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Hello! My name is Dr. Vaughn Starnes and I am a cardiac surgeon having graduated from North Carolina (Chapel Hill) in 1977. To date, I have performed approximately 12,000 cardiac surgeries, of which 4,000 involved heart valve procedures. I regularly perform surgery at hospitals including USC Cardiac and Vascular Institute and Children's Hospital of Los Angeles. Read more...
I believe my greatest strength is twenty-five years experience operating on both children and adults. I feel fortunate to be gifted with the ability to carry-out extremely complex operations with relative ease. I also have a strong research and teaching interest and commitment to furthering USC's cardiac surgery discipline - specifically in areas of minimally invasive valve surgery, aortic valve surgery and congenital heart disease.

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Check out the new edits to 'My Story' page by clicking here.
The more concerning part is that it says the surgical plan has changed. They have me down for a Ross Procedure now instead of the valve sparing aortic root replacement that was discussed with me. Ross Procedure has never been mentioned. They were always planning to do either a Bentall Procedure, or if they could save the valve, the Valve Sparing Aortic Root Replacement. The valve sparing was the surgeons preferred option and he was 80-90% confident they could do it.
This may have been an error listing it as a Ross Procedure. Or they may have received new information that makes me ineligible for the valve sparing procedure. I don't know why else it would have been changed but I'm uneasy that such a major decision was made without consulting with me.
This is bringing up a lot of negative feelings from my last experience with this hospital. I had neurosurgery on my head in 1996 and it was a very unfortunate experience that had lasting negative consequences. I'm trying to not let this rule my anxiety but its hard.
You definitely sound like you need to have a phone call with the surgeon’s office about why they bumped you up and changed the procedure. If you recently had a CT-A or ECHO, they might have saw something that made the valve sparing operation not a good option and made them consider moving your surgery up.
I find that some surgeons like to use patients for their own betterment -suggesting things THEY like and THEY do regardless of benefit risk or long term durability... It is up to you to be moral agent for yourself... especially if you had previous issues. Seek clarification !

“I just went in for an annual check-up. After listening to my heart, my doctor told me I had a heart murmur. I never knew I had a heart murmur, and I didn’t know much about them. The images ... Read more.
“I just went in for an annual check-up. After listening to my heart, my doctor told me I had a heart murmur. I never knew I had a heart murmur, and I didn’t know much about them. The images showed that I had a severe mitral valve prolapse.
We made the decision, at the time, to keep an eye on it for a year because I had no symptoms. Based on my second echocardiogram, it was determined that my mitral valve prolapse had progressed, and it was time for surgery. Now, I am ecstatic to say that my wife and I just returned from a 10-day holiday in Saint Lucia which included four scuba dives.
Dr. Castillo-Sang gave me the confidence that I would be able to dive again, and he was 100% correct."
-- Gary Fabre, heart valve patient
Check out the new edits to 'My Story' page by clicking here.


Check out the new edits to 'My Story' page by clicking here.



I’ve joined a new medical trial investigating early vs standard intervention for bicuspid aortic valve disease. My valve ...Read more
I’ve joined a new medical trial investigating early vs standard intervention for bicuspid aortic valve disease. My valve has been diagnosed with severe stenosis, and I’ve been selected for immediate surgery as part of the trial
It was a 50/50 chance – and now the journey really begins
Appreciate your support and will keep you all posted on this incredible chance to help future people like us !!!
David Buchanan




Check out the new edits to 'My Story' page by clicking here.
...Read more



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On a happier note, my wonderful youngest son, Matthew is 20 today! He has been such a wonderful, sweet, kind, loving son, and am so grateful for him. Cannot believe it has been 20 year already. He is my baby, I also have a 39 year old daughter and 35 year old son.
Wishing everyone a happy, healthy 4th week


