, Adam Pick, Blogs About
Heart Valve Replacement and Heart Valve Repair Surgery

Sternum ‘Clicking’ After Open Heart Surgery

March 14th, 2007

After open heart valve surgery, it is very common for the patient to be incredibly aware of all the potential problems that occur during the recovery. For me, my awareness to anything and everything problematic was sennnnnn-sational.

To some extent the patient is entitled to a little bit of neurosis.

I mean, open heart surgery is pretty invasive and pretty serious.

For me, I had aortic and pulmonary valve replacements (via the Ross Procedure) due to a bicuspid aortic valve. Thus, my chestbone was split, my heart was cut open and my heart valves were replaced.

Accordingly, I was incredibly cautious to do anything that might infringe on my sternum healing. In my head, I replayed the same thought, over and over and over again… “Don’t break. Please don’t break.” As I would later learn… I would not break.

However, that did not stop my fascination with potential issues and roadblocks to healing.

In particular, I noticed a distinct ‘clicking’ sound when I got in and out of bed. I’ll never forget the first night I heard it. I was getting into bed when I heard… “CLICK!”

I immediately looked at Robyn (my fiancee).

“Did you hear that?” I said with concern.

“No,” she said, “What is it baby?”

“My chest… It just clicked,” I said with more concern.

She assured me that I was fine and we went to sleep.

A few days later the same thing happened when I got out of bed… “CLICK!”

“Could something be wrong with my chestbone? Did something go wrong during the median sternotomy? Are my wires not tight enough?”

It started to drive my crazy. I ‘clicked’ here. I ‘clicked’ there.

I really thought something was wrong going into my seventh week post-operation.

I was so concerned that I went to see my surgeon, Dr. Vaughn Starnes at USC. I explained my neurosis and Dr. Starnes assured me that it was normal.

With that, I was completely comforted knowing that I was not going to break.

Guess what?

Now, fifteen months after my valve replacement… I’m still ‘clicking’.

It doesn’t hurt.

It actually feels good.

Almost like a good knuckle crack!!!

Keep on tickin!

About The Author: Adam Pick is a double, heart valve surgery patient and author of The Patient's Guide To Heart Valve Surgery. This unique book integrates clinical research with the personal experiences of 135 former patients to help future patients and their caregivers better understand the problems, the opportunities and the realities of heart valve surgery. To learn more about Adam and his heart valve surgery book, click here.

8 Comments... Click here to add one.


William says on August 5th, 2008 at 1:29 pm

Good to know somebody has exactly the same clicking syptoms as me (aortic valve and root replacement), I could have written every word right down to the bit about getting my wife to validate my sensation in the morning. Feels like its coming from my collar bone. And yes, “DID my surgeon tighten me up enough?” I am at end of week two recovery so am re-assured to read your prognosis. William (44 years old) 

 


Liz says on November 19th, 2008 at 2:38 pm

I had open heart surgery (repaired tricuspid valve) and the nurses warned me of the dreaded “clicking sternum.” I was so cautious while healing because I didn’t want to click. I had a second surgery that same year to further correct my valve and after 7 months, I realized my sternum clicks. I find it humorous until I lift weights and click rep after rep. Liz (23)

 


James says on August 24th, 2009 at 4:17 pm

I know that it takes about 1 year for the breastbone to fully heal but when I had open heart surgery last november, my breastbone does not appear to be healing, It constantly shifts and sometimes separates and overlaps upon itself causing tremendous pain. It appears to be tied together from the x-ray but I’m not sure why it shifts like this. Thoughts?

 


Micki Novak says on August 24th, 2009 at 7:54 pm

I was so glad to read about the “clicking”. I am 12 weeks post surgery and still experience it. My main concern is when I laugh, I actually need to hold my chest. My doctor has informed me that my sternum is healing but not bone to bone, but with scar tissue. Some of my wires have come loose, but have not pulled through. I am being watched for the next month, with limitations to upper body movements…almost to the degree of restrictions right after surgery. My doctor is suggesting that perhaps Iwill need to see a plastic surgeon and have a metal plate put in. Any one know of this procedure? My clicking is in two spots and I can also feel the bone move, as did my doctors on last examination. Now that I have read that others are living with the clicking with no problem, I wonder what is really the need for additional surgery.

 


Philo Durr says on November 25th, 2009 at 9:16 am

They put talons in me so no sternum bone overlapping would happen. Its a new procedure. Plastic surgeons can put them in because they do not go into the bone like wires. The clamp ont he side to bring the breast bone tight.

 


walt spears says on February 13th, 2010 at 1:24 am

my aorta replacement by open heart surgery was done 10 months ago and from the 4th month on have click and it feels like movement in my chest but they tell me the ribs have healed back.the click is probly the metal clips that were put in hold ribs togather while they healed back tiogather.i still have some pain off and on with certain movements or hard coughs.other wise i feel fine and i went back to work full tme 3 months after surgery.still minor lifting but still climb a latter reagerly.i will be 75 years old in august 2010.was told my valve should give me another 20 years trouble free.hope hes right.have a great day.

 


Geary says on October 8th, 2010 at 11:09 am

59 year old male here. So, I’m 2 1/2 weeks out post op triple bypass. They left the valve alone for now. Good for 15 or 20 more years. At any rate, I’m also experiencing the clicking and “cracking knuckle” randomly ….while literally doing nothing unusual or breaking the rules of lifting things. It happens when getting in and out of bed (using their guidelines of the “bowling ball roll”) and it can happen just pointing down or lifting my arm to feed myself. I’m walking a 1/4 mile per day now twice. Nothing happens while walking. So, my doc just told me to limit things that cause the clicking because it “can impede sternal bone healing”. It’s a bit disconcerting but, I’m assured that this is somewhat normal.

 


Bypass5andclicking says on November 16th, 2011 at 7:23 pm

It has been 12 weeks since quintuple bypass. I started clicking about six weeks out. it has gotten worse this last week. It doesn’t hurt from clicking but it does still hurt. Feels like wires cutting me with certain movements like deep coughing, rubbing motions with my hand, pushing or lifting over 10 pounds. I also have spells of nausea and weakness/faintness/lightheadedness, but my heartbeat is always regular. I’m scheduled for an xray next week to see if anything wrong can be detected by xray. I didn’t have a heart attack and had about 80% blockages and it was somewhat preventive as I had no definite symptoms I did have the nausea/weakness and was actually scheduled for hall bladder removal when the heart problems were determined. I still apparently need gall bladder surgery, but I’m concerned about what heart disease or heart surgery issues might exist. Any ideas anybody?

 

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