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Doctor insights on: Can You Have An Lvad Put In Instead Of A Valve Replacement Surgery

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Can you have an lvad put in instead of a valve replacement surgery?

Can you have an lvad put in instead of a valve replacement surgery?

Variable: Each are used for different diseases. It is preferable to repair a faulty heart valve if that is the sole problem with the heart function. ...Read more

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Dr. Andrew Berry
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Valve (Definition)

A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more


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Artificial artery- leg artery problems - need help asap! cardiovascular problems- urgent hello. A relative of mine is in need of an artificial artery implant in the leg. A doctor told my relative that replacing the artery in the leg (arteries not workin

Artificial artery- leg artery problems - need help asap! cardiovascular problems- urgent hello. A relative of mine is in need of an artificial artery implant in the leg. A doctor told my relative that replacing the artery in the leg (arteries not workin

It : It sounds like your relative should be evaluated by a vascular surgeon. If they need to have blood flow restored to the leg, it can be done many ways, including placing an artificial bypass graft (a replacement blood vessel) into the leg. Many times, less invasive treatments such as angioplasty (balloon treatment of blocked arteries) can help this problem. A vascular surgeon is expert in both of these techniques and can help your relative. ...Read more

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If i'm having a heart valve replacement do I have the right to insist on a tissue valve or mechanical valve?

If i'm having a heart valve replacement do I have the right to insist on a tissue valve or mechanical valve?

Absolutely: Your doctor hopefully will apprise you of the risks/benefits of both valve types. You as the patient, armed with that advise, can make the decision. Often times, your doctor will recommend one over the other, but again, you make the final decision. ...Read more

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Why would a surgeon cancel your surgery because a heart murmur? What are the risk of being put under with a heart murmur in a 24yr old?

Why would a surgeon cancel your surgery because a heart murmur?  What are the risk of being put under with a heart murmur in a 24yr old?

Death in Surgery: Because the number one complication in surgery is unexpected cardiac events. Your surgeon will need to know the extent of your history and get a sense for them and the surgery team how to get you safely through your surgery. ...Read more

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If mitral valve being repaired with ring. What are the chanses that it dosen, t need another replacement for a lifetime. Repair take olace in 2009.

If mitral valve being repaired with ring. What are the chanses that it dosen, t need another replacement for a lifetime. Repair take olace in 2009.

Most likely will : Just calculate heart is beating 70 times per minute calculate how many times the mitral valve will move in 20 years, mechanical devices tend to wear off , yes possible may need replacement , sorry you can't duplicate mother nature. ...Read more

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Can you led a normal life after having a heart by pass surgery and an aortic valve replacement?

What is "normal"?: A patient will undergo that procedure if it will save him or her or at least improve quality of life. If the procedure will keep a patient from going in and out of heart failure or allow him to at least perform reasonable functions in life, it is probably worth having done. Will someone run a marathon, probably not, but even so--i'll bet that there has been at least one or two who have done so. ...Read more

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I have to have aortic and mital valve replacement.Also with a veiw to heart bypass!!! Why would i need a bypass after valves are replaced.why bypass?

I have to have aortic and mital valve replacement.Also with a veiw to heart bypass!!! Why would i need a bypass after valves are replaced.why bypass?

Different problems: A bypass is done when you have blockage in the arteries supplying the heart muscle and the valves open and close allowing blood to flow through the chambers of the heart. ...Read more

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I have CHF and will be having open heart surgery to replace a valve, how long is recovery and will I be in a lot of pain after surgery?

I have CHF and will be having open heart surgery to replace a valve, how long is recovery and will I be in a lot of pain after surgery?

Mostly 3 months: It depends on which valve, how many valves, how the surgery will be done, and your current physical condition. If you are young, doing fine and have normal kidneys, liver, and lungs, and have the surgery for one of your valves, you will recovery quickly like 5 days hospitalization and 1.5-3 months for full recovery. ...Read more

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Can a surgeon ethically drop a patient & cancel a scheduled surgery due to patient's injury lead to a pending lawsuit? I am in desperate need of a hip replacement due to traumatic impact to the hip from a fall. My case is pending and it looks like there

Can a surgeon ethically drop a patient & cancel a scheduled surgery due to patient's injury lead to a pending lawsuit? I am in desperate need of a hip replacement due to traumatic impact to the hip from a fall.  My case is pending and it looks like there

This : This is a difficult question to answer. If a person is having a true medical or surgical emergency, then there are laws that require a hospital and a doctor to take care of that emergency problem for the patient. If it is an elective, non-emergency condition, then it is up to the doctor or surgeon and their personal and office policies as to what services they will offer or accept. It is not uncommon for medical or surgical offices to not accept a medical lien from an attorney's office or third party injury insurance company, waiting to see if payment is accepted in the future. Also there would be hospital fees for a major surgery, and some hospitals also may not accept this type of payment pending legal actions. The surgeon would not be able to perform the operation without the cooperation and availability of the hospital, as well as the anesthesiologist for the surgery too. It may also depend on the severity or expected surgical difficulty of the condition and the medical-legal risks that the doctor's office feels that they may be entering into. You may need to ask your attorney what he/she feels your options are for payments or coverage. The hippocratic oath has to do with offering the best and proper care, not causing harm, and not performing unnecessary or harmful treatments or procedures. I believe that the oath does not mandate that a doctor must take care of all patients for all conditions at the patient's request. ...Read more

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Many dental implants can fail for one reason or another. What fills in the bone hole where the implant was before if a second surgery not an option?

