Adam's Heart Valve Surgery Blog – Page 53

“Are Pleural Effusions Common After Heart Valve Surgery?” Asks Jan

By Adam Pick on October 10, 2009

Jan just sent me an interesting email about pleural effusions and heart valve surgery.

In her note, Jan writes, “Dear Adam, I am the caregiver of my 59-year old brother who had aortic valve replacement (with a bovine valve) at Vanderbilt University Hospital on July 13, 2009.  The valve itself has done okay but he has been in-and-out of the hospital twice since surgery. Fluid continues to collect between his chest wall and right lung. The fluid has been drained twice. Is this common? Thanks, Jan”


Pleural Effusion After Open Heart Surgery


It sounds to me like Jan’s brother is experiencing a post-operative complication known as a pleural effusion.

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Elizabeth Taylor’s Heart Valve Surgery, A MitraClip Success Story

By Adam Pick on October 10, 2009

Elizabeth Taylor just announced that her heart valve repair was successful, adding that “it is like having a brand new ticker.”

The message on her Twitter page comes two days after she announced she was having heart surgery at an undisclosed hospital to repair a leaky heart valve. In a short message, the Oscar-winner thanked fans.


 Elizabeth Taylor


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“Heart Valve Leakage After Surgery?” Asks Julie

By Adam Pick on October 8, 2009

I just received an excellent question from Julie about trace heart valve leakage after surgery.

Julie writes to me, “Hi Adam – My husband, who had mitral valve prolapse surgery on October 31, 2008, went for the annual check-up with his cardiologist. In review of the echocardiogram results, we were told that there was slight leakage in the mitral valve. The cardiologist told us that it was okay. But, when I asked him if the valve could require surgery again, he said that was possible. Do many patients experience heart valve leakage after surgery. Thanks, Julie and Jon!”

I can directly relate to the concern and worry that Julie carries regarding the trace regurgitation in Jon’s mitral valve.



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Video: Can Stem Cells Transform Into Heart Valves?

By Adam Pick on October 8, 2009

Considering my fascination with medical technology, I recently came across an interesting video about the use of stem cells to create heart valve replacements for the treatment of valvular disorders including aortic stenosis and mitral regurgitation. That said, I thought you might find this video very interesting:



In the past, I have written several stories about stem cell use for heart valve development. Here is one story which chronicles Dr. Magdi Yacoub’s ongoing research about heart valve replacements generated by stem cells.

Keep on tickin!

After Insurance Switch, Bobbie Gets Successful Heart Valve Repair By Dr. Greg Fontana

By Adam Pick on October 8, 2009

I just received a great patient story from Bobbie Ayala about insurance providers, misdiagnosis, her procedure and Dr. Fontana. Without further ado, here is what Bobbie wrote me:

Adam,  I have been reading your book and following the stories in your blogs for over a year.  The information that I received dispelled many of the fears I had about heart surgery.  I want to share my experience with you.

I am a 57 year old female.  I was diagnosed with aortic regurgitation and I also had a 75% colluded coronary artery.  I had seen a cardiac surgeon at Kaiser and he was absolutely no help.  His recommendation was to “wait and see”.  Furthermore, he made some comments to the effect that if I wanted surgery he could schedule it next week.  For the record his name was Dr. Pfeiffer (do not recommend).  Anyway, the experience was to say the least scary and awful.  Then I started reading your book and following your blog.  I realized that maybe this surgeon was also incorrect.


Bobbie Ayala After Heart Valve Surgery


In July, I was able to change my insurance from Kaiser to Blue Cross Anthem.  With my new insurance, I could choose the doctor and hospital I wanted.  First, I checked out the best Heart Hospitals in the United States and determined locally, the best was Cedars Sinai.  (I also contacted one of the doctors at Cleveland Heart Institute and was given the advise, “Do not wait!”)

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“Problems Sleeping After Heart Valve Surgery?” Asks Jenny

By Adam Pick on September 30, 2009

I just received a great question from Jenny about sleep after heart valve surgery.

