I have a question about blood pressure changes post op. I had a mitral valve repair in November 2024 and had been treated for hypertension most of my adult ...Read more
I have a question about blood pressure changes post op. I had a mitral valve repair in November 2024 and had been treated for hypertension most of my adult life leading up to the surgery as well as after with some medication changes. I’m noticing a trend where my BP is actually getting pretty low for me (low 100’s on top, 70-80 on bottom) the past few days and intermittently before this so my cardiologist is having me cut back my beta blockers ( 50 mg Losartan, 20 mg Metropolol non XR daily) but I’m starting to worry that maybe this isn’t a good thing. Has anyone else experienced anything like this?
Valerie Allen Yes I would say similar. Was always on high dose BP meds and after surgery have needed ongoing attent ... Read more
Valerie Allen Yes I would say similar. Was always on high dose BP meds and after surgery have needed ongoing attention and adjustment. Cardiologist finally sent me to a nephrologist/bp specialist who kept my 25 mg metoprolol, dropped valsartan to 80 mg and added a diuretic. I will continue seeing him for a while.
Lisa Silverman Thank you Valerie! It helps to know others have experienced this.
Kimberly Eisenhut Wow, I have not had surgery yet, but my bp can go down to 90s over 60s at times, but just recently st ... Read more
Kimberly Eisenhut Wow, I have not had surgery yet, but my bp can go down to 90s over 60s at times, but just recently stopped taking lowest dose of Lisinopril and it does not get so low any more. I used to be on two bp meds, but these past 8 months my bp has been lower (maybe because of my progressing tricuspid regurgitation?),and was first taken off of amlodipine, and now lisinopril, just on a 20 mg diuretic for tricuspid now. I hope the cut back helos for you. I would not really consider that to be low though. Maybe if you were always a lot higher, but low 100's and 70-80 is actually good as I understand.
Robert Miller Things change so it's important you have regular visits with your cardiologist. I was on Metoprolol ... Read more
Robert Miller Things change so it's important you have regular visits with your cardiologist. I was on Metoprolol for many months after surgery. Now I am off this medicine. If with "on top" you mean systolic and with "on bottom" you mean diastolic pressure, that's actually pretty good. You are right in the green/desired zone.
Hello all, I’m not yet 6 mos out from my mitral valve repair and appear to have developed gallstones post op. I had an appendectomy a few months before my ...Read more
Hello all, I’m not yet 6 mos out from my mitral valve repair and appear to have developed gallstones post op. I had an appendectomy a few months before my heart surgery and the scans did not detect the gallstones that are now present so meeting for a surgery consult this week. Is this super bad luck or is there a correlation between heart surgery and gallbladder issues like gallstones?
Lisa Silverman Right?!?! I had to wonder is this related to my heart surgery?
Richard Munson The good news is that gall bladder surgery can be done laparoscopic. In and out usually.
Marie Myers Wow, you have really seen a lot of the operating room lately!! When it rains, it pours!!
Lisa Silverman Yes I totally feel the pouring rain and I’m trying to stay positive. After my heart surgery I was h ... Read more
Lisa Silverman Yes I totally feel the pouring rain and I’m trying to stay positive. After my heart surgery I was hoping to not see a hospital bed for a long long time…and definitely good news on the laparoscopic. Hoping it feels like less of a big deal in comparison.
Robert Miller I doubt that your surgery caused your gallstones. I don't know of any such interaction. But there mig ... Read more
Robert Miller I doubt that your surgery caused your gallstones. I don't know of any such interaction. But there might be an underlying interaction, in particular liver disease. I have no medical training so I might be completely wrong but I would discuss it with your doctor.
Richard Munson Yes, they go thru belly button , gallstones can be very painful.
Covid after mitral valve repair: I’m 3 months post op and a single mom. My 9 year old daughter just got dx w covid and I’m trying not to freak out but I’m ...Read more
Covid after mitral valve repair: I’m 3 months post op and a single mom. My 9 year old daughter just got dx w covid and I’m trying not to freak out but I’m scared and scared of contracting it and developing endocarditis. She’s totally isolated in her room and I’m taking all precautions just looking for any experience, strength, and hope around this.
Richard Munson You might try calling your cardiologist monday to tell them your situation. Hopefully you are taking ... Read more
Richard Munson You might try calling your cardiologist monday to tell them your situation. Hopefully you are taking extra precautions like a mask that works and doing the handwashing stuff and trying not to get too close. Not easy i know. Be positive but vigilant.
Lisa Silverman Yes I’ve already sent him a message and my daughter is fully quarantined in her room w her own bath ... Read more
Lisa Silverman Yes I’ve already sent him a message and my daughter is fully quarantined in her room w her own bathroom.
Marie Myers Wear a mask in your house and maintain a healthy diet to bolster your immune system. Lots of handwash ... Read more
Marie Myers Wear a mask in your house and maintain a healthy diet to bolster your immune system. Lots of handwashing for sure!
Fidel Martínez Ruiz There is no evidence of a direct relationship between
COVID and endocarditis, but I understand your c ... Read more
Fidel Martínez Ruiz There is no evidence of a direct relationship between
COVID and endocarditis, but I understand your concern. As Marie says, try to
strengthen your immune system.
Christopher T Wash all things that hands touch daily or 2x daily and wear a mask. Stay in separate rooms. I followe ... Read more
Christopher T Wash all things that hands touch daily or 2x daily and wear a mask. Stay in separate rooms. I followed these protocols. Twice my wife had it and I never got it. Then I got it and she didn't get it.
Metropolol non XR questions please! I’m 3 months post op from a mitral valve repair and was d/c on 12.5 of this medicine and am now at 50 mg total taken 2 ...Read more
Metropolol non XR questions please! I’m 3 months post op from a mitral valve repair and was d/c on 12.5 of this medicine and am now at 50 mg total taken 2 x daily along with 50 mg total of Losartan also 2 x daily. I have pre existing HTN and have struggled to get a good consistently good BP post op. The past week plus I’ve been holding steady in the 120s/80s range which is great but my presumed side effects from this medicine seem to be getting worse with lots of lethargy and heavy headed or dizzy at times. My cardiologist said go ahead and cut back to 12.5 2 x daily and that scares me. I feel stuck. I hate how I feel on this medicine sometimes and am also afraid to reduce it bc of my hx w afib and irregular rhythms. Any insight or experience w this?
Rita Savelis I was on Metropolol for a year after surgery (aortic and mitral replacement). The metropolol was pres ... Read more
Rita Savelis I was on Metropolol for a year after surgery (aortic and mitral replacement). The metropolol was prescribed to slow down my fast heart rate and give my heart a break after surgery (most patients are given a betablocker for at least a few months after surgery). I felt so lethargic and down taking metropolol (which happens to some and not to others). Couldn't wait to stop taking it. After a year I stopped it and felt so much better - I now take ivabradine, which is a med sometimes given to those who don't do well on betablockers. Your doctor should be able to prescribe another med if you let him/her know how you feel. Meds affect each patient differently and it can take awhile to find what works for you. Doctors try out different meds. 3 months is still very early in your recovery and it can be a very stressful time as you process what you've been through. Take care.
