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Doctor insights on: Can Someone Undergo A Surgical Procedure If He Or She Has Bundle Branch Block

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Dr. Lonnie Smith
97 doctors shared insights

Bundle Branch Block (Definition)

There are 2 main branches of the heart's electrical system within the ventricles, the right bundle branch and the left bundle branch. Additionally, the left bundle branch has two sub-branches, the antero-superior fascicle and the posteroinferior fascicle. When one or more branches are disrupted, the resultant electrical abnormalities can be ...Read more


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My son is 18 & needs to have a nerve graft or nerve transfer. Will he be able or ready for football in 6 months?

My son is 18 & needs to have a nerve graft or nerve transfer. Will he be able or ready for football in 6 months?

Not this year: That would depend on where he will have the nerve graft. More than likely he will not be ready for football, but i would ask your neurosurgeon. ...Read more

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I have a family member who will be undergoing cardiac bypass surgery soon. How is the leg vessel "fixed" after a portion is removed for the surgery?

I have a family member who will be undergoing cardiac bypass surgery soon. How is the leg vessel "fixed" after a portion is removed for the surgery?

Collaterals: Often if multiple bypasses are needed, veins are harvested from the leg for use. Post operatively part of rehab is walking and may require compression hose to prevent swelling in the leg till the body replaces the removed vein with new small veins that will take over the job of returning blood to the central circulation. Walking and exercise will encourage the growth that may take multiple months. ...Read more

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Can someone use a hyperbaric chamber if he or she has had an aortic aneurysm?

Can someone use a hyperbaric chamber if he or she has had an aortic aneurysm?

Yes: Hbot is safe in patients with AAA - the AAA should be monitored by a vascular surgeon to determine if it needs to be repaired. ...Read more

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Can a person have another aneurysm if he has had surgery to repair his aorta?

Can a person have another aneurysm if he has had surgery to repair his aorta?

Yes: Yes. Other segments of the aorta can become aneurysmal, or other arteries such as the iliac or popliteal arteries, or even arteries of the brain. The most common non-cranial aneurysm is the aorta below the kidneys. This is most common in men >65 who have ever smoked. Brain / cerebral aneurysms can occur at any age and are slightly more common in women. ...Read more

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If a patient has to undergo an ivp, describe the prcedure?

If a patient has to undergo an ivp, describe the prcedure?

Iv placed in vein: Then you are given a dye injection and x-ray at the same time. ...Read more

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Why does a person with compound fracture needs an emergency operation? What will happen to him if there's a delay in the operation?

Why does a person with compound fracture needs an emergency operation? What will happen to him if there's a delay in the operation?

Open or compound : Fractures are associated with a higher incidence of infection , the higher the energy and the larger the hole in the tissue that leads to the bone the greater risk for infection with a fracture. Studies have shown that early cleaning and washing of these fractures and care of the fracture if possible or if needed with fixation leads to a better outcome. Particularly with respect to infection there is a critical time frame where washing the fracture out lowers the the infection rate there are other factors such as the use of proper antibiotics the proper debridement of wounds and as noted before whether not to fix the fracture fully or partially to the fracture or not however the main thing about compound open fractures this that they need medical treatment right away so the right decision can be made made. ...Read more

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What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done? We don't want her to go through a major surgery and be in pain for long. Her rectal prol

What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done?  We don't want her to go through a major surgery and be in pain for long. Her rectal prol

Both : Both these procedures are done for rectal prolapse. The perineal rectosigmoidectomy is done from below by making an incision and removing the rectum and the last part of the colon to prevent the rectum from prolapsing (also known as the altemeier procedure) the second procedure you mention is the low anterior resection with rectopexy is done through the abdomen and the surgeon removes a part of the colon and pulls the rectum up and sutures it to the inlet of the sacrum to prevent it from prolapsing back out. For an 86 year old unless she is in great medical condition the first procedure perineal rectosigmoidectomy would be a safer procedure as it is less invasive and offers a good outcome. ...Read more

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Can a doctor notice clogged arteries during an ep study; although he cannot do a stent in that type of procedure. Can he still notice them?