Continued prayers! And Happy Birthday to your son!
Most of the devices ar a nitinol (nickel/titanium). I am not allergic to titanium, but the nickel can possibly leach I guess. The manufaturer actually says if you read your specific device that ifyou have a nickel allergy it is contraindicated in using the device. You can look up the exact ingredients in your device to find out. I am just surprised that everyone is not tested for metal allergies before any inplanted device for anything, not just heart valves. The allergies to componants can cause adverse reactions and complications after, whether it shows up in a few days or months. Not to wory anyone, but it is just good practice for Drs and Surgeons to be proactive before implanting these things. I also know a lot of people allergic to nickel. I am glad I did not have the knee replacement they wanted me to have last year because when I looked into it, I realised that they also use a lot of the same things. My mother did great with her two knee replacements, but she has no skin allergies.
There really are not any other devices that can be used that are FDA approved or other trials at this time for nickel free options that I can find. I will find out Monday what they are thinking for my situation, maybe open heart repair?
Melinda,
... Read more
Most of the devices ar a nitinol (nickel/titanium). I am not allergic to titanium, but the nickel can possibly leach I guess. The manufaturer actually says if you read your specific device that ifyou have a nickel allergy it is contraindicated in using the device. You can look up the exact ingredients in your device to find out. I am just surprised that everyone is not tested for metal allergies before any inplanted device for anything, not just heart valves. The allergies to componants can cause adverse reactions and complications after, whether it shows up in a few days or months. Not to wory anyone, but it is just good practice for Drs and Surgeons to be proactive before implanting these things. I also know a lot of people allergic to nickel. I am glad I did not have the knee replacement they wanted me to have last year because when I looked into it, I realised that they also use a lot of the same things. My mother did great with her two knee replacements, but she has no skin allergies.
There really are not any other devices that can be used that are FDA approved or other trials at this time for nickel free options that I can find. I will find out Monday what they are thinking for my situation, maybe open heart repair?
Melinda,
"Patch Testing" is from either an allergist or dermotologist that does it, is how you find out things you are allegic to. I just had it done because I mentioned it in MyChart and saw the trial they wanted me to get into had a device with nitinol in it, so asked for testing.
I have known I had allergies to nickel from my teen years whenever I would wear costume jewelry or even higher end jewelry, as so many things contain nickel. I was not given any testing back then, but family Dr saifd that was what it was. Thosw were the days when your family Dr would diagnose you and not always send you to a million specialists. I had a platinum wedding ring when I was married (divorced for 14 years now) and have been able to find other jewelry like rings and make my own earrings from surgical steel hooks (even those can contain a little nickel, but I never wear earrings overnight). The surprising thing is that the testing found a much stronger allergy to gold (Goldsodiumthiosulfate, found in electronics, ceramics, dental and jewelry) and something called pottasium dicyanoaurate (found in dental fillings, jewelry and electronics) Most of the devices for valve replacements have some form of nickel, which I am less allergic to, but did show a mild reaction at one week follow up after patch testing (delayed reaction).



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Check out the new edits to 'My Story' page by clicking here.
I think you are making the right choice going with Dr. Woo even if it's a bit less convenient. There are people flying from one coast to the other, for instance to get surgery from Dr. Gillinov (he is an expert in minimal invasive surgery). So travelling a bit further locally is a small price to pay for Dr. Castro's expertise and his excellent staff. Good luck with your surgery. You will be in good hands.
Btw, it was my mom that found Dr. Castro and this / @Adam 's forum. I searched for other forums but this one is by far the best for any heart surgery questions.

At the recent 60th Annual Meeting of the Society of Thoracic Surgeons in San... Read More.
Atrial fibrillation (AFib) and mitral valve regurgitation are often interconnected. Mitral regurgitation occurs when... Read More.
-Meredith"

So I guess I’ll be ...Read more
So I guess I’ll be hanging out on the deck by the fire pit and drinking protein smoothies again.

