Doctor insights on:
Is It Possible To Do A Triple Bypass On Someone Who Has Copd
Yes: Good lung ventilation is needed to come off cardiopulmonary bypass, which is usually done for 3-vessel cabg. Mild COPD may not be a problem. Severe COPD may have problem, though if this bad, probably can't exert enough to benefit from cabg. COPD may prolong time to extubation after surgery. You will be carefully evaluated and tested prior to surgery, unless truly emergent. ...Read more
COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more
Copd patient aged 71. Triple bypass 4 years ago in inhalers. Moderate copd stage. What is prognosis like?
Unclear question: It is not unusual to see people with copd/lung disease and bypass surgery. ...Read more
Bypass surgery: Your cardiothoracic surgeon needs to review with you your specific risks heading into surgery. Smoking and COPD are additional risk factors for recovery post-operatively. Your surgeon will make sure that a pulmonologist will follow with him once the surgery is completed. You should be making plans to cease smoking forever given your need for bypass surgery. ...Read more
Not sure why doctors think my mom would qualify for gastric bypass surgery or the band? Yes she's 350 lbs but she has copd, chf, diabetic with fluids around lungs and her legs swell up a lot due to the fluid. How could she qualify?
Good case: Needs some tuning, but a great candidate, since most of her problems will resolve with sleeve or bypass. Less benefit with band. She would be one of our typical patients. ...Read more
Bypassing...: Usually the three vessels of the heart (right coronary, left circumflex, and left anterior descending) get bypassed. There could be other combinations of these vessels for the triple bypass, though. ...Read more
About 4 hours: The average time of bypass surgery if about four hours but it depends on a lot ot things. Some surgeons are faster than others but that does not necessarily mean that faster is better. Also it depends on how technically difficult the surgery is. I can never be sure how long it will take me to drive to work. That I get there safely is the most important thing. ...Read more
Triple bypass: About 4-6 weeks to feel pretty normal again. ...Read more
Better: Varies from person to person. You might still be a bit sore, get tired with activity, maybe some swelling. However you should be feeling better as each day goes by. ...Read more
Pro - in general, if you have 3 vessel coronary artery disease and require "triple bypass" surgery, you will fare better over the long run than you would with stenting or medication alone. You would have better control of angina symptoms and a lesser risk of a heart attack.
Con - risks of bypass surgery, having to go through with surgery and recovery from it. In most patients, risks are small. ...Read more
Varies: The graft may have closed because it was attached to a diffusely diseased vessel with miminal flow. If the area is collateralized, nothing may need to be done. If reduced blood flow to that are of the heart is documented and associated with symptoms, then your own vessel that lost the bypass may possibly be opened with a stent. Talk to your cardiologist. ...Read more
My husband is 48 years old and has been smoking since he was 10 years old and has got to have triple bypass. What are his odds?
My husband is 48 years old and has been smoking since he was 10 years old and has got to have triple bypass. How bad does this get?
Are there any noteworthy so-called side effects following the first 3 weeks following triple bypass which went well. Any common factors complaints?
Mainly tiredness: It is a major surgery. Even with uncomplicated course it takes a while, about 6 weeks to feel completely normal. You can be tired and short of breath. May need tablets to get rid of water. Some people develop severe inflammation around heart and lungs called post cardiotomy syndrome that may require treatment. You may also develop heart rhythm problems that need treatment. ...Read more
Ask surgeon;complexQ: The answer is, "it depends". What do you mean by mortality rate? Death on the table? Death in 30 days? Death in 1 yr? 5 yrs? 10 yrs? Also, answer will depend on the surgeon who is performing the procedure as well as any medical problems the pt has aside from heart disease (diabetes, etc.) Stats compiled by NY at http://www. Heartprotect. Com/mortality-stats. Shtml; overall, 4.2% 1-yr mortality in NY. ...Read more
Depends on risk factors going in!
the operation itself carries good results in general, but smokers, diabetics, obese have increased risks to have the problems and to recover. ...Read more
Excellent: Depends on the specifics like age, extent of disease, and comorbid conditions but the ball park for all comers is in the range of 80-90%. ...Read more
Bypass: The risks of an infection after triple bypass relate to the general surgical risks of infection. There is definite risk which is why we go to great lengths intra and perioperatively to prevent surgical infections. Most facilities have a creditably low incidence of perioperative infections, it is almost unheard of presently for the infection risk to be zero however. ...Read more
Many: Don't know the exact % but 5 year survival typically increases significantly in patients with 3 vessel disease when they have been revascularized. ...Read more
It depends: Sternal precautions, aimed primarily at keeping stress off the breastbone and arms until the sternotomy has healed, figure heavily into the decision to return to work. Heavy lifting is a no-no, but typing might be ok. Some people require a lot of pain medication for a while, and some lack energy for several weeks. ...Read more
More info needed: Which one are you talking about? The bypass or the stents? Which was done first? How many grafts? Which type? Vien vs arterial grafts? Are you a diabetic, do smoke? Are the stents drug eluting or bare metal? So you see too much of your information is missing to make an intelligent assessment. ...Read more
Urgent: If these pains are new, unusual from what he had post - operatively, similar to the ones he had (if any) with his heart attack, or if associated with shortness of breath, nausea, felling clammy or radiation to arm, back, neck - or even if it is concerning to him. You guys must contact the surgeon's team immediately, and/or go to an ER to get appropriate evaluation. ...Read more
I'm curious, when a triple bypass has been done and the center one clogs within 3 yrs. What can be done?
I am 58, I have had a triple bypass and 6 weeks later I had 3 stents put in. In July it will be 2 years since my bypass. I am experiencing a pinchin?
See your doctor: I don't want to seem insensitive, but you have a life threatening problem. You should not be seeking opinions online in this or any other fourm. Contact your cardiologist or your personal physician. Good luck. ...Read more
Chronic Obstructive Pulmonary Disease (Copd) (Definition)
Also known as COPD, may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. ...Read more
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