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Thoracotomy Vs. Sternotomy For Vicki’s Mitral Valve Surgery… Any Female Perspectives?

Posted By Adam Pick On September 16, 2008 @ 7:22 am In Heart Surgery Options | 37 Comments

Vicki (pictured below) recently sent me a question regarding her upcoming mitral valve surgery. While I have some ideas for Vicki, we thought it might be helpful for Vicki to gather feedback from other patients – especially females. That said… Do you have any thoughts for Vicki? Here is what she writes:

Hi Adam,

I’m scheduled for mitral valve surgery (hopefully repair [1], not mitral valve replacement [2]) on September 26. I’m a very fit 54-year old woman that climbs mountains, bikes and generally expects a lot of her body!

Vicki

My surgeon, Doctor Vincent Gaudiani [3], has given me the choice of a thoracotomy or a midline sternotomy. Considering this choice, I am looking to find one or more women that opted for the thoracotomy, and had the procedure done one or more years ago.

Thoracotomy - Mitral Valve Repair
Thoracotomy – Incision Diagram

The pros of the thoracotomy procedure are: 1) aesthetics and 2) no bone breakage. BUT, I’m wondering what the long-term effect of cutting through the intercostal muscles has on mobility, exercise, yoga, etc.

I want to make sure that a thoracotomy is the best option for someone that is very active. It would be a bummer to pick that option, only to find out that my mobility has been lessened – most likely due to pain – over time.

Thanks for your help on this! I just ordered your book [4]! Best regards, Vicki.

To provide your thoughts on thoracotomy [5] and sternotomy [6], please scroll down to leave a comment for Vicki. In advance, thanks for your help!

Keep on tickin!


Article printed from Adam's Heart Valve Surgery Blog: http://www.heart-valve-surgery.com/heart-surgery-blog

URL to article: http://www.heart-valve-surgery.com/heart-surgery-blog/2008/09/16/thoracotomy-vs-sternotomy-for-mitral-valve-surgery/

URLs in this post:

[1] repair: http://www.heart-valve-surgery.com/mitral-valve-repair-surgery.php

[2] mitral valve replacement: http://www.heart-valve-surgery.com/mitral-valve-replacement-surgery.php

[3] Doctor Vincent Gaudiani: http://www.heart-valve-surgery.com/heart-surgery-blog/2007/11/24/vincent-gaudiani-md-heart-surgeon-receives-patient-praise/

[4] your book: http://www.heart-valve-surgery.com/heart-valve-surgery-book-download-guide.php

[5] thoracotomy: http://www.heart-valve-surgery.com/heart-surgery-blog/2010/09/13/video-mini-thoracotomy-for-minimally-invasive-mitral-valve-repair/

[6] sternotomy: http://www.heart-valve-surgery.com/sternum-broken-pain-healing.php