Adam's Heart Valve Surgery Blog – Page 48

Denise Praises Dr. Bleiweis After Eli’s Heart Valve Surgery

By Adam Pick on August 17, 2009

I have the privilege of speaking with caregivers from all over the world.

As many of us know, heart valve surgery can be just as trying on the caregivers as it is on the patients. For this reason, many of their stories are both emotional and inspirational. That said, I thought you might like to read an email from Denise about her son, Eli, and his recent aortic heart valve repair:

 


Eli & Dr. Marc Bleiweis

 

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More Data On The MitraClip For Mitral Regurgitation Treatment

By Adam Pick on August 17, 2009

As we have discussed before, most minimally invasive treatments for heart valve disease continue to show encouraging results. Recently, additional results for high-tech devices from Edwards Lifesciences, Medtronic and Evalve have been posted.

Specific to the MitraClip for mitral valve repair, I just saw an announcement which detailed the results of 107 patients for the nonrandomized Everest 1 and 2 studies.

  • A full 66% of patients did not require surgery and maintained a mitral regurgitation grade of less than 2 at 12 months, the primary efficacy end point of the study.
  • In all, 32 patients needed mitral valve replacement surgery within 3.2 years of receiving the MitraClip. Of these procedures, 84% were successful.
  • 9%, had a major adverse event during the follow-up period, including one non-procedure-related death.
  • Overall procedural success was 74%, and 64% left hospital with a mitral-regurgitation grade of 1 or less, as opposed to grade 3 or 4 at study entry.
  • In all, 32 patients needed mitral-valve surgery within 3.2 years of receiving the MitraClip.

“Surgical options were preserved,” the authors, led by Dr Ted Feldman (Evanston Hospital, IL), write in the August 18, 2009 issue of the Journal of the American College of Cardiology. “The fact that there were no in-cath lab deaths during this procedure in over 100 patients compared with, for example, stent therapy, shows that this is acceptable in terms of safety, all the more so given that this is a brand new intervention,” Feldman told heartwire.

Investigators also highlighted the “steep learning curve” seen in the study, with the first 30 procedures taking over four hours, while the last 30 typically took under three hours.

A randomized trial, comparing percutaneous mitral-valve repair with the MitraClip with surgical valve replacement or repair is ongoing; one-year follow-up will be completed in October, Feldman said. The MitraClip received a CE mark in Europe last year.

Keep on tickin!
Adam

“Did You Exercise Before Heart Valve Surgery?” Asks Leticia

By Adam Pick on August 10, 2009

I just received a great question from Leticia about exercise prior to heart valve surgery.

 

 

Leticia writes, “Hi Adam, I have been diagnosed with a bi-cuspid aortic heart valve. I have no symptoms or shortness of breath. My cardiologist hopes I can go for another 10 years without surgery. I’m concerned about my hobbies, which are aerobics and I teach ballet. I love my exercise and my doctor states that I don’t have to change my lifestyle unless I’m feeling symptoms. I’ve just read stories about athletic people having to reduce activity until after surgery. I don’t want to pass out one day and seriously injure or kill myself. Do you have any other info on exercise and bi-cuspid aortic heart valve? Thank you, Leticia”

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“How Long Will My Dad’s Pumphead Last After Heart Valve Surgery?” Asks Rob

By Adam Pick on August 4, 2009

I just received a follow-up question from Rob about pumphead and memory loss after heart surgery that you might find interesting.

Rob writes, “Hi Adam – I have a quick question. My dad just had open heart surgery two days ago to repair his mitral valve (it was a 4+ for regurgitation). He also has had previous issues with atrial fib.  Today, he was having some issues remembering particular words/phrases. This concerns the nurses and us because of the possibility of brain issues after surgeries like these. I have a doctor-friend who says some of this is normal based on all the drugs he is on and the use of the heart-lung machine. Did you experience any of the brain and thought issues with your surgery? Do you have any insight on that? Thanks so much, Rob”

 

 

Although I did not have any direct cognitive problems following heart surgery, I have written about this post-operative complication on several occasions.

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TRIVIA: How Much Blood Moves Through Your Heart Valves Each Hour?

