Adam's Heart Valve Surgery Blog – Page 66

“What About Mitral Valve Calcification?” Asks Kara

By Adam Pick on February 16, 2008

As many of you know, I had a congenital birth defect known as a bicuspid aortic valve. After thirty-three years of opening and closing, my two-cusp aortic valve became incredibly diseased with aortic stenosis and regurgitation. Ultimately, I had aortic valve replacement and pulmonary valve replacement. Following surgery, Dr. Vaughn Starnes (my surgeon) informed me that my aortic valve was very calcified as well.

That said, I just received an interesting question about mitral valve disease from Kara. Unlike most questions that focus on mitral valve prolapse and mitral valve regurgitation, this question focused on mitral valve calcification.

 

Calcium Deposits On Ring Of Mitral Valve Annulus

 

Kara’s question reads, “Can you tell me about mitral valve calcification? Do you have any pictures of a calcified mitral valve? What are the symptoms? What is the treatment of mitral valve calcification?”

As you can see above, calcification can impact mitral valves just as it can impact other heart valves. This picture illustrates the build-up of calcium along the annulus of the mitral valve. Ultimately, that impacts the integrity of the mitral valve to open and close properly. My research indicates that most symptoms of mitral valve calcification are similar to the symptoms of other forms of valve disease.

As for treatment of mitral valve calcification, that will be determined by your cardiologist and/or your surgeon. Primarily, there are two forms of surgical, mitral valve treatment – mitral valve replacement and mitral valve repair.

I hope that helps share some insight on mitral valve calcifcation.

Keep on tickin!
Adam

Multiple Choice Question: Waking Up With The Vent Tube Still In Is…

By Adam Pick on February 14, 2008

Heart Valve Surgery Pop Quiz Time!!!

Complete the following statement:

“Waking up in the intensive care unit after cardiac surgery with a ventilator tube still in your throat is…

  • A. “So much fun! I can’t wait to do it again!”
  • B. “Uncomfortable. Not being able to talk is somewhat dislocating.”
  • C. “The worst thing ever!”
  • D. “I don’t know! It was removed before I woke up.”

 

Patient On Ventilator Tube After Cardiac Surgery

 

And… The answer is.. “E”… It depends!

Continue reading this post »

Sergio And Maribel Are Off To Mexico City For Mitral Valve Replacement

By Adam Pick on February 14, 2008

Hola!

Over the past month, I have become friendly with Maribel and Sergio from Cancun, Mexico.

Sergio is the patient. At 54 years of age, his mitral valve needs to be replaced. Maribel, as you probably guessed, is his loving wife and caregiver.

 

Sergio Garzon - Mitral Valve Replacement Patient In Mexico

 

Today, Sergio and Maribel are leaving their home in Cancun for Mexico City. Sergio’s mitral valve replacement surgery is scheduled for this upcoming Monday. (To learn more about Sergio’s procedure, click here.)

As Maribel writes, “We are so nervous! You can imagine! But at the same time, your book was incredibly helpful because we feel prepared for the surgery. I hope the days go by rapidly. I just want to see the doctor getting out of the surgery and telling me everything is all right. That is my golden moment. I dream of that.”

With that thought in mind, here is to your ‘golden moment’ Maribel.

My prayers and thoughts are with you. Even though the surgery is on Monday, I am sending you great, big, healthy thoughts from Los Angeles right now! May Sergio’s surgery be completely uneventful! (Those are the best kinds of heart valve surgeries.)

Keep on tickin!
Adam

Your Questions Wanted For The 2008 Heart Valve Surgery Patient Survey!

By Adam Pick on February 13, 2008

Hi everybody,

As many of you know, I originally launched this website to help future patients and caregivers better understand the realities – the ups and downs – of heart valve surgery.

Now, two years later… It’s amazing to see what is happening in this community – as we gather to share our thoughts, feelings and fears about heart valve repair and heart valve replacement surgery. Global friendships are being made. Plus, among all things, patients are helping patients and caregivers are helping caregivers.

