Adam's Heart Valve Surgery Blog – Page 68

I really appreciate patients that actively prepare their caregivers and their support group for heart surgery.

Earlier today, I opened an email from Shirley that reads, “Adam – At 62, my prolapsed mitral valve is worn out. I’m going in for surgery to replace my mitral valve next week. I want my husband and children to know how long they may be in the waiting room… So, how long does heart valve surgery take usually?”

The really tough part about answering Shirley’s question is that there are many variables to each, particular heart valve surgery. For that reason, my standard response to this question is, “It depends.”

For example, my double heart valve surgery lasted 3.5 hours from the time I entered the operating room to the time I “checked-in” to the intensive care unit (ICU). Alternatively, I know of several patients that had surgeries well over 10 hours due to heart surgery complications.

That is why I hesitate to give a specific answer to the question, “How Long Does Heart Valve Surgery Take?”. However, if I was really pressed to answer this question, I would estimate between 3 and 5 hours.

Keep on tickin!
Adam

Angie just made a big decision. After researching her options and talking with several patients and surgeons, Angie has selected a mechanical aortic valve replacement for her diseased, bicuspid valve that suffers from severe stenosis. (To learn more about bicuspid valves, click here.)

She writes, “Hi Adam – I never thought it would be so hard to pick between a mechanical or bioprosthetic valve replacement, but it was. Considering my age and fear of another heart surgery, I’m going for the mechanical! Now, the question becomes, which is the best mechanical aortic valve replacement for me. Any thoughts? Thanks, Angie.”

This is a tough question. In fact, it is a question I try not to answer considering that many surgeons have “valve replacement favorites” after several years of clinical work. However, this blog is about educating patients and caregivers about heart valve surgery. That said, I will reference a number of different mechanical aortic valve replacement operation devices below.

Here is a picture and link to Medtronic’s Hall Easy-Fit Mechanical Prosthesis:

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Josie just wrote me an interesting email about sternum wires. She asks, “Adam – I’m eight-weeks post-op and, like you, suffering from on-going chest pain. Plus, my skin is sensitive. By chance, have you ever heard of a patient experiencing an allergic reaction to the sternal wires after heart surgery?”

My immediate answer to Josie’s question was a simple no. However, after doing some research there are a few instances in which patients have suffered from allergic reactions to the wires that hold the sternum in place after cardiac surgery.

Dr. Takazawa from Juntendo University in Japan states, “To our knowledge, this is the first reported case of a manganese metal allergy to stainless steel wire. A 51-year-old man suffered from a refractory pruritic erythematous wheal after the insertion of a stainless steel wire. The patch test showed strong reactions to manganese, one of the constituents of stainless steel wire. After the removal of all stainless steel wires, the symptoms were much improved, except for mild pruritus on his face.”

Interesting right?

Keep on tickin!
Adam

According to reports, aortic valve stenosis is relatively common problem effecting 2% of people over the age of 65, 3% of people over the age of 75, and 4% of people over the age of 85. One of the major causes of stenosis is the calcification of the aortic heart valve. This is especially likely to occur in people with a bicuspid aortic valve, but also occurs as a result of age-induced ‘wear and tear’.

Typically, aortic stenosis due to calcification of a bicuspid valve occurs in the fourth or fifth decade of life. Whereas, aortic stenosis — due to calcification — of a normal valve tends to occur in the seventh or eighth decade of life. To learn more about aortic stenosis, click here.

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Jerry just wrote me asking, “Did you have a cat scan after your open heart surgery?”

Hmmm. I have to admit, I don’t remember having a cat scan after my aortic valve replacement surgery. However, I did have a bunch of x-rays taken after the operation. In fact, I was taken to Radiology every morning following my aortic valve surgery.

If you are interested to learn more about cat scans, here is some good information from RadiologyInfo.org.