Hello all, I’m a bit past 5 weeks post op from a mitral valve repair and this past week I’m experiencing tachycardia typically around 105. My BP has ...Read more
Hello all, I’m a bit past 5 weeks post op from a mitral valve repair and this past week I’m experiencing tachycardia typically around 105. My BP has also been elevated so I’m adding my usual Losartan back to the Metropolol they started post op. But I hate getting so tachy so often even woke up like this today. Doc office says anything above a 120 warrants a call to them. Anyone else experience this?
J Alexander Lassally The high resting heart is really common post mitral valve regardless of procedure type. Many of us we ... Read more
J Alexander Lassally The high resting heart is really common post mitral valve regardless of procedure type. Many of us were in high 90s for a time. Metoprolol slow release (succinate) should help. I'm curious what your surgery time was for robot - end to end? It should be in your notes. I know you said you had a slow extubation (as did I)..
Lisa Silverman I think it was about 3 hours but I also know that the robot itself needed to be rebooted twice toward ... Read more
Lisa Silverman I think it was about 3 hours but I also know that the robot itself needed to be rebooted twice towards the end and that slowed things down. Im currently on non extend release of Metropolol 2 x daily at 12.5 per dose and wondering if the XR would be better and cover my often AM higher rate moments? Did you ever get above the high 90’s and how long was it until you went down heart rate wise?
J Alexander Lassally Hi - wow rebooting is not good at all ! Yikes ! So yes, I started out on tartrate, but my swings ... Read more
J Alexander Lassally Hi - wow rebooting is not good at all ! Yikes ! So yes, I started out on tartrate, but my swings at 4-6 weeks ( note, same as you) were getting wider and wider. Tartrate wears off at 6 - 8 hours, so you have to chase it. The succinate version was hard core, and it really slowed things down and I had less variation - so it works longer and stronger. Eventually, I felt bad on it and did not get off it as soon as I should have, but that was a different problem - due to lack of proper guidance here in Pacific Northwest where I was recovering.
So all things considered, are you happy with your KS selection - or too soon to have a convo about that?
Good luck, Lisa. Don't let the tachy get you too scared.. Easy words, I know !
Lisa Silverman I’ve been sitting here thinking is it dangerous for me to have these tachy episodes? Or part of the ... Read more
Lisa Silverman I’ve been sitting here thinking is it dangerous for me to have these tachy episodes? Or part of the healing process? Can you tell me more about why the XR formula of Metropolol made you feel bad? I’d say overall I’m happy w my choice to stay local. I will maybe always have questions about what could have gone better at CC but I do know that driving 10 minutes home at discharge was hard enough for me and at that time I was so grateful to get home quickly.
J Alexander Lassally I think it is part of the angry, disturbed heart simmering back down, to a large extent. It should keep improving.
Eventually, my HR was way lower on succinate and I felt shortness of breath when exercising on it... again, I was ready to go off it. I took myself off it - back to tartrate version - and switched cardiologists, and then stayed on tartrate another 6 weeks and then weaned off that.
J Alexander Lassally I think it is part of the angry, disturbed heart simmering back down, to a large extent. It should keep improving.
Eventually, my HR was way lower on succinate and I felt shortness of breath when exercising on it... again, I was ready to go off it. I took myself off it - back to tartrate version - and switched cardiologists, and then stayed on tartrate another 6 weeks and then weaned off that.
For a young healthy person (like us) beta blockers are necessary evils, and then you can go off it.
Note, metoprolol and losartan sometimes work at cross purposes. If your BP is too low, your heart has to work harder in beats. So do check BP when you are tachy. It is all a balance point. Too much losartan can make HR higher. Someday, we can laugh about tacky when tachy ! (bad humor...)
Suzette Schear When my Bp changed which was often, the doc looked at all the meds and changed the time frame when I ... Read more
Suzette Schear When my Bp changed which was often, the doc looked at all the meds and changed the time frame when I took them, because Two of the meds both worked on bp. I had to buy a monitor and was told if it hit a certain level take bp meds or don’t take it.
Yumiko Ishida The HR goes down over time, but it does take a long time. Like Suzette, it is a balancing act for me, ... Read more
Yumiko Ishida The HR goes down over time, but it does take a long time. Like Suzette, it is a balancing act for me, too. I left the hospital with a resting HR of around 110, was told that is within normal, and wasn’t prescribed anything to control it. Better than the 140-170 I frequently experienced while in afib, for sure, but it was uncomfortable, so at my follow up I asked to be put back on propranolol. Metoprolol drops my BP too low. Even with propranolol, I’m not supposed to take it if my systolic BP is below 100, which is frequent. I can function at a resting HR around 90, so that’s where I’m keeping it at for now, 11 months post surgery. The only reason I know I’m getting better is because my propranolol dose is one fifth of what it used to be. With that being said, to answer your question, Lisa, HR of 100-115 is uncomfortable, I know, but not dangerous. Hope you find the right combo / dose of meds to keep you comfortable!
Lisa Silverman Thank you so much ladies it’s very valuable to hear your experiences. It super helps to hear others ... Read more
Lisa Silverman Thank you so much ladies it’s very valuable to hear your experiences. It super helps to hear others have walked through this.
I wanted to check in as I’m almost 3 weeks post op from mitral valve repair and still am very hoarse with an inconsistent voice. My surgeons office does not ...Read more
I wanted to check in as I’m almost 3 weeks post op from mitral valve repair and still am very hoarse with an inconsistent voice. My surgeons office does not seem to think this is an issue saying my throat was irritated by the breathing tube but it’s getting hard to manage in terms of communication. I also have GERD which I suspect is a contributing factor. Does anyone have experience w this?
Richard Munson As a GERD patient i can for sure say that is probably causing a lot of your hoarsness. The breathing ... Read more
Richard Munson As a GERD patient i can for sure say that is probably causing a lot of your hoarsness. The breathing tube issue probably has run its course after 3 weeks. Assume you must take omeprozole or something for heartburn but sleeping in a semi raised position and not eating before bed time helps me. Also learned not to pig out at supper. When it hits i cough a lot and hoarseness follows. I find a glass of milk helps ease the coughing. Good luck.
Grace Mason My throat was extremely sore and I couldn't talk without coughing for 4 weeks post surgery. I used nu ... Read more
Grace Mason My throat was extremely sore and I couldn't talk without coughing for 4 weeks post surgery. I used numbing lozenges and limited my speech and it eventually returned to normal after about 6 weeks.