 

2008 Heart Valve Surgery Patient Survey

 

One of the most powerful tools we developed to learn more about the patient perspective was our 2007 Patient Heart Valve Surgery Survey. This unique survey of 78 patients, uncovered several interesting elements of the patient perspective that were not previously documented (at least in my research). For example, we learned a good deal about second opinions prior to heart surgery.

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Guest Blog: Dr. Eric Roselli (The Cleveland Clinic) Comments On Reoperative Valve Surgery Due To Problematic Stitches

By Adam Pick on February 13, 2008

I recently received a great question from Jennifer (a caregiver) who is researching heart valve surgery options for her mother-in-law. Specifically, Jennifer wanted to know more about valve reoperations due to undone (loose) stitches around a replacement valve.

Jennifer’s question was pretty technical and I did not have an answer. So, I contacted Dr. Eric Roselli, a leading heart surgeon from The Cleveland Clinic, to get his perspective.

 

Dr. Eric Roselli - Cardiac Surgeon

 

As you might imagine, Dr. Roselli had a thoughtful response to Jennifer’s question. That said, I thought you might like to read this patient case that was discussed via email earlier today.

Patient Background: In 1982, my mother-in-law (the patient) had her mitral valve replaced with a silastic heart ball valve (star Edwards no.4, model 6120, size 32mm) at Royal Prince Alfred Hospital in Sydney. Unfortunately, some of the stitches holding the valve in place seem to have torn away or come undone (according to her specialists), during the past 26 years.

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Open Heart Surgery Diagram After Chest Incision And Sternotomy

By Adam Pick on February 12, 2008

Every few days, I see a picture or image on the Internet that REALLY captures my attention. Many times, those pictures are diagrams and illustrations that relate to heart valve surgery.

As I remember it, before my aortic valve replacement and pulmonary valve replacement surgery, I had a difficult time grasping what actually occurs during the operation.

 

Open Heart Surgery Illustration

 

That said, I have included many pictures, drawings and images in this blog (and in my book) to help you better contemplate what occurs during the pre- and post-operative heart valve replacement or heart valve repair experience.

Your responses have so far been very positive. So, I am going to continue posting many more pictures – including human heart diagram, animated anatomy of heart functioning, mitral valve replacement diagram and more.

Above, you will see a very interesting diagram of the patient’s chest following the incision and median sternotomy – the sternum is already broken. As you can see, the surgeon now has full access to operate on the heart once the patient is placed on the heart-lung machine (bypass) if required. Then, the heart can be stopped, cooled and then fixed!

I hope you don’t think this is too gruesome. I found it educational and thought you might like to see an open heart surgery illustration of the chest during surgery. If you would prefer not to see stuff like this, please leave a reply below.

Keep on tickin!
Adam

Diagram of Mitral Valve Replacement With Mechanical Valve

By Adam Pick on February 1, 2008

I don’t know about you…

But when my first cardiologist, Dr. Bad Bedside Manner, told me that I needed open heart surgery due to my defective bicuspid aortic valve… I went into mini-shock.

Then, the stoic doctor, with the red nose, rapidly spewed a flurry of foreign words at me: calcification, leaflets, narrowing valve stenosis, regurgitation, normal ejection fraction, blah, blah, blah, blah.

“Enough medical mumbo-jumbo!” I remember thinking as Dr. Bad Bedside Manner continued to tell me that death was lurking in my future. “Please show me what you are talking about!”

 

Diagram Of Mitral Valve Replacement In Place

 

Continue reading this post »

After A Mitral Valve Repair With Complications… Leslie Is Home!

By Adam Pick on January 31, 2008

Hey everybody,

Good news!

Leslie is home following her mitral valve repair. (You may remember a blog that featured Leslie as she was preparing for robotic mitral valve repair.)

 

Leslie - Mitral Valve Repair Patient

 

After five days at UCLA Medical Center, Leslie has now entered the recovery phase of heart valve surgery. Below, you will find an interesting account of her surgery which was longer than most surgeries due to some cardiac surgery complications that were fixed during surgery. Great job Dr. Shemin! To learn more about Dr. Shemin, click here.

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Here I Come Dr. Vaughn Starnes

By Adam Pick on January 29, 2008

After the annual check-up with Dr. Rosin (my cardiologist), it was time to venture back to USC’s Medical Center to see Dr. Vaughn Starnes (my heart surgeon), for part two of my annual check-up.

