Doctor insights on:
Is Brain Surgery Harder The Heart Surgery
Open intervention on the heart to correct congenital cardiac anomalies, repair replace heart valves, ascending aortic dissection repair, coronary bypass, heart transplant, surgical removal of heart tumors, ventricular assist devices, cox maze procedures to cure atrial fibrillation, repair of trauma to the heart. Repair of iatrogenic injuries to heart, heart-lung ...Read more
80yr.Has a cerebrovascular event in the early perioperative stage of an open heart surgery operation. Abort operation or go on ? The surgeon choose not to abort the operation to assess for the severity of injuries to the brain. The outcome of the operatio
I : I do not believe any physician reviewing this comment will be able to appreciate the condition of this patient going into surgery to assess the risk factors, rationale and options for treatment. I doubt that the surgeon would have known the patient was having a stroke during the cardiac procedure. It is not the usual practice of monitoring brain activity during cardiopulmonary bypass. Clearly there was significant cardiac problems, if indeed this patient required two valve repair/replacement, coronary artery bypass grafting and thromboendarterectomy. The fact that the patient suffered multiorgan system failure (as you suggest with the comment that there was "sustained irreversible vital organs damage"), suggests that the pump time was perhaps longer than usual, but understanding also that the organs of an 80 year old patient are fragile to start with. The finding of bilateral strokes on post-op day 3 would be consistent with events that occurred during or shortly after surgery, but likely not known during surgery. So unless there were other indications for the surgeon to abort, then continuing with the operation was understandable. I suggest you make an appointment with the surgeon to discuss your concerns and questions personally, to iron out any confusion or misunderstandings that exist and to bring closure to this case. ...Read moreSee 1 more doctor answer
My sister son 5 month older , and doing their heart surgery heart is off and problems on brain due to lack oxygen. So what are we doing now?
I am worried about cancer due to radiation because I have had 4 brain CT scans in a year.Plus a heart CT before brain surgery.Plus 3 contrast dyes.
I'm a 57-year-old man who had an open-heart surgery in 2008. 2 weeks ago, a stony-hard mass appeared at the site of the operation. What can it be?
Serious: Work up, includes blood samples x-rays, cardiac catheterizing through groin or arm if surgery appropriate! preop, prep, clipping, anesthesia, devices , lines catheters, open sternum, do the operation, dry up, cleanup, go to recovery icu, and wake up and cough, deep breathe, get out of bed, get devices remove and go home in 5-7 days. ...Read more
It's complicated: That's a very open ended question. Heart surgery is typically indicated when the risks of surgery are outweighed by the benefits. Lots of studies have been done for various conditions to determine when it is a good idea. Considerations like symptoms (eg, chest discomfort, trouble breathing), or risk of dying (eg, large aortic aneurysms, type a dissection) are factored into the decision. ...Read more
Not sure: Well I am trying to answer questions that no one has answered., your question is difficult because i don't know what you mean by materials. The surgeon would use scalpels, suture material to sew up the wounds, and various other surgical instruments depending on the exact type of open heart surgery. Is that what you mean? ...Read moreSee 1 more doctor answer
Family doc: Your family doctor is your best advocate. He/she will know the best people in your area and have a history of other patients referred. Moreover, open heart surgery doctors are not primary care doctors - no one goes to them for first line treatment. They see patients only on referral. ...Read more
Bypass: Blood returning to the heart is diverted and run through a machine that performs the function of the lungs (add oxygen to the blood) and then the blood is directed back to the arterial side of the circulation. So the blood bypasses the heart. This is necessary for operations such as replacing a valve. As the blood is not passing through the heart, the heart can be stopped during the surgery. ...Read moreSee 1 more doctor answer
Likely be advised to: People tend to lose weight after heart surgery more so because of being advised that their bad food habits have to change for them to have a chance of a prolonged life. So if you are having surgery at age 36 then your doctors will definitely talk to you about getting cholesterol under control and any other medical issue like diabetes, stopping cigarette smoking and adding exercise to your routine. ...Read moreSee 2 more doctor answers
Depends: Traditionally, this involved an incision throught the length of the sternum(breastbone). Newer techniques can be used, robotic bypass surgery, which use several smaller incisions. The cost is about $8, 000 more but this also results in a shorter hospital stay, a quicker recovery, and perhaps better overall results. ...Read moreSee 1 more doctor answer
Where?: Any incision may have some bleeding- -and a hematoma may develop. This can become a seroma over time as the blood is resorbed. Or some lymphatic s are disrupted and fluid escapes into tissue. Tissue juices and serum can remain in a wound as well. Most are temporary. All are resolvable . See the surgeon. ...Read moreSee 1 more doctor answer
What kind?: Which type of cardiac surgery you are referring to? Repair of av canal, transposition, tetralogy, tapvr, erbs , tricuspid atresia, hypoplastic left heart syndrome, pulmonary atresia intact ventricular septum, dorv, dolv, vsd, asd, hypoplastic arch, aortic valve mitral valve, coronary revascularization, maze, ventricular aneurysm repair, aortic dissection repair to include some. ...Read moreSee 1 more doctor answer
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