By Adam Pick on August 4, 2009

Okay… Ready for some heart anatomy trivia?

The question is, “How much blood moves through your heart valves in one hour?”

A. 5 gallons
B. 10 gallons
C. 50 gallons
D. 100 gallons
E. 500 gallons of blood

To find out the answer, scroll below the beating heart.

 

 

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Off-Topic: Ethan At 17 Weeks (With Video)!

By Adam Pick on August 4, 2009

Thanks to all of you who have requested an update on Ethan, our four-month old baby boy.

So you know… Ethan is doing greeeeeeeeeeaaaaaat!

  • He’s about 15 pounds now, having doubled his weight since birth.
  • He’s doing his best to communicate (via coos, grunts, and crys) with Robyn and me.
  • He’s sleeping pretty good, waking up only 1-2 times a night.

 

 

Best of all… Ethan is a very, very, very, very smiley baby. Personally, I can’t get enough of his teeth-less smiles. It really does melt my heart each time I look at him. Last week, he started to laugh which is incredibly funny.

Here are some recent pictures of Ethan, Robyn (my wife), Donna (my mom) and me. In the first picture, Ethan is in his Lion towel – after bath time with his mommy.

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“Pictures Of Heart Valve Disease?” Asks Ray

By Adam Pick on August 3, 2009

Ray just emailed me a great question about heart valve disease.

He writes, “Adam – Try this one on for size… I’m 57 and newly diagnosed with severe stenosis in my aortic valve. The docs think I need surgery soon. I can’t believe it. I feel fine. No real symptoms. But, the echo shows my heart is already dilated somewhat. Even though the cardiologist told me what is wrong… I want to see what is wrong. Do you have any pictures of heart valve disease? Thanks, Ray”

Like Ray, I experienced a very similar thought upon diagnosis, “What does a diseased heart valve look like?” That said, please find several pictures below to help Ray (and perhaps you) better understand the visual anatomy of several different types of valve disease.

First, however, I thought you might like to see what a normal heart valve looks like for comparison. Here are two pictures of a normal aortic heart valve and tricuspid heart valve:

 

Normal Aortic Valve Picture

 

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Melinda Gets Pregnant With A Bicuspid Valve & Aneurysm

By Adam Pick on July 31, 2009

Over the past few months, several patients have written-in about pregnancy, child birth, heart valve disease and the complex issue of… surgery timing.

In fact, this morning I received an exciting email about Melinda, her new husband, her bicuspid aortic valve and her pregnancy. I thought you might enjoy reading about Melinda’s approach to having a baby before before heart valve replacement surgery.  Here is what she writes:

 

 

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Recovery Alert: Cardiac Rehab Programs Are “Under-Utilized”

By Adam Pick on July 30, 2009

One of my critical heart valve surgery recovery tips for patients is… to attend a cardiac rehabilitation program following heart surgery.

From my own personal experience and patient research, I have learned that cardiac rehab programs provide significant benefit to the physical and emotional well-being of patients during heart surgery recovery. Unfortunately, I have also learned that 49% of patients do not attend cardiac rehab.

On Tuesday, a report published in the Journal of the American College of Cardiology further supported the data and opinion referenced above. The highlights of this study which surveyed 72,187 patients discharged from hospitals after a heart attack, angioplasty of bypass surgery between 2000 – 2007, include the following:

  • Even though cardiac rehabilitation has been shown to guard against future heart trouble once a cardiovascular event has landed someone in the hospital, only 56 percent of these patients are referred for the therapy.
  • Despite national guidelines that say hospitalized patients with a qualifying cardiovascular disease event should be referred to outpatient cardiac rehabilitation before hospital discharge, the study demonstrates this doesn’t happen often enough.

 

 

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“Any Physical Limitations After Open Heart Surgery?” Asks Aaron

By Adam Pick on July 28, 2009

Aaron just emailed me an interesting question about physical limitations following open heart surgery.