I have to admit…

The fact that Dr. Rosin was happy with my recent echocardiogram results made the sixty-minute drive to USC rather pleasant for a change. I can remember many, other drives to USC that were drenched in fear, anxiety and doubt due to my much-needed heart valve replacement surgery.

 

 

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Prayer Before Heart Surgery: My PF Chang’s Experience

By Adam Pick on January 29, 2008

So you know…. I am not the best when it comes to organized religion.

I would say that I am more spiritual than religious. I do believe there are higher powers that tie us all together. And, I do believe the molecular meatpack, we call our body, offers us a special opportunity to create something meaningful during the seventy or eighty years that most of us traverse the Earth.

Okay. I just wanted to make sure you knew where I was coming from before I dive head-first into the topic of prayer before heart surgery.

 

 
 

Religion, Prayer & Heart Surgery

Just before my aortic valve replacement, my Uncle Marc advised me that prayer before surgery was not a bad idea. Marc is more than an uncle to me. Marc is a mentor in many aspects of my life.

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How To Interview Your Potential Heart Surgeon?

By Adam Pick on January 28, 2008

As you may be learning or have already learned…

Finding your surgeon is a critical process that requires due diligence and, at times, tenacity. That said, there are many tactics you can use to locate and select the right heart valve surgeon for you.

In my opinion, one key ingredient in the surgeon selection process is the heart surgeon interview. Personally, I interviewed several heart valve surgeons prior to picking Dr. Vaughn Starnes for my aortic valve replacement.

 

Interviewing Your Potential Heart Surgeon

 

Recently, I was reading the Wall Street Journal when I came across an interesting article about the challenges of asking surgeons tough questions.

This article was appropriately titled Asking Your Surgeon The Tough Questions. It’s a pretty good article that provides some interesting thoughts and references, so I linked over to it for your review (if you like).

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Guest Blog: Debbie Hurd, Six Weeks After Heart Valve Surgery

By Adam Pick on January 28, 2008

I will be the first to admit… The rewards from publishing this blog and my book are more positive than anything I have ever experienced before.

Actually, it is a privilege to help patients and their caregivers through their heart valve repair or valve replacement surgery experience.

That said, I recently received an email from Debbie Hurd. Debbie is now six weeks post-surgery. As you can read below, Debbie is doing very well even though she has experienced some patient complications following heart surgery.

 

Debbie Hurd - Heart Valve Surgery Patient

 

Still, Debbie’s attitude is positive and her will is strong. I found her words insightful, so with her approval, I have posted them here for us all to consider and learn from.

Continue reading this post »

Aortic Root And Aortic Valve Replacement – Taylor Shares Lots Of Good Information

By Adam Pick on January 24, 2008

This is just great.

Earlier today, JD emailed me several questions about aortic root and aortic valve replacement. As many of you know, I did not have aortic root replacement (I had the Ross Procedure), so I couldn’t really comment on all of JD’s questions.

However, a friend of mine, Taylor Browning, had an aortic root and an aortic valve replacement in 2007. That said, I forwarded JD’s questions over to Taylor.

 

Diagram Of The Aorta

 

Wow! Talk about a response! Taylor went above-and-beyond the call of duty to support J.D. as he prepares for surgery. First, I will post JD’s email and then I will post Taylor’s reply about about this unique, heart valve surgery that Taylor personally experienced just one year ago.

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True or False: I Lost My Job Because Of Heart Valve Surgery

By Adam Pick on January 23, 2008

Yesterday, I received a fearful email from Janice – a very concerned caregiver and mother. Janice’s daughter is preparing for heart valve surgery.

In her email, Janice noted that her daughter is planning on returning to work just 3-4 weeks after surgery. She also noted that her daughter is nervous that she might lose her job because of the medical leave-of-absence.

I wasted no time in immediately responding to Janice for several reasons:

First, I have been through double heart valve replacement. That said, I know that the recovery from cardiac surgery should not and can not be rushed. Healing is a very personal and individual process.