I had my mitral valve repair surgery robotically this past Thursday. My family was told my heart had started to enlarge and I had 50% backflow from my regurgitation ...Read more
I had my mitral valve repair surgery robotically this past Thursday. My family was told my heart had started to enlarge and I had 50% backflow from my regurgitation so if I had any doubts this was the right thing… I could’ve left the hospital today but I requested an extra day inpatient and my doc agreed. I had so much anxiety and concern before the surgery. Now, I’m not even sure how I feel. Certainly some relief but not as exuberant as I thought would happen. I supposed most folks are not ecstatic from a hospital room. I don’t know, just wanted to check in formally from the flip side. Here to be a support to y’all as well.
Jill Porter Mentally and physically it can take a while to recover. Give yourself some time and I'm sure you will ... Read more
Jill Porter Mentally and physically it can take a while to recover. Give yourself some time and I'm sure you will start feeling much better in a few weeks.
Richard Munson I did the same thing regards an extra day. They were not happy due to open bed syndrome but i knew i ... Read more
Richard Munson I did the same thing regards an extra day. They were not happy due to open bed syndrome but i knew i was not quite ready. You above all else know your body. The following day i knew i was ready.
Rita Savelis Thanks for sharing. I hear you. I certainly did not feel exuberant after heart surgery and wonder if ... Read more
Rita Savelis Thanks for sharing. I hear you. I certainly did not feel exuberant after heart surgery and wonder if those who say they felt great are exaggerating the truth. Heart surgery is a big deal. The surgery itself is the easiest part (for patients). After that the heart and soul need time to recover. You've been through a lot. Staying longer at hospital is good. I was there for weeks. Every patient has a singular experience, every heart is different, every recovery is different. Take care. Go easy on yourself. Give yourself time to heal. You will feel exuberant one day but maybe not so soon after surgery.
Deena Z I was still in shock, while in the hospital. Had not expected for it to be as challenging as it was. ... Read more
Deena Z I was still in shock, while in the hospital. Had not expected for it to be as challenging as it was. (sternum cut.). It took weeks post- discharge to have my emotions settle down. What helped me the most, besides this website, was going to cardiac rehab. There were other heart warriors there, each with a common thread with me, and I could physically push myself back to feeling somewhat normal without fear. Give yourself a bit of time.
Anna Rakowicz Lisa, extra time being taken care of in hospital can’t hurt. Do they think the heart can go back to ... Read more
Anna Rakowicz Lisa, extra time being taken care of in hospital can’t hurt. Do they think the heart can go back to normal size soon?
Lisa Silverman Thanks all. My doc predicts that, within a few years, my heart will be back to its pre regurgitation ... Read more
Lisa Silverman Thanks all. My doc predicts that, within a few years, my heart will be back to its pre regurgitation size. I appreciate the fellowship and community. I’m experiencing loads of anxiety and done unwanted side effects from new meds and I’m having a hard time surrendering to my recovery, to the pace and process. I feel very vulnerable and just very shook by the whole thing.
Rita Savelis Thank you for your honesty Lisa. It's hard. There is a lot to process. Talking about it can help. On ... Read more
Rita Savelis Thank you for your honesty Lisa. It's hard. There is a lot to process. Talking about it can help. One day at a time. Don't compare your recovery to any one else's. Your heart has been through a lot. Take care.
Peyton Davies To be honest. I couldn’t get my blood pressure under control enough to leave the hospital until the ... Read more
Peyton Davies To be honest. I couldn’t get my blood pressure under control enough to leave the hospital until they prescribed me some Xanax. It really helped me let go and relax.
My mitral valve robotic repair was done 11/14. I’m having a bad a fib episode right now and I’m really scared. I have an IV drop to try and make it stop. ...Read more
My mitral valve robotic repair was done 11/14. I’m having a bad a fib episode right now and I’m really scared. I have an IV drop to try and make it stop.
Rose Madura Lisa, I had Afib off and on for about six weeks after my surgery and yes, it is scary. But, it is qu ... Read more
Rose Madura Lisa, I had Afib off and on for about six weeks after my surgery and yes, it is scary. But, it is quite common. There are some videos on this site about it. You are at the right place and they will take care of you. I'm sorry this happened to you. It is unnerving and not a good feeling. Hopefully the medicine will take care of it soon and you will convert out of it. 🙏❤️🩹
Susan Lynn Lisa - As Rose said, Afib is common. Hopefully, your episode is under control. Stay positive. Y... Read more
Susan Lynn Lisa - As Rose said, Afib is common. Hopefully, your episode is under control. Stay positive. You're doing great so far!
Hello community, Having surgery this Thursday for my severe mitral valve regurgitation via a robotic approach (hopefully). I’m doing all the things to ...Read more
Hello community, Having surgery this Thursday for my severe mitral valve regurgitation via a robotic approach (hopefully). I’m doing all the things to try and stay calm and positive and wow the fear and terror are kicking in.
Muhammed Abujuma Had my mitral valve repaired by open surgery due to severe regurgitation and prolapse 10 years ago do ... Read more
Muhammed Abujuma Had my mitral valve repaired by open surgery due to severe regurgitation and prolapse 10 years ago doing fine
J Alexander Lassally I know it is my standard line - but know that OHS is super safe nowadays. That is a fact ! And regar ... Read more
J Alexander Lassally I know it is my standard line - but know that OHS is super safe nowadays. That is a fact ! And regarding the moment - realize that you are doing something harder and more scary than many people have ever done / could relate to. You are going to do it - and thrive! So I say embrace the moment and surrender to the intensity of it. Warrior training. Afterward, you will realize that "you did it !" And there is a sense of pride there.
Doug Fults You got this Lisa! You've done a great job evaluating options and making the best decisions for you a ... Read more
Doug Fults You got this Lisa! You've done a great job evaluating options and making the best decisions for you and your family. I am happy to see that you will be in great hands, and will be thinking of you!
Just checking in a few weeks before my mitral valve repair. I swear I was starting to feel calmer but the nerves are really settling in. Any tips on avoiding ...Read more
Just checking in a few weeks before my mitral valve repair. I swear I was starting to feel calmer but the nerves are really settling in. Any tips on avoiding covid/flu pre and post op? I have a 9 year old in school so we are both starting to mask in public and avoid crowds. So many fears swirling some related to illness like covid bumping the surgery or affecting my recovery. Any words of wisdom or encouragement on this?
Richard Munson Wear mask especially at the doctors. avoid crowds, eat at home, and if you get it, it will for sure a ... Read more
Richard Munson Wear mask especially at the doctors. avoid crowds, eat at home, and if you get it, it will for sure affect your surgery date. Thats almost the first question they ask after your date of birth 50 times.