He writes, “Adam – I was just given the news that my aortic valve is at the end of its rope. I knew it would happen someday as I was diagnosed years ago with stenosis. However, I wish that someday wasn’t now. I’m a very active father and husband that enjoys playing football, soccer, tennis and golf with my boys. I want to know the truth about the recovery. Will I be physically limited after this is all over? If so, how? Thanks, Aaron”

 

 

Aaron’s email just brought back several, distinct memories following my own diagnosis. Mostly, I remember the fear, uncertainty and doubt that rattled through my brain in overwhelming, unanswered questions like, “Will I ever be the same again?”

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After Post-Operative Endocarditis Complications, Cheryl Remembers Carroll McDavitt (1928 – 2009)

By Adam Pick on July 28, 2009

Cheryl McDavitt wrote to me, “Please warn your readers of the dangers of this infection.”

She also wrote to me, “Unfortunately, my husband had another stroke and the MRI showed a mass beneath the aortic valve that was replaced. It turned out to be endocarditis and it developed into other complications. We took him off life support last night and he passed away this morning… I was totally ignorant of endocarditis. I did not know that this infection is common after valve replacement. It might be worth a discussion on your blog. I am giving the short version of a long complicated death because of a cardiologist ignoring endocarditis symptoms that should have alerted him to the infection.”

 


Carroll McDavitt (1928 – 2009)

 

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Rodney, 78, Offers Praise For Dr. Chitwood After Heart Valve Surgery

By Adam Pick on July 25, 2009

As many of you know, I started this website to educate, inspire and empower patients with heart valve disorders including mitral regurgitation, aortic stenosis, etc.

Three years later… It turns out that I am the one who is inspired by the patient stories of Randy, Sylvia, Patricia, Anita, Robin, Charles, John, Leslie, Steve, Jonathan, Mavis and so many others. Each one of these patient stories (shared previously in this blog) radiate the extraordinary human will to face heart valve disease and rise above it.

On that note, Rodney from North Carolina just emailed me his story. At 78 years of age, Rodney is currently in the middle of his recovery. Here is what he writes:

Adam,

This is to let you know I underwent aortic valve surgery and one bypass at the new heart hospital in Greenville, North Carolina on June 1, 2009. Dr. Randolph Chitwood, MD, who is recognized as one of the outstanding heart surgeons in country, performed the surgery.

 


Rodney Trueblood – Heart Valve Replacement Patient

 

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Medtronic’s Melody Heart Valve Replacement Technology Gets FDA Support

By Adam Pick on July 25, 2009

As we have discussed, the competitive market for minimally invasive heart valve replacements and heart valve repair continues to heat up.

Earlier this week, we learned more about Edwards’ SAPIEN technology. Then came this interesting story about Medtronic and its Melody transcatheter pulmonary heart valve replacement solution. Did you see this?

The Associated Press reported that federal health advisers unanimously backed an experimental heart valve replacement solution from Medtronic as a safe and effective treatment for patients with a rare heart defect.

 


The Melody Heart Valve Replacement

 

The Food and Drug Administration’s panel of heart experts voted 12 to 0 in favor of approving the Melody Pulmonary Valve, although stent fractures were identified during the study. According to The Wall Street Journal, the FDA said stents – which are a part of the Melody device – fractured in 18% of patients in the study. The concern about such fractures is that parts of the device could break off and result in blood clots. Ultimately, the FDA believes there is a “low probability” that such fragments would cause blood clots.

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“What Are The Side Effects of Coumadin?” Asks Elissa

By Adam Pick on July 23, 2009

Elissa was recently diagnosed with severe mitral regurgitation due to mitral valve prolapse.

In an email to me, Elissa writes, “Hi Adam – I’m going through the challenging process of picking a mechanical or tissue valve in case my valve can not be repaired. I know I’ll have to use Coumadin for the rest of my life if I go with a mechanical valve. Are there side effects of Coumadin that I should be aware of? If so, what are the common Coumadin side effects? Thanks for everything! Elissa”

 

 

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“Open Heart Surgery And Hair Loss?” Asks Tim

By Adam Pick on July 23, 2009

I just received a very interesting question about hair loss and heart surgery from Tim.