 

Survey About Returning To Work After Heart Surgery

 

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Your Cardiovascular Disease Treatment – Best Hospitals And Best Surgeon Research

By Adam Pick on January 22, 2008

I’m not sure about you…

But, as I prepared for my heart valve surgery, one of the many critical questions I wanted to answer was, “Which are the best heart care facilities?” and “Who are the best heart valve surgeons?”

 

 

I did ALOT of research on the topic of cardiovascular disease treatment – best hospitals and surgeons. (So you know, I consider heart valve disease in the realm of cardiovascular disorders although others may consider the term isolate to arteries and veins.)

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Aloha! Now, Sunblock Your Chest Scar Incision!

By Adam Pick on January 22, 2008

One of my readers / friends, Taylor Browning, is traveling to Hawaii for a vacation with his wife Michelle. (If you want to learn about an amazing recovery from aortic valve & root replacement, click to read Taylor’s inspiring heart surgery recovery.)

That said, Taylor just asked me about taking care of his chest incision in the hot, sunny and tropical weather of Hawaii after heart surgery. Specifically, Taylor noted in his email, “I plan on applying some heavy-duty sunscreen to the incision scar itself but wanted to see what you did given your proximity to the beach!”

First off, I’m jealous. I need a vacation!!! “CAN I COME TAYLOR?”

Second, here’s a picture of me ten months after my double heart valve replacement surgery.

 

Heart Surgery Scar Sunblock After Heart Surgery Incision

 

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Celebrities With Endocarditis… Help!

By Adam Pick on January 20, 2008

Recently, I received an interesting question about bacterial endocarditis. The question was, “Adam: Do you know of any celebrities with endocarditis?

It’s a good question. I remember when I first learned that I would need heart valve replacement surgery, it helped to know there were many, many, many, many public figures who had experienced heart valve surgery and continued to live a full, dynamic life afterwards.

 

Bacterial Endocarditis Infection Of Heart Valves

 

As for a particular celebrity with endocarditis (the heart valve disease), I unfortunately do not know of any. Sorry.

That said, I didn’t give up. So, I did what most people would do – I “Google’d” it.

Continue reading this post »

Leslie Readies For Robotic Mitral Valve Repair

By Adam Pick on January 12, 2008

There’s nothing better than helping patients and caregivers prepare for and recover from heart valve surgery. The stories of Jim Bonk, Taylor and Michelle Browning, and Kathy Benson are both inspirational and heart-warming.

Over the past two months, Leslie Lafayette (pictured below) and I have emailed back and forth about the fears, the risks and, of course, the pain of cardiac surgery.

Together, we have settled those fears and doubts – even the overwhelming concern about the vent tube post-surgery, right Leslie?

Well…. I just want to let you all know that Leslie has selected a heart valve surgeon, a heart valve procedure and an official date for her mitral valve repair. I have to give Leslie a lot of credit. Her research, specific to her upcoming operation, has been incredibly detailed.

Early this week, I received another interesting email from Leslie that shares her unique, patient perspective about her mitral valve surgery. I thought you might like to hear some of the steps that Leslie is taking to prepare for heart valve surgery.

 

 

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How To Prepare Yourself For Some Frustration… Before, During And After Surgery!

By Adam Pick on January 12, 2008

Many patients and caregivers say that heart valve surgery can be similar to a roller-coaster. There are emotional and physical “ups”. And, there are emotional and physical “downs”.

Looking back on my surgery, I completely agree with that roller-coaster analogy.

In addition to the fear… In addition to the uncertainty… In addition to the doubt.

I, like many patients, experienced waves of the “F” word. Ahem! Not that “F” word. The “Frustration” f-word.

I was frustrated with my insurance company. I was frustrated with my first cardiologist and his horrible bedside manner. I was frustrated with the heart surgeon selection process. I was frustrated with the valve selection process too.

 

 

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Laughter Is Best Medicine For Your Heart!

By Adam Pick on December 21, 2007

Happy Holidays Everybody!

This is way off-topic and a little (well more than a little) distasteful…

But…

One of the best cliches you will ever hear in life is, “Laughter is the best medicine.” I completely agree with it. That said, I thought you might enjoy some holiday humor if you are currently experiencing heart valve surgery recovery or just need a good chuckle!

I hope you enjoy!

 

 

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