Robert Miller Get the latest covid shot. Wash your hands. Wear a mask if you wish to do so in crowded areas. I don' ... Read more
Robert Miller Get the latest covid shot. Wash your hands. Wear a mask if you wish to do so in crowded areas. I don't think there is much else to do. I have a minor (not heart related) procedure tomorrow where I will be under minor narcotics and can't be sick. I didn't take any special precautions nor did I for the surgeries a couple years ago.
Having said that, for recovery after OHS, the biggest issue is when you cough or sneeze. That's a real pain! The best thing for this is the heart-hugger. Wearing it looks silly but it helps a lot when you need it.
Rose Madura I agree with Robert on the heart hugger. Much better than carrying around a pillow.
Richard Munson I agree with j.a.l. Mask and distance. Very religious response. For me, i have had my last covid boos ... Read more
Richard Munson I agree with j.a.l. Mask and distance. Very religious response. For me, i have had my last covid booster.
Lisa Silverman Thanks all what is a heart hugger???? Can you post a link? I’m vaxxed and my family is also, we are ... Read more
Lisa Silverman Thanks all what is a heart hugger???? Can you post a link? I’m vaxxed and my family is also, we are masking and distancing and praying. I’m too crazy with my upcoming surgery to go too crazy w this but doing my very best. I’m having my daughter mask at school also. Really appreciate y’all!
Rose Madura The hospital gave me mine. Most hospitals seem to give you a pillow.
Robert Miller Regarding the heart hugger, that image from Rose is pretty much what I had. You pull these two handle ... Read more
Robert Miller Regarding the heart hugger, that image from Rose is pretty much what I had. You pull these two handles together whenever you feel you are going to cough or more importantly sneeze. It makes a big difference. I was provided one free or charge by the hospital both times. If you want to buy them, they are kind of expensive. So ask the hospital about them. These are cheap bands, Velcro, plastic handles.
Hello community, I’m trying to make a decision on which hospital to go with for my mitral valve repair, one is my local hospital down the street from me. ...Read more
Hello community, I’m trying to make a decision on which hospital to go with for my mitral valve repair, one is my local hospital down the street from me. They are in the top 50 it’s University of Kansas Medical Center. I’m looking at the robotic approach and they have 2 surgeons for this-one I did not vibe with, the other one I did. They both spent hours with me answering questions. I also worked for a decade at this hospital so have a lot of familiarity there. I’m lucky enough that my insurance also covers the Cleveland Clinic so also strongly considering this option with Dr. Malas and Dr.Gillinov in the OR on the team. I have concerns around travel and traveling home and being in a new city for such a scary new experience. Fears around continuity of care as all my follow up would be here in Kansas. When I think of getting the surgery done locally I have a calmer more peaceful feeling. AND I don’t know how much this should factor in when obviously the outcomes from CC are so outstanding. This is creating tension within my family and self and I know I need to decide soon. I would appreciate any feedback and experience from folks who may have been in a similar situation. Thank you.
Rita Savelis I'm sorry that you have to go through this. A calmer more peaceful feeling sounds right to me. Follow ... Read more
Rita Savelis I'm sorry that you have to go through this. A calmer more peaceful feeling sounds right to me. Follow your instincts and don't let others tell you what to do. This is your choice and every choice is the right choice for you. Every choice is difficult but then you move forward. There are many qualified surgeons in hospitals other than CC. Take care.
Richard Munson Calm is good. Close to home is good. They sound competent and thats good
Lisa Silverman Rita and Richard thank you. I do worry that if anything went wrong locally I’d always be upset that ... Read more
Lisa Silverman Rita and Richard thank you. I do worry that if anything went wrong locally I’d always be upset that I gave up the “best” option of CC. I wish the traveling part of it felt more comfortable to me.
Rose Madura I live in Ohio and went to my local hospital (Kettering) which is in the nation's top 100 hospitals ... Read more
Rose Madura I live in Ohio and went to my local hospital (Kettering) which is in the nation's top 100 hospitals for heart valve surgeries. My surgeon was excellent and I felt very comfortable going there. I did have lots of complications (no fault of the hospital or surgeon - my body was angry at the trauma) and I had to be rehospitalized four times over a three month period so being local turned out to be the best option for me. You don't need additional stress. God bless you on this journey.
Valerie Allen Do you know how many of your specific surgeries are performed by the surgeon at the local hospital? ... Read more
Valerie Allen Do you know how many of your specific surgeries are performed by the surgeon at the local hospital? Also outcomes for your surgery. They should be able to tell you. I understand completely your feelings about the possibility of later saying”what if?” I made the trip but I also understand the dilemma.
Richard Munson No doubting that cc is a great hospital but there are many others in the top echelon. If everyone wen ... Read more
Richard Munson No doubting that cc is a great hospital but there are many others in the top echelon. If everyone went there , the other places would go out of business and their lead time would be 10 years. I chose mass general in boston due to proximity and expertise. It was fine. I had one nurse i disliked, but i had 50 i loved. In some ways, picking a doctor and/or hospital is like choosing a new restaurant based on the advice of a bunch of friends and web site kudus. You go there and hate it. I have no doubt that every hospital in the top 3 has a small % that hated it. It probably boils down to results. As meatloaf once sang, “2 out of 3 ain’t bad. “
J Alexander Lassally Only you can make that decision - myriad of plus and minus point on both sides.
Joanne Heckmann Do you have any more details about your valve? How complex is the repair? If you click on Heart Hos ... Read more
Joanne Heckmann Do you have any more details about your valve? How complex is the repair? If you click on Heart Hospitals on this site, you will see that there are no valve centers in Kansas. It is highly recommended that valve surgery be done at a valve center. I live in upstate NY and am going to Indianapolis.
Dan Fouratt This is your call. We all went through it. I stayed local, my doctor was well regarded and complete ... Read more
Dan Fouratt This is your call. We all went through it. I stayed local, my doctor was well regarded and completed many of these surgeries. My was a "simple" aortic valve replacement. I did look in to Cleveland but after researching the local doctor I stayed with Duke. Good luck on your decision journey. Dan
Robert Miller Hard decision. One doctor at the local hospital is out. That leaves you with the other doctor at the ... Read more
Robert Miller Hard decision. One doctor at the local hospital is out. That leaves you with the other doctor at the local hospital and Dr. Malas and Dr. Gillinov at Cleveland. I would go by experience. Don't count on what the surgeons tell you. Look at ratings of surgeons including on this website.
Surgery locally is much more convenient. However, consider that if you decide to go to Cleveland, this is a temporary inconvenience. Fixing your heart will be for the rest of your life. It could still go wrong but I would go with the surgeon that you feel is the most capable, independent of the location.
