My cath showed in need both an LAD and an RCA bypass in addition to AVR. Full sternotomy.
Becausev I am in UHC HCP Little Company of Mary
iPA HMO, my surgery must be done at LCM Torrance by DR James G McPherson. Any feedback would be appreciated.
My name is Neale Lehman. I am preparing for aortic valve replacement.
My valve area - 0.6, peak jet 4.3, mean gradient 52, ejection fraction 63%. Awaiting catheterization.
I am otherwise healthy except for severe plaque in my lower legs. Walk 2 miles daily. Slowly with 30-second pauses every few blocks. Carotids OK with 33-49% plaques. Non-smoker. Occasional drink. Maintain my cholesterol at 150. Blood sugar below 100. All blood tests normal. Have BPH and get up 3/nighty.No angina or syncope. Maintain blood pressue in low normal with 20 mg Diovan. Take meds to prevent gout and hypothyroid.
Take omega-3, CoQ10, B-complex, testosterone gel, and multi-vitamin.
Have studied Adam's great book. Also " Coping with Heart Surgery and Bypassing Depression" by C Cohan, J Pimm, and J Jude. Excellent detail. Many psychological
suggestions on coping mentally.
Have watched the videos on You Tube and Adam's links.
Adam is totally right about the initial anxieties gradually becoming valuable knowledge which in turn brings readiness for whatever may happen. And calm confidence.
I am hoping to qualify for port-access isolated AVR.
One leading surgeon has told me that mini-sternotomy permits better surgery but those who advocate port access claim it is a matter of training and skill in using the special long handled instruments and having a 3-D scope and monitor.
Anyone know of any studies comparing port-access results vs mini-sternotomy results?