He writes, “Dear Adam – I had an aortic valve replacement and an aneurysm repair procedure done in February, 2009. Your book really helped me prepare for my surgery! Anyways, the operation and recovery went very well but now I seem to be losing my hair very rapidly. I am a 62-year old male that has been taking Propecia and using Rogaine for 20 years. Could it be the stress of the open heart surgery that is causing my hair loss? Has anyone else who has had this type of surgery had sudden hair loss like mine? Thanks, Tim”

 

Hair loss after heart surgery

 

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Two Great Questions About The Ross Procedure… From Duane

By Adam Pick on July 20, 2009

I give A LOT of credit to patients and caregivers that really, really, really, really do their homework prior to heart valve replacement or heart valve repair surgery. I can immediately tell from the questions you ask me just how diligent you’re being at each phase of the surgical process.

Case in point… Duane Schlosser (55 years of age) from Austin, Texas just sent me two interesting questions about the Ross Procedure and minimally invasive pulmonary valve replacements that I thought you might benefit from. That said, here is what Duane writes:

 


Duane Schlosser – Heart Valve Replacement Patient

 

Adam,

Thank you for your heart valve surgery book. It has helped me come to grips with my own situation. I am scheduled for aortic valve replacement in September via the Ross Procedure. I have a two-part question for you.

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Cordarone Before Heart Valve Surgery… Can You Help Bedora?

By Adam Pick on July 20, 2009

Bedora just sent me an interesting question about the use of Cordarone before heart surgery. If you are unfamiliar with Cordarone, this drug is used as an anti-arrhythmic. It works by stabilizing the heart rhythm in conditions in which the heart is beating too fast or in an irregular rhythm.

In her note, Bedora requests patient inputs specific to the use of Cordarone prior to surgery. Personally, I did not need to use Cordarone. Did you? If so, maybe you can leave Bedora a comment after reading her story?

 

Cordarone For Heart Surgery Patients

 

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After Fainting While Biking, Randy Is “Lucky To Be Alive”

By Adam Pick on July 10, 2009

Randy just sent me an email that made me think, “Wow! Scary! Oh My God! Phew! Good Move! Thank God! Great Job Dr. Werner! Way To Go Randy!”  That said, I thought you might like to read it…

Hi Adam,

I am a 52-year old male. About 10 years ago, I was diagnosed with a bicuspid aortic valve. Every year since then, I have been getting regular echocardiograms to monitor the valve. Up until last year, when I fainted while running with my daughter, I remained active – biking, racquetball and tennis.

 


Randy With Cheryl, His Wife – Two Days After Surgery

 

Last year, my echocardiogram showed a larger-than-normal increase in aortic stenosis. Since then, I have given up most of the sports I played but still enjoyed riding my bike… That is until June 15, 2009.

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The “Close To My Heart” Project – Part II

By Adam Pick on July 9, 2009

A few months ago, I posted a note about a special project for women heart surgery patients called the “Close To My Heart Project”. As you might remember, a Florida-based artist, Angelica Hoyos, was looking to create artistic portraits of female heart surgery patients.

The goal of Angelica’s project is to help women view heart surgery as something magical, not a terrible curse. It is  Angelica’s belief that the scar is a symbol of courage and inspiration. I completely agree!

Anyways, Angelica just emailed me an update with some pieces from the collection. I thought you might like to see how incredible women heart surgery patients can look post-operation. In my opinion, these portraits are… stunning.

The first portrait is of Aimee Jackson:

So you know, there will be a fund raising event this Saturday, July 11, from 7-10pm in Fort Lauderdale, Florida at the Pangae Lounge, 5707 Seminole Way. Here is the invitation if you are interested in attending. FYI, that is Debra North in the portrait on the invitation.

For more information, please contact Angelica Hoyos directly at (954) 665 3850.

Thanks Angelica!!!

Keep on tickin!
Adam

Dr. David Adams Named “Heart Valve Surgeon Of The Month”

By Adam Pick on July 7, 2009

All,

Thanks for your recent nominations regarding the selection of our next “Heart Valve Surgeon Of The Month”.

After reviewing your emails and comments, I am happy to announce that Dr. David Adams from Mount Sinai Hospital in New York City will be featured as the current “Heart Valve Surgeon Of The Month” at our Heart Valve Surgeon Finder.

 


Dr. David Adams – Heart Surgeon Of The Month

 

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