Can a doctor notice clogged arteries during an ep study; although he cannot do a stent in that type of procedure.  Can he still notice them?

EP: The ep study doesn't image heart arteries. Things could happen during the study which would suggest there might be a heart artery problem but actually seeing the vessels isn't part of the ep study. ...Read more

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If someone with WPW has VF which is defibrillator, and afterwards he has ablation, should he still have ICD or not?

If someone with WPW has VF which is defibrillator, and afterwards he has ablation, should he still have ICD or not?

Unfortunately the: question you are asking requires more information than you have provided. If the VF was caused by rapid conduction through the bypass tract, then successful ablation should resolve the potential for recurrence provided there are no other reasons for his VF. Your health care provider should be able to answer your questions fully. ...Read more

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If someone has had open heart surgery as a child, would he usually have a shorter lifespan?

If someone has had open heart surgery as a child, would he usually have a shorter lifespan?

What surgery?: It depends on what defect was treated. Some defects can be cured with surgery but others can only be palliated. Either way surveillance is important so follow up with the cardiologist is necessary. Some heart defect do lead to a shorter life span. ...Read more

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My fiance has scoliosis. He may need surgery. He does not want the surgery or pain medicine. What is the surgery process/effects of not doing so?

My fiance has scoliosis. He may need surgery. He does not want the surgery or pain medicine. What is the surgery process/effects of not doing so?

Scoliosis: Great information on scoliosis, treatment of scoliosis, natural history of scoliosis and multiple videos on www.Iscoliosis.Com. Very informative on the specifics of scoliosis. ...Read more

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Can you shock someone with an aed even if he has a heart stent?

Can you shock someone with an aed even if he has a heart stent?

Yes: Having a stent does not preclude use of any electrical devices, including aed. ...Read more

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A neurosurgen performed major surgery and now rufuses to see me,can he do that if having problems w/it?

A neurosurgen performed major surgery and now rufuses to see me,can he do that if having problems w/it?

Neurosurgeon: This would be a very unusual situation for a neurosurgeon to refuse to see you after a major surgery. I suspect there might be something in the relationship that upset the neurosurgeon and I would suggest you speak to him directly to find out what are his reasons for not seeing you postop. ...Read more

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What will happen to a patient with an icd if he was shocked by an aed?

What will happen to a patient with an icd if he was shocked by an aed?

No special issues: In general the AED will not effect the ICD, there are some exceptions. When placing the AED patches, the presence of an ICD will be fairly obvious to the first responders and they should take care not to place the AED patch directly over the ICD ...Read more

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What will happen to a patient with an icd if he was shocked by an aed?

What will happen to a patient with an icd if he was shocked by an aed?

ICD: If an ICD patient had a shockable arrhythmia and the ICD didn't fire or fired and didn't convert the rhythm, its not likely the AED if fired would cause a problem. If an AED were applied to a patient with an ICD and an inappropriate shock was delivered by the device after it was activated by someone, it is possible that the ICD could be damaged. Other possibilities also exist.. ...Read more

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Who performs a sialendoscopy? An ENT or oral surgeon? Is it normally an ambulatory surgery or does it require admission?

Who performs a sialendoscopy?  An ENT or oral surgeon? Is it normally an ambulatory surgery or does it require admission?

Either: Both and ENT doctor or an oral surgeon is capable of performing this procedure and very often it can be done in the office. It can even be done by a radiologist with training in this procedure. It is highly unlikely that you would be admitted for this procedure as it can be performed as an out-patient. ...Read more

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My husband had open heart surgery at 57 for a mitrial valve repair. At 66 he needs his aortic valve replaced He is in excellent health. Can he have a third operation when that tissue valve wears out?

My husband had open heart surgery at 57 for a mitrial valve repair. At 66 he needs his aortic valve replaced He is in excellent health. Can he have a third operation when that tissue valve wears out?

Sure: The suggestion would be to cross the bridge when you get there. Since he's in good health he probably won't need any more surgeries... There are other minimally invasive valve procedures being developed... So when the time comes for third - he may be a candidate for that. ...Read more

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