Doctor insights on:
Heart Cap Surgery
What happens if a person had only a 40% chance of surviving heart by pass surgery how bad would they have to be?
Probability: Coronary bypass surgery is done with a great deal of success. To be quoted only a 40% chance of survival would imply very abnormal cardiorespiratory function. Other organ systems might also be quite abnormal.
I'm aware this guy who has a hole in his heart and he's gonna have to have surgery. What's gonna actually happen to him?
It depends: The operations vary depending on where the hole is and what other problems the patient might have. Usually, the hole is closed. This is usually done by covering it with a patch, but not always. To do this, blood has to be rerouted away from the heart and lungs to the cardiopulmonary bypass machine, which pumps blood and exchanges gases like oxygen and carbon dioxide.
I have block in heart at multiple place. My Dr suggested the blocks can't be removed under surgery. What are other possible ways. I have done angiogra?
Blockages: That is true, surgery does not remove the blockages that are there, it provides a bypass route around the blockages, but if there are too many, or the artery is too small it can't be bypassed.
Heart stopping: During open heart surgery the heart is usually stopped so that the surgeons can attach the bypass grafts to the heart, or to repair or replace a valve. They can stop the heart because the patient is placed on a bypass machine to keep the blood pumping while the surgeons work on the heart. There are now some techniques now that will allow surgeons to perform surgery without stopping the heart.
Heart rate: An elevated heart rate such as 130 in the post op period suggests either bleeding or infection. There are other possibilities also. You should get seen by a doc to see what's going on.
Sustained?: HR of 130: sustained? Paroxysmal? Irregular? Symptoms? With fever? With pain? When was the surgery? What was done? Are you anemic? What does the EKG show?
I am not an expert: But most people make it through the surgey if properly selected. This is a discussion you must have with yruo transplant surgeon.
Slight increased rsk: Heart defects generally occur at random & are influenced by multiple genes. They are not directly passed down. There is an increased general risk of some heart defect (not necessarily the same one) quoted as ~5% from parent to child. If both parents have some defect the risk would be higher.Genetic counseling with review of a family tree could provide u with specific risks.
Depends: If you are an adult abd your ASD has a diameter of more than 6 mm it will likely lead to an enlargement of the right heart and should be closed to avoid later complications like rhythm problems. An echo will help to assess the size of the right heart. Most asds can be closed in the cath lab as outpatient pricedures with a quick recovery.
ASD: You are describing Atrial Septal Deffect. Depending on size and location as well as volume of shunting blood and pressure in the pulmonary circulation, it may require: Nothing or a device placed in the heart from the vein of the legs or full blown cardiac surgery. All procedures are of relative small risk in an otherwise healthy patient
What to do if I'm 38 years old, male, and I have a PDA heart problem, is surgery the only solution?
PDA: You need to discuss your diagnosis and its implications with your doctor. If the shunt is of significant size, then repair is going to be necessary. The actual situation will dictate the options and there isn't enough information here to tell for certain if surgery is needed although that would usually be the case.
What to do if I have heart problem. I wish to undergo surgery, if necessary. Is eecp an alternate to surgery?
No: EECP is a last resort for those who are too ill for surgery (if surgery is indicated).
I have been diognoised with a small hole in my heart! Can I live a normal live? Or do I need surgery to plug it?
Hole in heart: Depends on where the hole is- some are serious, some you can live with.See 1 more doctor answer
I'm writing a paper and need to know what voltage is used to restart a heart both in controlled (surgery) and uncontrolled (emergency) circumstances?
Once an easy?: You don't say how detailed this needs to be & what once used to be an easy? No longer is. There are now mult types of defibrillators (Impedance, non-impedance, monophasic & biphasic), why nec. And meds used effect this as well. However, a traditional answer would be during surgery 10 to 20 joules & emergent 200 to 360 joules: www. Circ. Ahajournals. Org/content/122/16_suppl_2/s325, accessed 12/9/16.
Variable: Some patients get total relief with extra strenght tylenol (acetaminophen) others require narcotic analgesics. Pain perception is multifactorial. Attitude and personality may modify pain perception. If good stable open reduction and internal fixation of the sternum is accomplished, most of the discomfort of the sternotomy is relieved. Cardiac surgery done thru a right intercostal incission sometimes possible.
Smaller incision: Minimally invasive heart surgery uses special instruments, and sometimes a robot, to perform coronary artery bypass surgery or valve surgery using a small incision off and 2-3 CM in diameter. This is much smaller than the standard thoracotomy which is a large midsternal incision.See 2 more doctor answers
Often, yes: It depends on the procedure, the surgeon, and the technique but often the patient is placed on cardiopulmonary bypass and the heart is arrested temporarily to allow the surgeon to perform delicate surgery on a target that is still and dry.
Depends: You need to talk to the doctors to find out what the specific issues are.See 1 more doctor answer