Jenny writes, “Adam, I had mitral valve replacement seven days ago for regurgitation. I’m struggling a bit as I deal with the some of the post-operative challenges you address in your book. I’m really having an issue getting a good night of sleep. Sleeping at the hospital was tough enough. But, it’s gotten worse since I came home. I feel like a Zombie. And, the night sweats continue. Is this common? Thanks, Jenny”



Over the years, I have spoke many patients – especially tummy sleepers – that have expressed several sleep problems following heart valve surgery. Some of those problems include:

  • Inconsistent sleep, waking up often
  • Insomnia
  • Night sweats
  • Discomfort getting in and out of bed
  • Heart pounding noises
  • Mechanical valve replacement clicking

Finally, some patients may have an adverse reaction to medication intended to enhance sleep. Personally, I had a very, very, very strange reaction to Ambien. One night, after taking a 10mg Ambien pill, Robyn (my wife) found me sleepwalking through our house. When Robyn approached me, I responded to her as if I was a character in a book that I was reading. When I woke up the next morning, I had no memory of the episode. Needless to say, that was the last time I took Ambien.

As many former patients read this blog, maybe they can share their thoughts on this topic. Did you experience any problems sleeping after heart valve surgery? Scroll down to post a comment!

I hope this helps Jenny (and perhaps you) learn more about sleep after heart surgery.

Keep on tickin!

More About Traveling To The Cleveland Clinic For Heart Valve Surgery

By Adam Pick on September 30, 2009

As you may have seen, the recent post, Did You Travel For Heart Valve Surgery?, has generated a lot of interest and response – as over 25 patients and caregivers have commented.

I have also received several emails from patients wanting to know more about traveling to The Cleveland Clinic for heart valve repair and heart valve replacement surgery.

That said, I called The Cleveland Clinic on Monday to better understand the scale and scope of patients traveling to the world’s number one cardiac care center. I learned three great factoids (from their patient education team) that you might find interesting. For 2008:

  • More than 50% of Cleveland Clinic patients reside outside the state of Ohio;
  • Patients from 89 countries came to The Cleveland Clinic for cardiovascular care; and
  • Patients from all 50 states came to The Cleveland Clinic for cardiac surgery.

I hope this information helps you learn more about the patient profile at The Cleveland Clinic. To get direct patient feedback about surgeons at The Cleveland Clinic, please visit our Heart Surgeon Database.

Simply type “Cleveland” into the city search field. The search results will share actual patient experiences with the following cardiothoracic surgeons – Svensson, Roselli, Gillinov, Mihaljevic, Smedira, and Pettersson.

Keep on tickin!

Ironic: Vegetarian Kept Alive By Pig Valve Replacement?

By Adam Pick on September 30, 2009

I guess this patient success story would classify as ironic.

According to The Scottish Sun, a vegetarian teenager from Scotland, who was suffering from a rare cardiac condition, is now being kept alive by a pig heart valve replacement.



Robyn Cairney, 18, of Ruckazie, Glasgow was diagnosed with aortic stenosis and regurgitation after she collapsed at the gym. Over time, the condition caused her aorta to narrow, which allowed blood to dangerously flow back to her heart. The most common symptom is shortness of breath with exertion, resulting in some patients feeling “out of shape,” according to the American Heart Association.

“It came totally out of the blue,” Cairney told The Sun. “I was at the gym and became unwell during a mile run. I couldn’t breathe and wouldn’t stop coughing. Then my lips started turning blue and I knew that something was seriously wrong.”

When the valve becomes excessively obstructed or leaky, the valve must be repaired or replaced.

“The doctors told me that I would need to have a valve taken out and replaced by one from a pig,” Cairney said. “It was a bit of a shock being a vegetarian, but I realized it was a life or death choice. Obviously everyone is going to pick life, so now I’m a vegetarian being kept alive by a pig.”

Cairney was fitted with the pig’s valve during open heart surgery at the Golden Jubilee Hospital near Glasgow. This type of valve replacement could last for 20 years. Cairney may have to undergo surgery in the future to have a mechanical valve fitted.