• CT scanning—sometimes called CAT scanning—is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions.
• CT imaging uses special x-ray equipment to produce multiple images or pictures of the inside of the body and a computer to join them together in cross-sectional views of the area being studied. The images can then be examined on a computer monitor or printed.
• CT scans of internal organs, bone, soft tissue and blood vessels provide greater clarity than conventional x-ray exams.
• Using specialized equipment and expertise to create and interpret CT scans of the body, radiologists can more easily diagnose problems such as cancers, cardiovascular disease, infectious disease, trauma and musculoskeletal disorders.

I hope that helps explain more about cats scans after heart surgery.

Keep on tickin!
Adam

On the topic of cognitive decline after heart valve surgery, Dan and I just had the following email exchange:

Dear Adam,

I recently purchased your book and have been reading your newsletter. I find both very helpful and encouraging. I thank you for your efforts and concern for others who are going through experiences similar to yours.

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I just received an email from Ken – a fellow patient who had aortic valve replacement surgery earlier this year. Like many heart surgery patients, Ken experienced a complication after heart surgery. Specifically, Ken had an issue with Dressler’s Syndrome. If you are unfamiliar with Dressler’s Syndrome, I have provided some information below from the Mayo Clinic:

• Dressler’s syndrome is a complication that can occur following a heart attack or heart surgery. It occurs when the sac that surrounds your heart (pericardium) becomes inflamed. An immune system reaction is thought to be responsible for Dressler’s syndrome, which can develop several days or weeks after heart injury.

• Dressler’s syndrome causes fever and chest pain, which can feel like a heart attack. Also referred to as postpericardiotomy and postmyocardial infarction syndrome, Dressler’s syndrome is easily treated with medications that reduce inflammation.

• With recent improvements in the medical treatment of heart attack, Dressler’s syndrome is far less common than it used to be. However, once you’ve had the condition, it’s likely to recur, so it’s important to be on the lookout for any symptoms of Dressler’s syndrome if you’ve had a heart attack, heart surgery or other heart injury.

• Your doctor can diagnose Dressler’s syndrome from the classic signs and symptoms, listening to your heart and sometimes using blood tests. Other diagnostic tests may also include an echocardiogram or EKG.

• Complications of Dressler’s syndrome are cardiac tamponade, constrictive pericarditis, pleurisy and pleural effusion.

• Mild cases of Dressler’s syndrome may get better on their own without treatment. Your doctor may recommend bed rest until you’re feeling better. More severe cases require medications to reduce the inflammation around your heart. Sometimes hospitalization is necessary.

I hope this helps you learn more about the post-operative complication known as Dressler’s Syndrome.

Keep on tickin!
Adam

Following his recent mitral valve repair, Larry just sent me a glowing report about his minimally invasive procedure in which Doctor Richard Shemin (UCLA) used the Da Vinci robot. Here are the details from Larry…

Hi Adam,

I had mitral valve repair surgery along with replacing the two cords that hold the mitral valve in place with Gore-Tex cords. The operation was six hours long. Your readers should know that I had this procedure done by the da Vinci robot manufactured by Intuitive Surgical. The surgeons did not have to open up my chest, but only three little incisions on my side. From the moment I woke up from surgery, I have had zero pain and have taken no painkillers. If the patient is a candidate for robotic mitral valve repair surgery, the procedure is as good as the normal surgery of opening up your chest, and the recovery makes it 100% better.

Da Vinci Surgical System

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As you can read below, Charlotte is dealing with a unique patient condition. In her email, Charlotte asks me whether or not I know of any patients with a similar diagnosis. Unfortunately, I don’t. That said, I thought it would be a good idea to post her email in my blog to see if anyone out there can help Charlotte. Here is what she wrote to me:

Adam,

I have a question because even my doctor’s can’t answer some of my questions.

I had lung cancer 13 years ago (hooray for overcoming lung cancer). I had the left lung completely removed, which is probably what save my life. I had surgery and radiation. I had one lymph node in the pulmonary artery area that had cancer so they gave me radiation directly on the heart.