Deena Z Do you look at the robotic surgery outcomes for the one doctor you liked locally? Pretty important ... Read more
Deena Z Do you look at the robotic surgery outcomes for the one doctor you liked locally? Pretty important to do so. I travelled and it would have been much easier to stay local, but when I looked at the outcomes for "best local surgeon" that told me all I needed to know.
I just read this in our site. I’m asymptomatic with severe mitral valve regurgitation scheduled for surgery this November. But do I have a 1 in 5 chance of ...Read more
I just read this in our site. I’m asymptomatic with severe mitral valve regurgitation scheduled for surgery this November. But do I have a 1 in 5 chance of dying while I wait?!?!!
Tammy Gonzalez Me too! And a mod-severe tricuspid valve and I'm still trying to get scheduled. Scary.
Lisa Silverman Tammy I’ve met w/multiple surgeons at this point and never heard this stat before. I’m messaging ... Read more
Lisa Silverman Tammy I’ve met w/multiple surgeons at this point and never heard this stat before. I’m messaging my cardiologist to fact check.
I believe Dr. Khan is referencing a mortality rate for severe MR that is not treated for a long, sustained period of time.
I believe there is data suggesting a 5-year time horizon for mitral regurgitation just as there is research suggesting a 50% mortality rate for a two-year timeline for severe aortic stenosis without treatment. ... Read more
I believe Dr. Khan is referencing a mortality rate for severe MR that is not treated for a long, sustained period of time.
I believe there is data suggesting a 5-year time horizon for mitral regurgitation just as there is research suggesting a 50% mortality rate for a two-year timeline for severe aortic stenosis without treatment.
That said, I’m not a doctor. So, I’ll ask Dr. Khan.
I can’t imagine your medical team would put you at risk if emergency surgery was required. Make sense?
Best regards, Adam
Adam Pick You can find more information specific to mortality related to severe mitral regurgitation that is no ... Read more
Big News! We’re launching "Mitral Valve Disease Awareness Week" to fight this dangerous and deadly disease!
Adam Pick More specifically, the research is referenced in Alliance for Aging Research, The Silver Book: Valve ... Read more
Adam Pick More specifically, the research is referenced in Alliance for Aging Research, The Silver Book: Valve Disease, 2018. Hope that helps!
Richard Munson Mitral valve prolapse without symptoms is the silent killer. I found my moderate to severe situation ... Read more
Richard Munson Mitral valve prolapse without symptoms is the silent killer. I found my moderate to severe situation during a routine physical . Doctor heard a little noise and scheduled an echo. As luck would have it he was my pcp but had cardiology training or who knows. How many out there never find it.
J Alexander Lassally I think those stats are more for the "total do nothing" crowd. Eventually, it gets you. But not appli ... Read more
J Alexander Lassally I think those stats are more for the "total do nothing" crowd. Eventually, it gets you. But not applicable to younger patients who still have heart flexibility !
Susan Eckermann Hi Lisa. I am late to the party but I would like to share my story with you. I was diagnosed with se... Read more
Susan Eckermann Hi Lisa. I am late to the party but I would like to share my story with you. I was diagnosed with severe mitral regurgitation. My HMO doctors told me their plan was "watchful waiting." I didn't have any obvious symptoms but was tiring during exercise/exertion. I sought out a second opinion from a skilled cardiac surgeon. He explained the risks of waiting and advised if I were his patient, he would recommend surgery within 30 days. Thankfully, I was able to change health plans and had surgery about 45 days later. Surgeons gave me a 60-70% chance of successful repair. Thankfully, my surgeon was very skilled and persistent. I was in surgery 7 hours, but had a successful mitral valve repair, pericardial cyst recision, and Maze procedure. My 2 year "valveiversary" is just over a week from now! Unfortunately, my A-fib has recently returned. My cardiologist isn't too concerned and attributes it to stress. But thankfully, my heart is in great shape. I am back to doing everything I was doing prior to my diagnosis. Feel free to read my prior posts, but seriously, the surgery and recovery is manageable. My surgeon explained that one of the reasons my repair was very difficult was because the tissue of my mitral valve was lax ( there is probably a more appropriate medical word for this but I don't know it) likely from the extended severe regurgitation. They ended up trying several different ways to repair it, and ended up excising a large piece of tissue. I wish I had been diagnosed and had my surgery sooner, but thankfully, my skilled surgeon was able to make a successful repair. It just doesn't get better on its own. Best to you. This is a wonderful site with amazing heart warriors and a wealth of information.
I’m curious about a specific part of the pre op protocol for mitral valve repair (hopefully robotic). I watched Dr.Gillinov’s webinar on questions to ask ...Read more
I’m curious about a specific part of the pre op protocol for mitral valve repair (hopefully robotic). I watched Dr.Gillinov’s webinar on questions to ask your cardio thoracic surgeon and he discussed the vital importance of a full body CT scan pre op to diminish the threat of calcium or other bodily deposits getting knocked loose while on the heart lung bypass and having potentially catastrophic side effects as a result. My local hospital is the University of Kansas Medical Center and my surgeon there tells me he already has a chest/abdomen xray from my recent appendectomy (my body likes to fall apart all at once) that looks good and no further CT imaging is needed in combo w/the echo, labs, TEE and cardiac cath I did. But not getting the full body CT scan now makes me very nervous. I’d be interested to know if others did or did not get a full body CT scan pre op and also any experiences w robotic mitral valve repair? Thank you!
Richard Munson What a great question lisa. I know i had a zillion tests prior to my surgery 3 years ago, including a ... Read more
Richard Munson What a great question lisa. I know i had a zillion tests prior to my surgery 3 years ago, including a heart catherization to check for blockages but were any of them a full body ct scan , i can honestly say i have no idea. My suspicion is i did not but one never knows. I did not watch the webinar but my takeaway from hearing that portion of it seems to confirm what i have wondered about that bouncing back and forth from heart lung machine to regular heart action can truly shock your body. My analogy has always been like turning back on the power to your house after a blackout. There is always a jolt due to some breakers being still in the on position. I recall on one such occasion my t.v. Blowing once power was restored as it was on when we lost it. Love to hear from others.
Susan Lynn Lisa - I had a CT with contrast of my chest, abdomen, and pelvis. You need to trust your doctor. He... Read more
Susan Lynn Lisa - I had a CT with contrast of my chest, abdomen, and pelvis. You need to trust your doctor. He wants a successful procedure as much as you do. Please call me if you want to chat.
Brady Busch Hi Lisa, I had a CT like Susan's,but then again,didn't have any x-rays done,prior to that.
Yumiko Ishida CT scan was never mentioned to me in the context of my heart surgery, but I also knew pretty early on ... Read more
Yumiko Ishida CT scan was never mentioned to me in the context of my heart surgery, but I also knew pretty early on that I wanted a traditional sternotomy. Minimally invasive procedures are inherently more complicated and higher risk, so the quality of the pre op images are extremely critical. Is it possible your local hospital is talking sternotomy not robotic surgery?