“I’m just glad I can get on with my life now and am determined to make the most of everything I do,” she added.

Keep on tickin’ Robyn!

“Did You Travel For Heart Valve Surgery?” Asks Carol

By Adam Pick on September 25, 2009

I just received a great question from Carol about traveling for heart valve surgery.

She writes, “I have concerns about choosing a hospital that is highly regarded for heart valve replacement surgery but out of town. Have any of your readers traveled significant distances for their surgeries? Were there any problems? How did they handle follow-ups? Thanks, Carol”



Carol raises a very good point. In fact, her email reminded me of my gut reaction when I was diagnosed with severe aortic stenosis and told I needed surgery.

“Even though I live in California, I’m going to The Cleveland Clinic or The Mayo Clinic!” I thought to myself. “No messing around… I want the best surgeon… That surgeon must be in Ohio or Minnesota.”

So you know, that is a very, very, very common thought among many of the patients and caregivers I have spoken with over the years. Interestingly enough, that thought often turns into reality for some patients. So you know, I recently learned that over 50% of heart surgery patients at The Cleveland Clinic are not residents of Ohio (e.g. Robin Williams).

However, when I took the time to research and evaluate surgeons for the procedure I wanted, I found some heart valve gurus right in my own backyard. As I live in Los Angeles, I located several, highly regarded surgeons within 10 miles from my home – including Dr. Starnes (USC), Dr. Trento (Cedars) and Dr. Shemin (UCLA).

I admit, I was lucky. This is often not the case for many, many, many, patients out there. As a result, patients must travel – by car, by plane – to have surgery done.


Mary Billings – Heart Valve Surgery Patient
(Traveled From Fiji To Los Angeles)


In fact, I know patients from Fiji, Trinidad, Somalia, The Philippines and Malaysia that have traveled to the United States for surgery. Recently, I featured a story about Patrick’s journey to The Cleveland Clinic from Brazil.

The points I am trying to make are two-fold.

  • First, each patient case is unique. Please take the time to evaluate your surgical needs. Then, research the surgeons and hospital that provide the best care for you.
  • Second, traveling for heart valve surgery does occur – and, quite frequently. That said, many hospitals have services to make your pre- and post-operative time very manageable.

I believe several of our readers did, in fact, travel for their heart surgery. If you are one of them, can you help Carol? Simply scroll below to post a comment or read other patient posts.

Keep on tickin!

“Did You Use A Recliner After Heart Valve Surgery?” Asks Kevin

By Adam Pick on September 19, 2009

I just received an email from Kevin about the use of recliners after heart valve surgery.

Kevin writes, “Hi Adam – At 58 years of age, it’s finally time to get the valve fixed. My aortic stenosis is now severe so I’m preparing for the surgery – both mentally and physically. One quick question for you… Does it make sense to use a recliner instead of regular bed during the early part of the recovery? I hear it can be pretty painful getting out of a regular bed. Thanks, Kevin”

This is a fantastic question for patients and their caregivers to consider. Plus, I give Kevin a lot of credit for proactively thinking about what happens when patients return home from the hospital. By the way, to learn more about stenotic aortic valves, click here.



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“How Many Ross Procedures Each Year?” Asks Evelyn

By Adam Pick on September 13, 2009

I just received a question about the Ross Procedure for aortic valve replacement from Evelyn.

She writes, “Adam – The stenosis in my aortic valve is getting worse and I’m starting to feel the symptoms. My valve has been upgraded to severe stenosis from moderate status and it looks like surgery is in my future. I’m investigating my options and considering the Ross Procedure. By chance, do you know how many Ross Procedures are performed each year? Thanks, Evelyn”

Evelyn raises a great question. In fact, when I first learned of the Ross Procedure, as an alternative to traditional approaches, I thought to myself, “Sound goods. But, what is the surgical success rate of the Ross Procedure? And… How many of those procedures have been done?”



