Adam’s Heart Valve Surgery Blog

I just received an email from Roger, a recent Ross Procedure patient and reader of my book.

Roger raises some interesting points, so I thought I would include this as an email bag blog.

Roger’s comments and questions are:

I am now 20 weeks post op and I just had my annual physical today with my family dr. BP 116/70, heart rate in the 70s, blood work good so that all seems reassuring.

I am back to running about 3.5 miles at a 10 min pace. Per your suggesions, I have been monitoring my heart rate while running and trying to keep that in the 150 range.

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Earlier today, I received a question that reads, “Do you have a cat scan of the aorta? How are cat scan aorta images used during diagnosis?”

I’m not sure I completely understand this questions. But, it turns out that I just found a cat scan image of the aorta.

But first, I thought we all might want to know a learn a little more about what a cat scan is and how cat scans are used relative to heart valve surgery.

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Yes. It’s true.

Arnold Schwarzenegger had a very serious heart disease condition.

I say “had” because Schwarzenegger’s heart problem has since been fixed.

Although there are many rumors that the Governator’s heart disease condition was caused from steriod use, reports actually suggest that Arnold Schwarzenegger’s heart disease condition was congential.

Arnold Schwarzenegger And Dr. Vaughn Starnes
Celebrate The Governator’s 10 Year Heart Surgery
Anniversary at USC Medical Center

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I just received an email that asks, “What do valves in the heart do?”

Considering the complexity of the body and your heart, it’s a great question.

Often times I find that answering this question helps both heart valve surgery patients and caregivers.

The answer to the question, “What do heart valves do?”, is actually pretty simple. The four valves in your heart - mitral valve, aortic valve, tricuspid valve and pulmonary valve - are used to control the flow of blood through your heart.

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Every once and a while I get stumped. I mean really stumped! Well. Today is one of those days.

I just received an email that I will do my best to answer. However, if you have anything to add, feel free to provide some insight in the comments section of this blog.

The question reads, “What is mitral valve buckling?”

This is the first time I ever heard of mitral valve buckling. So, I did a little research. It appears that mitral valve buckling appears to be directly associated with mitral valve prolapse.

As you can read in this discussion, mitral valve prolapse results when one of the heart valve flaps (also known as a leaflet) moves back into the atrium when the heart beats. This prolapse can let blood flow from the ventricle back into the atrium as shown in the anatomy of the heart.

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A greeeeaaaaaaaaaaat question just came in about waking up in the ICU. It reads, “Adam, when I come to (wake up) in the intensive care unit will I be on respirators after open heart surgery.”

There are two possibilities here. “Yes”, you will be on a respirator connected to a vent tube or breathing tube, after surgery. The other answer to this questions is again… “Yes”, you will be on a respirator after heart surgery.

The only difference between the two “Yes’s” is whether or not you remember it.

I know that’s a little tricky but you have to remember that your mind and body will be heavily sedated from the anesthesia administered during your cardiac procedure. That said, the body will need some help “waking up”. Specifically, your lungs need some help. For that reason, most patients are on respirators after open heart surgery. The respirator can also help clear any excess fluid out of the lungs.

My Picture Just After The Vent Tube Is Removed
(This picture was taken about four hours after open heart surgery.)

As the USC Cardiothoracic website writes, “To help you breathe, an endotracheal tube (breathing tube) is inserted during surgery. This tube is connected to a respirator that assists your breathing. Because you will not be able to talk or swallow while this tube is in place, your nurse will anticipate your needs and ask you questions that require only a yes or no answer. Nod your head to say yes, and shake your head to say no. When you are fully awake and breathing on your own, the breathing tube will be removed, and you will be able to talk.”

Personally, I remember the vent tube very, very, very, very, very well. (did ya catch the emphasis, there?) :)

It’s quite dislocating to have a plastic pipe stuck in your throat. Plus, no one told me about the vent tube prior to surgery. I had no ability to talk after surgery. Instead, I used a pen and notepad to write notes to my family. I was only awake with the breathing tube for about an hour or so. It was so liberating when they took it out.

FYI, there is one, other incremental purpose of the breathing tube, that is quite interesting to know about. To learn more, click here.

I hope this helps answer the question about respirators after open heart surgery.

Keep on tickin,

Adam

Adam Pick is the author of The Patient’s Guide To Heart Valve Surgery, a unique book which integrates the clinical facts of heart valve surgery with the personal experiences of an actual heart valve surgery patient. This special book was designed to minimize stress and enhance the patient’s recovery. To learn more about Adam’s heart valve surgery book, click here.