Hello all wanted to get your experience, strength and hope. I live in Kansas City and I’ve consulted with the best local hospital here for my mitral valve ...Read more
Hello all wanted to get your experience, strength and hope. I live in Kansas City and I’ve consulted with the best local hospital here for my mitral valve repair which is the University of Kansas Medical Center. I’ve also reached out to CC for a second opinion and heard from them today. They are recommending hopefully robotic repair (🤞🏼🤞🏼🤞🏼) and paired me with Dr. Tarek Malas. Same suggestion as my local hospital but their protocols and outcomes are of course top notch. Any experience with Dr. Malas or traveling esp to CC for surgery? Thank you!
Pamela Gregory Hi Lisa. I traveled from DE to CC for Aortic Valve and Root Replacement . I had to be there several... Read more
Pamela Gregory Hi Lisa. I traveled from DE to CC for Aortic Valve and Root Replacement . I had to be there several days before surgery for testing and meetings. After surgery you are generally in the hospital for about a week and have to stay in the area for an additional 5-7 days to make sure everything is going well and get clearance to fly home. I was actually in the hospital for 2 weeks because of a complication and stayed in town for 5 days to get the clearance. Flying was very easy. You would want to make sure to have a wheelchair (just call airline) on both ends of the flight. Walk before flying and if the flight is longer than an hour walk hourly (double check of coarse with the team) to prevent blood clots. Don't hesitate to reach out with any questions
Peyton Davies I’m from Wichita. My cardiologist is at the University of Kansas Medical Center. I’ve had 1 heart ... Read more
Peyton Davies I’m from Wichita. My cardiologist is at the University of Kansas Medical Center. I’ve had 1 heart catheter done there and I’ll be back next month for my second heart catheter. I will be traveling to NYC to have my aortic replacement.
Lisa Silverman Thank you Pamela and Peyton I messaged you both!
Valerie Allen Hi I went to CC in April for aortic replacement and aneurysm repair. I was very nervous leading up to ... Read more
Valerie Allen Hi I went to CC in April for aortic replacement and aneurysm repair. I was very nervous leading up to it, but once I got there I knew I was in one of the top heart hospitals and I relaxed. If affordable buy a first class ticket on the way home. And as Pam said, secure a wheelchair for the airport through the airline. Makes things 100x easier! There is a hotel attached to CC. They have a patient rate and this makes things so easy, especially in winter. There are several others walking distance with more affordable prices. My care was just what I had hoped.
Lisa Silverman Thank you Valerie this is so great to hear!
Phyllis Petersen I travelled to CC from Tucson, AZ in October 2016 for robotic MV repair with Dr. Gillinov. They reall ... Read more
Phyllis Petersen I travelled to CC from Tucson, AZ in October 2016 for robotic MV repair with Dr. Gillinov. They really are a great facility with top-notch care. If I can answer any questions for you, message me here or at fabphyllis@gmail.com.
Joshua Nowack So I had an option to go slightly local (15 min away) to Hoag (Newport Beach CA) and to go to Cedars- ... Read more
Joshua Nowack So I had an option to go slightly local (15 min away) to Hoag (Newport Beach CA) and to go to Cedars-Sinai (Los Angeles CA). Ultimately due to insurance they ended up sending me to Cedars - which was my desired outcome in the first place. But both surgeons would have done through robotic repair. Same condition as yours. Now the Hoag doc does one mitral repair every other week. His procedure takes about 7 hours and it's a week long stay at the hospital. Cedars - then Dr Trento (now presumably Dr Chikwe - who is a frequent guest of HVS) - does two mitral valve repairs every day. The procedure typically takes about 2 hours. Nothing replaces experience. If you have the means to go to the best - and CC is the best - go see the best. Statistically, and you can look the stats up, by the journals all point to centers of excellence have better outcomes. So if it's an option - go to CC or any of the featured centers from HVS.
UPDATE: I met with the cardio thoracic surgeon at my local hospital at the University of Kansas and he is recommending a full robotic mitral valve repair (hopefully!🤞🏼) ...Read more
UPDATE: I met with the cardio thoracic surgeon at my local hospital at the University of Kansas and he is recommending a full robotic mitral valve repair (hopefully!🤞🏼) within the next 6 months. Confirmed that my regurgitation is indeed severe. Told me that, according to AHA guidelines, I could wait and repeat echos in 6 mos. but recommends surgery sooner as it is inevitable and better to do surgery before more damage occurs. He did tell me to expect acute intense pain more painful than operating through the sternum but a faster recovery. This all freaked me out. Tentatively scheduled for November 14th and also waiting for my second opinion from CC. Cardiac cath 9/13. Would appreciate any experience, strength and hope around all of this and thoughts on robotic surgery. Thank you!
Robert Miller My BIL is a surgeon that does a lot of robotic surgeries (not heart) and he highly recommended me going that route, if possible.
I have not heard that this procedure might give you more pain. Actually, I heard just the contrary. But maybe I got wrong information.
Robotic surgery has a lot of advantages, incl. faster recovery (with open heart surgery the main recovery is for your chest to heal), much smaller scars (which some people care about), a lesser risk of infection of the scars, more precise as those "robots" remove the slight shanking of a surgeons hand, etc. ... Read more
Robert Miller My BIL is a surgeon that does a lot of robotic surgeries (not heart) and he highly recommended me going that route, if possible.
I have not heard that this procedure might give you more pain. Actually, I heard just the contrary. But maybe I got wrong information.
Robotic surgery has a lot of advantages, incl. faster recovery (with open heart surgery the main recovery is for your chest to heal), much smaller scars (which some people care about), a lesser risk of infection of the scars, more precise as those "robots" remove the slight shanking of a surgeons hand, etc.
The biggest disadvantage is, that the surgeon doesn't have such a clear picture of everything and in case of an emergency, the surgeon doesn't have full access to your chest so he might end up having to open your chest. That's unlikely to happen but it could happen. The important thing is that your case isn't a complicated case (doesn't sound like it) and that you select a surgeon that has a lot of experience doing robotic surgery.
As for doing it sooner than later when it's inevitable, I 100% agree. If you have severe regurgitation then the heart and your blood vessels will try to compensate for that and this affects both the heart and the vessels in a negative way. So time just makes things worse.
You might find more information on the learning center. Scroll down to the bottom because that's were the interesting links are. Ignore the stuff at the top, unless you happen to be interested in it. https://www.heart-valve-surgery.com/learning-center.php
Get important facts about heart valve disease, symptoms, risks and treatment.
Richard Munson Interesting. Just had laser eye surgery yesterday and all those advantages you state are also listed ... Read more
Richard Munson Interesting. Just had laser eye surgery yesterday and all those advantages you state are also listed as a reason to go this route with the eye. Time will tell.
