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

Pumphead? Cognitive Decline After Heart Surgery?

September 5th, 2008

On the topic of cognitive decline after heart valve surgery, Dan and I just had the following email exchange:

Dear Adam,

I recently purchased your book and have been reading your newsletter. I find both very helpful and encouraging. I thank you for your efforts and concern for others who are going through experiences similar to yours.

Pumphead - Cognitive Decline After Heart Surgery

I am 50 years old and, as a result of childhood Rheumatic Feaver, will be facing mitral valve surgery soon. Of course, I have many fears and concerns, most of which were discussed in your book. I do have one, follow-up concern that I would like to ask you about. I have heard and read about the phenomenon of cognitive decline following heart valve surgery. I would appreciate any information that you might have on this subject.

Thank you very much. Dan

MY RESPONSE TO DAN:

Hi Dan,

My gut tells me you are inquiring about a condition commonly referred to as “pumphead”. You should know that there are two schools of thought on the impact of bypass specific to the patient’s cognitive capability. Here is some additional information to help you:

Personally, my brain is functioning very well following my open heart surgery in which my aortic and pulmonary valves were replaced. However, I did experience cardiac depression (which was not fun). I was on the heart-lung machine for about two hours.

As for other patients… I will share with you that I have had several conversations with patients and/or their caregivers that do express slower brain function and cardiac depression after heart surgery.

I hope this helps you better understand the potential impact of bypass surgery, cardiac depression and pumphead.

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.

7 Comments... Click here to add one.


Joanne Harris says on September 5th, 2008 at 2:47 pm

Dan — I had mitral valve repair in March of this year. I too had read about “pumphead,” but never experienced it.
On the other hand, I did experience depression, and in retrospect, would go on an antidepressant BEFORE the surgery to help alleviate that whole experience. My cardiologist told me, AFTER the depression had lifted, that he was taught in school to start open heart patients w/ antidepressants before their surgery, but in his practice now, he’s not “allowed” to prescribe antidepressant med prior to surgery. Yipes.
Good luck w/ your procedure. You’ll do fine. If you’ve ever had a scratched cornea, I’m here to tell you that that hurts way more than this surgery.

 


Laura says on September 5th, 2008 at 3:31 pm

Hi Dan.
If it happens to you, it’s temporary. I h d a mitral valvuloplasty a few years back also because of childhood rheumatic fever (and am now facing valve replacement), and, although I appeared and sounded normal, I knew that my brain was a bit foggy. It lasted for 3 months, during which time I was generally thinking okay, and occasionally felt almost like brain tired. It only lasted three months, like I said, so don’t worry. At least you know in advance that it might happen.
Good luck with your surgery.
Laura

 


John says on September 11th, 2008 at 11:05 am

Dan,
My wife had minimally invasive aortic valve replacement surgery on March 19th this year. It took about 6 hrs. She did suffer from “pumphead” and it was noticable to family and friends. Unfortunately the replacement valve did not solve her genetic abnormalities in the heart and the aortic artery and she had to undergo the full open chest operation on August 6th. This time the operation took 9.5 hrs and the heart and aortic artery were enlarged to allow easier blood flow. It has been just over 4 weeks since the surgery and she is doing great and doesn’t seem to suffer from the “pumphead” that she did after the first surgery.
Good luck!
John

 


Deborah says on November 19th, 2008 at 2:17 pm

I had an aortic valve replacement for my severe stenotic bicuspid valve and graft of my aortic root and ascending aorta due to a 5 cm fusiform aneurysm 8 weeks ago. I was on the table for 7-8 hours. A week and a half later (after having gone home) I was rushed to the local ER with a pericadial effusion and a pleural effusion with partial lung collapse, and was transfered back to the hospital where I’d had my AVR and graft for yet another surgery, much shorter this time. I have continuing cognitive fuzziness but my idea is that it might be a combination of “pumphead”, the anaphlactic (sp?) shock during my first heart surgery to an new antibiotic, and all the anesthesia and all the other meds they gave me, including the insulin I was given before each meal, even though I ate barely enough to compensate. (I’m not diabetic but I was given something during the AVR surgery that caused my pancreas to flip out a bit). I also think of the trauma – physical, mental and emotional of open heart surgery is a part of this. I’d known that the valve would have to be replaced since I was a small child, but at the age of 45 I was still not prepared for it.

Waiting for my brain to catch up and the pain in my sternum to subside, happy to be alive.

Best wishes to all,

Deb

 


Sarasota Real Estate says on May 11th, 2010 at 4:26 pm

I underwent aortic valve and cardiac by-pass surgery Sep 22, 2009, during which the heart lung machine was used; within 2 weeks I thought I had suffered a stroke, I experienced difficulty in hearing and speaking, my vision was extremely dark, I couldn’t relate to numbers and simple math colutions, my driving has suffered with depth perception issues – I just discovered yesterday that I experienced the pump head syndrome – some of my problems have been minimized but I’m not 100% yet -I am deeply disturbed that his situation may be permanent.

 


ken says on May 24th, 2010 at 4:11 pm

I had open heart surgury in dec of 09 at the age of 47. I was told by my doctor that I could experience depression afterwards. It has been 6 months and I have a terrible time working with numbers. I am unable to solve problems with speed and accuracy like i did before the surgury. I feel unstable driving my car and still have trouble leaving home alone. I know my wife and family are getting tired of the up/down mood swings but it is not a controllable feeling. I want my life back to normal, the way it was 7 months ago :(

 


james says on July 8th, 2011 at 11:24 am

i wanted to ask,if someone has a heart valve disease and has his valve replaced,will he face any problems when he does things like athletism ,or live intense conditions or even during sexual contact?

 

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