I have been holding my own - my cardiologist says its best to take of this before your heart is compromised. He did put me on a blood thinner.
Any thoughts? Any and all comments are sincerely welcome
I had my Ross procedure surgery 27 days ago and I’m already back to doing 2-mile walks around my neighborhood.
One of the main reasons doctors recommend surgery a lot earlier than they used to is because patients have much better post-surgical outcomes with early intervention (severe stenosis or regurgitation and minimal or no symptoms).
... Read more
I had my Ross procedure surgery 27 days ago and I’m already back to doing 2-mile walks around my neighborhood.
One of the main reasons doctors recommend surgery a lot earlier than they used to is because patients have much better post-surgical outcomes with early intervention (severe stenosis or regurgitation and minimal or no symptoms).
Unfortunately, with heart valve disease, it’s always a matter of ‘when’ not ‘if.’ It’s not something that gets better without surgery.
Always feel free to get a second opinion from another cardiologist and/or surgeon. The doctors actually encourage it. And talk to them about all of your fears and concerns.
- I was in ICU for 5 days, 3 of them were very difficult.
- I was in a regular hospital room for another 6 days, most of them were good days. (11 days in hospital is longer than most people).
- The next 7 days I had both good and bad days while I adjusted to being back home.
... Read more
- I was in ICU for 5 days, 3 of them were very difficult.
- I was in a regular hospital room for another 6 days, most of them were good days. (11 days in hospital is longer than most people).
- The next 7 days I had both good and bad days while I adjusted to being back home.
- Once I hit 3-weeks post-surgery, it has been almost all good days.
- I’m now at 4-weeks and I’m feeling about 80% of normal. Every day I feel a little bit better than the day before. I restart working again tomorrow. The things I can’t do, I shouldn’t be doing yet anyway.
- In 2 weeks, I start cardiac rehab. They will get me running and cycling again. I’ve already set myself the goal of running a couple 5Ks and 10Ks next year. When I get to where I can run a 10K, I’ll know I’m back to where I was pre-surgery.
John why did you have stay in icu so long ?Why was it so difficult ? What happens if you do
not mind me asking
... Read more
John why did you have stay in icu so long ?Why was it so difficult ? What happens if you do
not mind me asking
I am so happy you both are better
There were 2 issues: The first is I had edema problems going into surgery from recently diagnosed Psoriatic Arthritis. I put on another 16lbs of water after the surgery.
I don’t really remember the first 2 days in ICU. But the 3 really tough days I remember, I was on diuretics and had water restrictions to force me to lose all that water fast. The diuretics affected my kidney function. My electrolytes kept dropping because I was flushing so much fluid out. If my electrolytes dropped too much, I’d go into V-tach. They wouldn’t move me out of ICU until I reached my “dry weight.” I ended up dropping 21lbs of water by the time I left the ICU. I had to apologize to several nurses after I stabilized because I was not a fun guy to be around for those 3 days.
... Read more
There were 2 issues: The first is I had edema problems going into surgery from recently diagnosed Psoriatic Arthritis. I put on another 16lbs of water after the surgery.
I don’t really remember the first 2 days in ICU. But the 3 really tough days I remember, I was on diuretics and had water restrictions to force me to lose all that water fast. The diuretics affected my kidney function. My electrolytes kept dropping because I was flushing so much fluid out. If my electrolytes dropped too much, I’d go into V-tach. They wouldn’t move me out of ICU until I reached my “dry weight.” I ended up dropping 21lbs of water by the time I left the ICU. I had to apologize to several nurses after I stabilized because I was not a fun guy to be around for those 3 days.
The second issue was my blood pressure was all over the place. With a Ross Procedure, they want my post-op BP between 90 & 120 for a year while the pulmonary valve gets used to its new home on the aortic side. I kept swinging from the mid-80s to mid-130s depending on what they gave me. It took 5 days to figure out the right drug combo.
I’ve had to go back on diuretics and electrolytes twice since I was discharged because I’m still yo-yoing a gallon of water (7-8lbs over 4 days). I went off them again today. Hopefully I don’t have to go back on them again. I’m trying to be more conscious of my sodium intake this time to see if it helps.

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Hello! My name is Dr. Vaughn Starnes and I am a cardiac surgeon having graduated from North Carolina (Chapel Hill) in 1977. To date, I have performed approximately 12,000 cardiac surgeries, of which 4,000 involved heart valve procedures. I regularly perform surgery at hospitals including USC Cardiac and Vascular Institute and Children's Hospital of Los Angeles. Read more...
I believe my greatest strength is twenty-five years experience operating on both children and adults. I feel fortunate to be gifted with the ability to carry-out extremely complex operations with relative ease. I also have a strong research and teaching interest and commitment to furthering USC's cardiac surgery discipline - specifically in areas of minimally invasive valve surgery, aortic valve surgery and congenital heart disease.



I had up days and down days pre-surgery for my aortic valve. Even ... Read more
I had up days and down days pre-surgery for my aortic valve. Eventually, I came to peace with it and did a lot of meditations before bed.
Post-surgery, the first 3 days I remember were very difficult but I got through them. The next two weeks were not as difficult with good and bad days. Since I got past the 3-week mark, most of my days have been very good. I’ll be going back to working from home at 27-days after surgery and I’m making plans for when I’m healthy enough to start running again.

Check out the new edits to 'My Story' page by clicking here.
Check out the new edits to 'My Story' page by clicking here.
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