Three years ago doctors found a leaking aortic valve. So I had aortic valve replacement surgery. Since I was only 51, my husband and I decided to go with the mechanical heart valve surgery because the mechanical valve is suppose to last longer than a bioprosthetic valve. I was in surgery 6 hours. At that time, there was a concern about getting me off of the ventilator because I only have one lung and they did have a little trouble getting me off of it.

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We’ve talked about “It” before…

It invades our brains before surgery. It clouds our thoughts during recovery. It manifests worry.

“It” is fear. Or, as I have suggested before F.E.A.R. – an acronym for Fantasized Experiences Appearing Real.

The funny thing about F.E.A.R., in relation to heart surgery, is that most people incorrectly assume that patient fear culminates and terminates on the operating table. As I, or most patients will share with you, that is completely inaccurate.

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After evaluating the pros and cons of mechanical and bioprosthetic heart valve replacements, it appears that Stephanie has opted for an artificial heart valve replacement.

Stephanie writes, “Hi Adam – Given my age, health, love for exercise and desire not to repeat open heart surgery, I believe I am going to request an artificial heart valve replacement when I have surgery next month. However, I have one lingering question for you. Does exercising wear out an artificial heart valve faster over the patient’s lifetime?”

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Some patients want to know EVERYTHING before their operation – the valve anatomy, the surgical process, the recovery details. Other patients want to know absolutely NOTHING about their upcoming surgery. Many say to me, “Honestly Adam, I don’t want to know a thing. The more I know, the more I will worry.”

I can understand both positions. That said, this blog is for those who want to know everything – especially about the anatomy of the mitral valve. Dana just wrote to me, “Adam – Can you help me understand what the mitral valve annulus is? My sister needs mitral valve replacement surgery due to regurgitation and that term – mitral valve annulus – came up in our last discussion.”

No problem Dana. To start, please look at the two figures below. You can see a top- and side-view of the mitral valve. The posterior and anterior annulus is labeled on both diagrams.
 

 
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I just received an email from Bob about cardiac care centers. He writes, “Adam – Do you happen to know what is the number one hospital in heart valve replacements? I have a mitral valve prolapse and I need a mitral valve replacement. I would like to know which are the best hospitals in the United States.”

Unfortunately, I don’t know which hospital is number 1 for heart valve replacement surgery. However, I do have one reference point for Bob regarding the top ten hospitals for heart surgery. Each year, U.S. News And World Report issues a “top 10 ranking” of the best hospitals for heart surgery. While this ranking does not indicate the quantity of heart valve replacements performed each year, it does (in some sense) indicate the quality of heart surgery which I believe is most important.

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Here’s an inspiring email from Melissa, a recovering patient from Sydney, Australia. With her approval, I thought you might like to read it:

Hi Adam,

I’m emailing from Australia, I’m 34 and I had my open heart surgery 4 months ago (on 14 April to be exact).

I had a quirky congenital condition that needed to be fixed – the membrane just under my aortic valve was not functioning properly. Plus, my aortic valve is bicuspid and a bit leaky. But, the major concern was the membrane. My cardiologist and surgeon – Doctor Alan Farnsworth, St Vincent’s Hospital in Sydney – decided to wait on the aortic valve replacement for now. (To learn more about bicuspid valves, click here.)

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I just received an email from Jenny, a 57-year old mother of two, who was recently diagnosed with severe aortic stenosis.

According to her cardiologist, Jenny needs aortic valve replacement surgery in the next 3-6 months. That said, Jenny asked me, “Adam – What do you consider to be the latest technology in aortic valve surgery? I have heard that the new, minimally invasive procedures are less invasive and help the patient recovery faster. Is that true?”

As you may know, I am high technology consultant specializing in electronics manufacturing. That said, I spend my workdays examining the manufacturing technologies and processes for many different types of electronic products. My clients are in all areas of technology – computing, industrial, consumer, wireless and medical.