Many dental implants can fail for one reason or another. What fills in the bone hole where the implant was before if a second surgery not an option?

Implant Failures: Implant Failures are actually quite unusual when cases are carefully selected and done by competent surgeons and restorative dentists. If the implant needs to be removed, the surrounding bone fills in the defect. In some cases, bone augmentation might also be required. ...Read more

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I'm being evaluated for heart surgery. Specifically an aorta heart valve replacement and possibly surgery for an enlarged aorta measuring 5.1 cm. Would the combination of the above preclude me as a candidate for minimally invasive surgery or would the tr

I'm being evaluated for heart surgery. Specifically  an aorta heart valve replacement and possibly surgery for an enlarged aorta measuring 5.1 cm. Would the combination of the above preclude me as a candidate for minimally invasive surgery or would the tr

Depends: On the technology and skill of the surgeon and medical center where you go. Both procedures can be done percutaneously/endovascular by entering the vessels in your groin. Whether both can be done at the same time is something only your surgeon/cardiologist should discuss with you. Minimally invasive valve surgery is usually done for pts who would not be able to tolerate an open procedure. ...Read more

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I recieved a amplatzer closure device in my heart when I was 28. I had a atrial septal defect. Will this ever have to be replaced or any type of maintenance?

I recieved a amplatzer closure device in my heart when I was 28. I had a atrial septal defect. Will this ever have to be replaced or any type of maintenance?

No / Yes: The device will not have to be replaced. But everyone born with structural heart disease should visit a cardiologist trained in adult congenital heart disease. The doc can determine the frequency of follow-up, but you should go (some space it out to every 5 years for cases like yours). You need to be monitored for abnormal heart beats as well as heart function. ...Read more

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Can someone have rotator cuff surgery if they have a pacemaker? The surgery would be where the pacemaker in implanted? Please help

Can someone have rotator cuff surgery if they have a pacemaker? The surgery would be where the pacemaker in implanted? Please help

Yes: Pacemakers are located more medial and more superficial than the rotator cuff. It would be very unlikely that will present any problem to the surgeon. Let him know you have a pacemaker. You also need to find out from your cardiologist if you are pacemaker "dependent" because if you are, there are a couple of precautions to be taken. ...Read more

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Is it possible for a aortic valve fragment to enter the bloodstream and settle in a hand? My father suffered from a staph infection (mssa) which became so out of control that he needed an emergency aortic and mitral valve replacement as well as a maze pro

Is it possible for a aortic valve fragment to enter the bloodstream and settle in a hand? My father suffered from a staph infection (mssa) which became so out of control that he needed an emergency aortic and mitral valve replacement as well as a maze pro

That : That is a lot for someone to go through and it is remarkable that he survived such a severe infection! there are a number of things that can happen, the least likely of which is a piece of valve ending up in the hand. With severe endocarditis (infection in the heart), clots and clumps of bacteria can be thrown from the heart into the major vessels. From there the vessels get smaller and smaller and pieces can lodge in any of these. Some of them will dissolve and others can create scars or secondary infections. Depending on the valve used, it may be more or less fragile. Metal valves are unlikely to have particles break off, but i suppose it would be possible for a pig or cow valve to have a fragment. However, this is still very unlikely and it is more likely that a clump of bacteria, called a vegetation, escaped from the heart. Also, is the nodule even related to the endocarditis? There are any number of small nodules that occur in the hand. If this is causing symptoms, such as pain or numbness, or is increasing in size, it may need to be removed. It is best to have it looked at by a hand surgeon. ...Read more

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I had open heart surgery n may this year to replace my pulmonary valve. With a bovine tissue valve. When would it be safe to start trying for a baby?

I had open heart surgery n may this year to replace my pulmonary valve. With a bovine tissue valve. When would it be safe to start trying for a baby?

Depends : This depends on other factors like your heart function, other valve problems etc. But assuming everything is well, you could likely start trying now. But again, your safety depends on many other factors so please discuss this with your cardiologist. ...Read more

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If a pt has 1 stent in their heart, can it be removed, or replaced with one of those new dissolving ones? Or is a metal stent permanent? Thank you.

Metal=permanent: Metal stents are permanent. Your arterial walls eventually grow around the stent and incorporate it into the artery. There is no removing it. ...Read more

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I have a vena cava filter and will have an arteriogram performed tomorrow of the abdomen. Are there risk? I am wondering if the procedure of an arterigram performed will interfere with a vena cava filter that is already in place?

I have a vena cava filter and will have an arteriogram performed tomorrow of the abdomen. Are there risk? I am wondering if the procedure of an arterigram performed will interfere with a vena cava filter that is already in place?

No. : No. The vena cava filter is in the main vein in your abdomen bringing blood back to your heart from your abdomen, pelvis and legs. An arteriorgram involves the arteries so there will be no interference. ...Read more

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Dr. Carlos Orrego
22 doctors shared insights

Lvad (Definition)

Left ventricular assist device is implantable mechanical pump that helps pump blood from your ventricles in your heart (lower chambers) to the rest of your body. Is used in severe heart failure or if ...Read more