Continue reading this post »

From Brazil to Cleveland, Patrick Fights For Minimally Invasive Surgery

By Adam Pick on September 11, 2009

One of the critcal learnings from my heart valve surgery experience was:

The patient (or their caregiver) must, at times, be tenacious. We must, at times, ask questions that may or may not be silly. We must, at times, stand up for ourselves and our hearts. Ultimately… we must, at all times, be our own, best advocate.

I am reminded of this belief as my inbox is often filled with patient and caregiver emails that radiate frustration and confusion. Many of these emails begin, “Adam, I really need to vent right now. I’m having problems with __________.” However you chose to fill-in that blank, I can relate.


Patrick Hightower – Heart Valve Surgery Patient


Recently, I received a patient story that illustrates just how far certain patients and caregivers will go to get the best care. Here, for your review, is the educational and inspirational story of Patrick Hightower:

Continue reading this post »

The MitraClip Gets Gobbled Up By Abbott

By Adam Pick on September 11, 2009

Since my heart valve surgery, I have been fascinated by the strategic, corporate acquisitions of leading device manufacturers in this industry.

In fact, I began writing about the ongoing consolidation of heart valve manufacturers years ago. As of late, the “urge-to-merge” has really focused on the minimally invasive technologies for both heart valve repair and heart valve replacement.

That said, it was somewhat expected that a company like Evalve, with its MitraClip technology for mitral regurgitation, would be acquired. However, for some reason, I didn’t think that Abbot Laboratories would be the gobbler. I thought Edwards or Medtronic or St. Jude might be the buyer. (Then again, I think Abbot was one of Evalve’s investors.)



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Remembering Scotty

By Adam Pick on September 11, 2009

Waking up today is never easy.

When I see the September 11 on my clock, I know I need to stop and think.

I also need to… remember.

Specifically, I remember Scott Weingard, my friend and fraternity brother. Among all the goodness in Scotty, he had an infectious laugh (more like a giggle) and positive outlook on everything. Scottie radiated possibility – both on and off the basketball court.



Today, like many days, I am thinking about Scotty. My prayers are with him, his family, our friends. To learn more about Scotty, please visit the Scott Weingard Memorial Website.

Keep on tickin!

Fantastic Video: Dr. Gaudiani Discusses Surgical Outcomes (Part I)

By Adam Pick on September 10, 2009

Dr. Vince Gaudiani has provided us with several insightful videos in the past. As you might recall, we recently featured Dr. Gaudiani’s two-part video series about heart valve surgery. Given Dr. Gaudiani’s 25-year career as a cardiac surgeon, this video was applauded by our patient and caregiver community.

Yesterday, I learned from Dr. Vince Gaudiani that he has created a new video titled, “How To Think About Surgical Outcomes?” Considering our ongoing discussion about (i) how to manage patient expectations and (ii) how to prepare for surgery, I found this video very, very, very interesting.



Above, you will find the first part of the video. In the next few days, I will post the second part. Simply press the play button and make sure the volume on your computer is on.

Thanks to Dr. Gaudiani for taking the time to share his unique experiences, thoughts and data. It should be no surprise that if you visit our Heart Surgeon Database, Dr. Gaudiani has received several glowing reviews from our patient community. (Just type “Gaudiani” in the last name search field.)

Keep on tickin!

“Dizzy After Heart Valve Surgery?” Asks Rick

By Adam Pick on September 9, 2009

I just received a very interesting question from Rick about dizziness after heart valve surgery.

Rick writes, “Adam – On August 7, 2009, I had mitral valve repair surgery. Two weeks after surgery I am home and walking four times per day around our neighborhood. Everything feels good except when I first stand up from a sitting position.  I get dizzy even when I stand up slowly. Do other patients experience this? Thanks, Rick”



To answer Rick’s question, I can share that I too had bouts of dizziness after heart valve replacement surgery. The dizzy spells were very similar to how Rick described it… When standing up, I would become slightly off-balance for one or two seconds. To learn more about dizziness after open heart surgery, I did some research. According to MedHelp, “Dizziness is not a common post-operative problem in patients who have had heart valve replacements, so this problem may be unrelated to the valve surgery.”