Lisa Silverman Thank you Robert that is really good information to hear and I’ll definitely look at those links! M ... Read more
Lisa Silverman Thank you Robert that is really good information to hear and I’ll definitely look at those links! My surgeon did say if things get weird he will have to change tactics and go in more invasively. Said he does 1-2 robotics a month and over 100 heart surgeries per year? Richard this is also good to hear and sure hope you are recovering well🙏🏼
Doug Fults I found the videos here on mitral valve repair & robotic surgery really helpful (in the Learning ... Read more
Doug Fults I found the videos here on mitral valve repair & robotic surgery really helpful (in the Learning Center, or through the VIDEOS nav link). I'm scheduled for just that on September 10, will let you all know how it goes.
Rita Savelis The sternum does not hurt when cut. But robotic goes in by the ribs and can be painful for some, espe ... Read more
Rita Savelis The sternum does not hurt when cut. But robotic goes in by the ribs and can be painful for some, especially women because they have breasts. Pain varies and is very personal. Medical staff is there to manage your pain. I had no pain with traditional surgery but much exhaustion and discomfort.
Lisa Silverman Rita and Doug thank you I’m learning so much from everyone here!
Joshua Nowack @Robert Miller - to address the pain factor - robotic cuts through muscle and more. So while risk of ... Read more
Joshua Nowack @Robert Miller - to address the pain factor - robotic cuts through muscle and more. So while risk of infection and overall heal time is faster - generally, robotic can be a more painful recovery. I mean the only narc pills I took was when they pulled chest tubes from me. But there was a little bit of discomfort for a couple of months following surgery because of the muscle cuts.
Hello everyone! This is my first post. I am very recently diagnosed with mitral valve prolapse with moderate to severe regurgitation and all initial reports ...Read more
Hello everyone! This is my first post. I am very recently diagnosed with mitral valve prolapse with moderate to severe regurgitation and all initial reports I’ve heard from the cardiologists after my TEE are to expect valve replacement surgery. I’m meeting with the cardio thoracic surgery team at my local hospital next week (University of Kansas) and am debating between Cleveland Clinics second opinion online report or visiting Mayo Clinic in person for repeat testing/ second opinions to help me make the best decisions. I am beyond terrified and want to make good, informed choices. I’m 50 y/o and a kidney donor which really terrifies me around potential complications since I only have one kidney. At this time I’d really appreciate perspectives around second opinions and any experiences with using Cleveland Clinics online second opinion consultation or the Mayo Clinic. Thank you.
Doug Fults Hi Lisa, I have "severe" mitral valve regurgitation from an endocarditis episode some 32 years ago (m ... Read more
Doug Fults Hi Lisa, I have "severe" mitral valve regurgitation from an endocarditis episode some 32 years ago (mild until just recently, but now "4+" on a scale of 1-4). We reached out for appointments to Mayo and CC, CC had a cancellation so went there for evaluation.. They'd initially suggested I'd need a replacement, but after a TEE I was referred to Marc Gillinov, whose office responded quickly (after flying out there for a few days of testing) conveyed that I was a repair candidate (not guaranteed, but that he thought possible). I'm 63, if I were younger I'd definitely seek a surgeon with a background of successful repairs, as neither a lifetime of blood thinner meds nor a follow-on surgery to replace a worn-out tissue valve after 10-15 years sound like attractive options. The Mitral valve is supposedly the most "repairable" of the valves, which can last a lifetime - though that is not always the case, as can be testified to by the occasional member here.
Rose Madura Lisa, Welcome to this site! I commend you for taking the bill by the horns and seeking out a second ... Read more
Rose Madura Lisa, Welcome to this site! I commend you for taking the bill by the horns and seeking out a second opinion. God bless you on this journey and please keep us posted.
Lisa Silverman Thanks Doug and Rose I really appreciate what you both had to say.
Robert Miller I would definitely get a second opinion. Even if it's just to ease your mind that this needs to be do ... Read more
Robert Miller I would definitely get a second opinion. Even if it's just to ease your mind that this needs to be done. I had VERY severe mitral valve leakage. They didn't want to let me out of the hospital. From what I have been told, you can't really tell from a TEE if you really need a replacement. Instead, they will first try a repair. Then they test if the repair works. If it does, then they will leave it at that. If the repair still shows leakage, they will do a replacement. I am not sure this is really the standard procedure. You can find a lot of information on this link. Unfortunately, they put a lot of distractive stuff at the top so you think it's nothing interesting. But scroll down and you will find a lot of very useful information. https://www.heart-valve-surgery.com/learning-center.php
Get important facts about heart valve disease, symptoms, risks and treatment.
Susan Lynn Lisa - You're doing exactly the right thing by getting multiple opinions. Write down all of your qu... Read more
Susan Lynn Lisa - You're doing exactly the right thing by getting multiple opinions. Write down all of your questions and make good use of the consultation time. Be sure to ask about volume of mitral valve surgeries and success rates. Mitral valve surgery can be a one-time procedure if performed correctly. Please keep us posted on your progress.
Lisa Silverman Thank you so much Robert and Susan! I was scared to post on here because I’m just plain terrified o ... Read more
Lisa Silverman Thank you so much Robert and Susan! I was scared to post on here because I’m just plain terrified of all this but I am feeling better hearing from all of you🙏🏼
J Alexander Lassally Sent you a note Lisa. I was in the mitral decision boat last summer...
Robert Miller I 100% agree with Susan about bringing questions on a piece of paper. For my second surgery I had a f ... Read more
Robert Miller I 100% agree with Susan about bringing questions on a piece of paper. For my second surgery I had a full page of questions. I left some space between questions so I can scribble down some keywords, that after the consultation I converted to more detailed notes. Initially I did go 'off script' as some things the surgeon said lead to other questions. The surgeon did take all the time I needed. When I thought I had everything answered, the surgeon asked if he could see my list of questions because he wanted to make sure all of them were addressed properly. Btw, that was Dr. Luis Castro. https://www.heart-valve-surgery.com/surgeons/dr-Luis-Castro-Redwood+City-California.php
COVID and endocarditis, but I understand your c ... Read more
COVID and endocarditis, but I understand your concern. As Marie says, try to
strengthen your immune system.
I’m a bit past 5 weeks post op from a mitral valve repair and this past week I’m experiencing tachycardia typically around 105. My BP has ...Read more
I’m a bit past 5 weeks post op from a mitral valve repair and this past week I’m experiencing tachycardia typically around 105. My BP has also been elevated so I’m adding my usual Losartan back to the Metropolol they started post op. But I hate getting so tachy so often even woke up like this today. Doc office says anything above a 120 warrants a call to them. Anyone else experience this?