One technology category that I am always learning more about is (as you might guessed) heart valve replacement technology for the aortic, mitral, tricuspid and pulmonary valves. Recently, I went on a great manufacturing tour at Edwards Lifesciences in Irvine, California.

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When I wake up in the morning, there is nothing better than opening an email like this… 🙂

Hello Adam,

As I am now in my 14th week since having heart surgery, I look back at my recovery with much appreciation. I was hospitalized in September, 2007 for shortness of breath and coughing up small amounts of blood. At that time, I was treated for congestive heart failure. My heart went back into rhythm and I was released.

Since I had a sixty-year history of heart rhythm problems, I was concerned. My cardiologist told me that it was not that bad and that I would someday just “die in my sleep”. That was not very comforting to hear.

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It’s never easy talking to parents about their children with heart murmurs.

The discussion is even more challenging when I have a life-long relationship with the parents. (As I previously shared, my nephew (Buddy) was diagnosed with a small heart murmur earlier this summer.)

Recently, my best best friend, Rob, discovered that his six-month old son, Sammy, had a murmur as well. As you would imagine, this was a very challenging time for Rob and Stephanie (his wife).

Well… Today, there is great news to share about Lil’ Sammy. Last week, Sammy had an echocardiogram. After the echocardiogram, the cardiologist realized that Sammy’s murmur was functional in nature. That means there were no structural issues with his heart valves and there was no evidence of a congenital condition (e.g. bicuspid aortic valve disorder).

Like many newborns with heart murmurs, the cardiologist told Rob and Steph that Sammy’s murmur would most likely “go-away” as Sammy (and his heart) continues to grow and develop.

Keep on tickin’ Sammy!
Adam

Herbert, from the Philippines, just emailed me about his recent diagnosis of mitral valve prolapse. As you can read below, Herbert is questioning whether or not mitral valve prolapse is fatal.

Herbert writes, “Hi Adam! I am Herbert Ares, a pastor from the Philippines. I am 42 years old, married, with an eight year old son. Two weeks ago, I was diagnosed with mitral valve prolapse. I have headaches from the mitral valve prolapse – about three to five times in a day. I’m also having other symptoms including chest pains, shortness of breath, panic and a strange feeling like I am going to die. The doctor prescribed Therabloc-Atenolol. The drug is really helping with the attacks. I’m concerned about going through mitral valve replacement due to the costs of the surgery. Is there any other way to cure mitral valve regurgitation? My doctor said MVP is non-fatal. Is it true?”

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I love a great teeth cleaning. You can ask Robyn (my wife)… She thinks I’m addicted to dental floss. That said, I was very interested to receive this question from Lynn.

Lynn writes, “I recently had open heart surgery to replace my mitral valve with a bovine valve. My cardiologist told me I could never use a water pik again. My dentist and I want to continue. What is the problem? Am I getting good advise from my cardiologist?”

Hmmmmm…. I have never received a question about water piks before. That said, I did not have a quick answer for Lynn so I did some quick Internet research. Unfortunately, I did not find anything of tremendous value besides a comment by Dr. Teig about water piks and mitral valve prolapse. (To learn more about prolapsed mitral valve, click here.)

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Jamie just asked me, “Adam – My mom has been diagnosed with aortic regurgitation. The cardiologist told her that her aortic valve is clogged. As a result of the clog, she is being scheduled for more tests and a potential valve repair or replacement. Does this sound right?”

Hmmmm. I think there may be a mix-up of medical terms your mom’s condition. First, aortic regurgitation can lead to heart valve repair or heart valve replacement. That makes sense. Now, as for the source of that regurgitation, I don’t believe it is because the aortic valve is “clogged”. It sounds like the flaps of your mom’s aortic valve are floppy – thereby creating a blood leak back into the heart.

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