That said, The Society of Thoracic Surgeons (STS) suggests that “being dizzy” after heart surgery may be related to medication. The STS notes that medicines used in the hospital can cause several side effects. The STS then lists a series of side effects (shown below) which explicitly includes “dizzy or lightheaded when standing”:

  • Excessive nausea, diarrhea, constipation, or stomach pain
  • Vomiting
  • Dizzy or lightheaded when standing
  • Confusion
  • Tingling in hands and feet
  • Extremely slow or fast pulse
  • Skin rash
  • Unusual bruising or bleeding

If you are reading this and you already had heart valve surgery, I’m curious… Did you experience any issues with dizziness following heart valve surgery? Scroll down to leave a comment and you can also read over 250 patient comments.

Keep on tickin!

Trivia Time: How Many People Are Diagnosed With Heart Valve Disease Annually?

By Adam Pick on September 9, 2009

Okay. It’s time for some good ole’ heart valve trivia.

The question is, “How many people are diagnosed with heart valve disease each year in the United States?”


a. 300,000 people
b. 500,000 people
c. 3,000,000 people
d. 5,000,000 people
e. 30,000,000 people


According to a recent, population-based study, published in The Lancet Online, about 5 million Americans learn they have heart valve disease each year.

That is a lot of people, right?

For those of you who were recently diagnosed with a valvular disorder (e.g. aortic stenosis and mitral valve regurgitation), this is one more piece of information intended to comfort you… You are not alone. Trust me, you are not alone.

Myself and the patients and caregivers who visit this site are here to help!

Keep on tickin!

In Arizona… Bruce Friedman, 76, Praises Dr. Jack Copeland After Mitral Valve Repair

By Adam Pick on September 8, 2009

There is nothing better than clicking my inbox and reading a patient success story from one of my readers! Thanks Bruce!

Hi Adam,

Just a note to give you a fast update.

Prior to my mitral valve repair on the 17th of August, we did a lot of endless research – including online information from The Cleveland Clinic, a few New York Hospitals, and, we read your book and subscribed to your blog.


Bruce Friedman, Heart Valve Surgery Patient
Bruce Friedman – Heart Valve Repair Patient


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The Top 25 Heart Valve Manufacturing Brands

By Adam Pick on September 8, 2009

In case you missed it, Research and Markets just published their “Top 25 Manufacturers of Heart Valve Repair And Heart Valve Replacement Devices” for 2009 (shown below).

Given my ongoing interest in this market, I was intrigued by the vast assortment of company names on this list. Some of these brands were new to me. And, given the ongoing consolidation of this industry, some of the brands referenced were very familiar.

Personally, I find the power of brands ab-sooooo-lutely fascinating. In business school, I attended many classes that focused on strategic brand management and its impact upon customers, the competition and success metrics. For example, I am always amazed when I review a valuation analysis of the world’s number one brand, Coca Cola. Did you know, in 2005, the Coke brand was valued at over $70 billion dollars? (The second most popular brand, Microsoft, was valued at $59 billion.)



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What Is Your “Best Piece Of Advice” For Future Patients?

By Adam Pick on September 8, 2009

Hey everybody,

I could really use your help… I’m just finishing up the 2010 revision to my book, The Patient’s Guide To Heart Valve Surgery.

As many of you know, one of the current chapters in the book is titled “The Best Piece Of Advice”. In this chapter, I feature thoughtful comments, tips, tactics, tricks and strategies from many former heart valve surgery patients.

Needless to say, it’s a great chapter with some valuable ideas. That said, I wanted to add some more quotes from those who have already had heart valve repair and heart valve replacement surgery.

So… What is your “Best Piece Of Advice” for future patients and caregivers? To answer that question, simply below to leave a comment. (Or, you can scroll down to read 15+ responses from recent patients and caregivers.)

In advance, thanks for taking the time to help out!!! Who knows… Maybe your ideas will be featured in the new edition of the book? 🙂

Keep on tickin!

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