I'm curious what your surgery time was for robot - end to end? It should be in your notes. I know you said you had a slow extubation (as did I)..
Im currently on non extend release of Metropolol 2 x daily at 12.5 per dose and wondering if the XR would be better and cover my often AM higher rate moments? Did you ever get above the high 90’s and how long was it until you went down heart rate wise?
So yes, I started out on tartrate, but my swings ... Read more
So yes, I started out on tartrate, but my swings at 4-6 weeks ( note, same as you) were getting wider and wider. Tartrate wears off at 6 - 8 hours, so you have to chase it. The succinate version was hard core, and it really slowed things down and I had less variation - so it works longer and stronger. Eventually, I felt bad on it and did not get off it as soon as I should have, but that was a different problem - due to lack of proper guidance here in Pacific Northwest where I was recovering.
So all things considered, are you happy with your KS selection - or too soon to have a convo about that?
Good luck, Lisa. Don't let the tachy get you too scared.. Easy words, I know !
Can you tell me more about why the XR formula of Metropolol made you feel bad?
I’d say overall I’m happy w my choice to stay local. I will maybe always have questions about what could have gone better at CC but I do know that driving 10 minutes home at discharge was hard enough for me and at that time I was so grateful to get home quickly.
Eventually, my HR was way lower on succinate and I felt shortness of breath when exercising on it... again, I was ready to go off it.
I took myself off it - back to tartrate version - and switched cardiologists, and then stayed on tartrate another 6 weeks and then weaned off that.
... Read more
Eventually, my HR was way lower on succinate and I felt shortness of breath when exercising on it... again, I was ready to go off it.
I took myself off it - back to tartrate version - and switched cardiologists, and then stayed on tartrate another 6 weeks and then weaned off that.
For a young healthy person (like us) beta blockers are necessary evils, and then you can go off it.
Note, metoprolol and losartan sometimes work at cross purposes. If your BP is too low, your heart has to work harder in beats.
So do check BP when you are tachy. It is all a balance point. Too much losartan can make HR higher.
Someday, we can laugh about tacky when tachy ! (bad humor...)
I could’ve left the hospital today but I requested an extra day inpatient and my doc agreed.
I had so much anxiety and concern before the surgery. Now, I’m not even sure how I feel. Certainly some relief but not as exuberant as I thought would happen. I supposed most folks are not ecstatic from a hospital room. I don’t know, just wanted to check in formally from the flip side. Here to be a support to y’all as well.
I appreciate the fellowship and community. I’m experiencing loads of anxiety and done unwanted side effects from new meds and I’m having a hard time surrendering to my recovery, to the pace and process. I feel very vulnerable and just very shook by the whole thing.
Having surgery this Thursday for my severe mitral valve regurgitation via a robotic approach (hopefully). I’m doing all the things to ...Read more
Having surgery this Thursday for my severe mitral valve regurgitation via a robotic approach (hopefully). I’m doing all the things to try and stay calm and positive and wow the fear and terror are kicking in.
Having said that, for recovery after OHS, the biggest issue is when you cough or sneeze. That's a real pain! The best thing for this is the heart-hugger. Wearing it looks silly but it helps a lot when you need it.
I’m trying to make a decision on which hospital to go with for my mitral valve repair, one is my local hospital down the street from me. ...Read more
I’m trying to make a decision on which hospital to go with for my mitral valve repair, one is my local hospital down the street from me. They are in the top 50 it’s University of Kansas Medical Center. I’m looking at the robotic approach and they have 2 surgeons for this-one I did not vibe with, the other one I did. They both spent hours with me answering questions. I also worked for a decade at this hospital so have a lot of familiarity there. I’m lucky enough that my insurance also covers the Cleveland Clinic so also strongly considering this option with Dr. Malas and Dr.Gillinov in the OR on the team. I have concerns around travel and traveling home and being in a new city for such a scary new experience. Fears around continuity of care as all my follow up would be here in Kansas. When I think of getting the surgery done locally I have a calmer more peaceful feeling. AND I don’t know how much this should factor in when obviously the outcomes from CC are so outstanding. This is creating tension within my family and self and I know I need to decide soon. I would appreciate any feedback and experience from folks who may have been in a similar situation. Thank you.
Surgery locally is much more convenient. However, consider that if you decide to go to Cleveland, this is a temporary inconvenience. Fixing your heart will be for the rest of your life. It could still go wrong but I would go with the surgeon that you feel is the most capable, independent of the location.
I believe Dr. Khan is referencing a mortality rate for severe MR that is not treated for a long, sustained period of time.
I believe there is data suggesting a 5-year time horizon for mitral regurgitation just as there is research suggesting a 50% mortality rate for a two-year timeline for severe aortic stenosis without treatment.
... Read more
I believe Dr. Khan is referencing a mortality rate for severe MR that is not treated for a long, sustained period of time.
I believe there is data suggesting a 5-year time horizon for mitral regurgitation just as there is research suggesting a 50% mortality rate for a two-year timeline for severe aortic stenosis without treatment.
That said, I’m not a doctor. So, I’ll ask Dr. Khan.
I can’t imagine your medical team would put you at risk if emergency surgery was required. Make sense?
Best regards,
Adam
I had a CT like Susan's,but then again,didn't have any x-rays done,prior to that.
I have not heard that this procedure might give you more pain. Actually, I heard just the contrary. But maybe I got wrong information.
Robotic surgery has a lot of advantages, incl. faster recovery (with open heart surgery the main recovery is for your chest to heal), much smaller scars (which some people care about), a lesser risk of infection of the scars, more precise as those "robots" remove the slight shanking of a surgeons hand, etc.
... Read more
I have not heard that this procedure might give you more pain. Actually, I heard just the contrary. But maybe I got wrong information.
Robotic surgery has a lot of advantages, incl. faster recovery (with open heart surgery the main recovery is for your chest to heal), much smaller scars (which some people care about), a lesser risk of infection of the scars, more precise as those "robots" remove the slight shanking of a surgeons hand, etc.
The biggest disadvantage is, that the surgeon doesn't have such a clear picture of everything and in case of an emergency, the surgeon doesn't have full access to your chest so he might end up having to open your chest. That's unlikely to happen but it could happen.
The important thing is that your case isn't a complicated case (doesn't sound like it) and that you select a surgeon that has a lot of experience doing robotic surgery.
As for doing it sooner than later when it's inevitable, I 100% agree. If you have severe regurgitation then the heart and your blood vessels will try to compensate for that and this affects both the heart and the vessels in a negative way. So time just makes things worse.
You might find more information on the learning center. Scroll down to the bottom because that's were the interesting links are. Ignore the stuff at the top, unless you happen to be interested in it. https://www.heart-valve-surgery.com/learning-center.php
https://www.heart-valve-surgery.com/learning-center.php