Doctor insights on:
Is There Risk For Infection In The Replaced Aortic Valve
Yes: Any time there is bacteria in our blood stream, it can infect a heart valve. If a heart valve doesn't work properly (leaks too much or doesn't open enough) that risk increases as does if there is an artificial valve. The best way to prevent this is to see your dentist regularly to make sure your teeth and gums are healthy and to see your doctor immediately for any infection or persistent fever. ...Read moreSee 1 more doctor answer
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
Tof corrected 20 years back, now pulmonary valve to be replaced with bovine valve. Is there any other option. Which is the best valve option.
Talk to your doctor: This is the role your doctor should be taking- talk to you about the pros and cons on different options. If you don't trust his judgment, then you need to get a second opinion. For example, if you were a muslim, then a pork valve would not be an option for you regardless how good it may be. ...Read more
They don't: There have been studies looking at re-infection risk after aortic valve were replaced in the treatment of heart valve infection. The choice of a homograft vs other options did not influence outcomes. We use to think it would, but it does not. ...Read more
Is placing the prosthetic aortic valve at the supra level a viable option for people with smaller ao measurements? Also is root enlargement risky?
Avr: Your 'supra' needs to be defined. If you mean above the coronary Ostia the answer in no. Aortic root dilation is not a good thing. ...Read more
If a low grade infection is found in the joint fluid after ACL repair is there any risk to the graft itself or problems in the future?
Yes: The "low grade" infection can infect the graft, the joint (destroy the cartilage) and or invade the bone and give you a bone infection in the bone tunnels. Antibiotics are a must as well as serious consideration to irrigating the the knee out arthroscopically 1-3 times and if it progresses removing the graft itself. F/u closely with your surgeon ...Read more
The installation of an IVC filter is all that is needed to avoid most heart attacks, strokes and PE's if there is a history of familial heart disease?
No way;can only trap: large clots traveling from leg & pelvis veins from proceeding to right heart & lungs. Heart attacks & strokes result from clots in arteries leaving left heart, including supplying heart muscle itself. Most are without symptoms, due to plaque rupture or clots from left atria (rarely ventricle), occur without warning. Setup is atherosclerosis, LDL-P, HbA1c & Systolic BP not ?, Large-HDL-P not ?, etc ...Read more
Main concern is marfans. Has had a main arterial valve replacement. Metal. Takes all the usual drugs for that. Now has developed fluid on lungs. Treat?
Is open heart surgery the only way to address discrete subaortic stenoisis (membrane behind the aortic valve? Are there alternatives?
Subaortic stenosis: Can be congenital or acquired at different ages. You must have a cardiologist and have regular ECHOS. The SAS, usually is muscular cardiomyopathy, which narrows the tunnel for the blood to go through the valve. as the resistance increases, is indication for surgery . Cure of fixed subaortic stenosis (SAS) remains a surgical challenge. ...Read more
Have atrial fibrillation as a result of childhood rheumatic fever. It is affecting a heart valve. Will the valve need to be replaced?
Is there a standard procedure in place for treating a wound infection that develops after an embolectomy of the femoral artery?
No different: It's no differenct than someone whose mitral valve hasn't been replaced. If you need something to be done and your general health is otherwise okay, it should be done. Naturally, one would prefer to avoid a second open chest surgery, so percutaneous approaches are first considerations, but redos are possible. ...Read more
Are there any options down the pike for significant mitral valve leak instead of replacement. She had rheumatic fev & te test:valve can't be fixed?
Repair (Sometimes): In some cases the valve can be repaired by a surgeon, and these repairs tend to last a while. However, the surgeon might not know for sure until the patient is in the operating room and they actually see the condition of the valve. The echocardiogram gives the docs a good idea of what the valve looks like, but understand that it is not a perfect test. Be sure to see a cardiologist regularly. ...Read moreSee 1 more doctor answer
Variable: Much of the risk lies on underlying medical conditions and if the CHF is due to the aortic valve dysfunction. If the person is otherwise healthy and the CHF is thought primarily due to the valve problem, the bigger risks of surgery (bleeding, stroke, infection, anesthesia) would relate primarily to the patient age. We do bypass surgery and valve surgery on 80 yo patients quite routinely. ...Read moreSee 3 more doctor answers
A 13 year old child has bradycardia. There is no obviousshunt. What is the best treatment for a coronary fistula collateral flow in main pulmonary artery, above thepulmonary valve?
The aortic valve is one of 4 valves in the heart, each of which separates 2 cardiac chambers. It opens when blood is actively ejected from the left ventricle into the aorta artery, to be carried to the rest of the body. It then closes firmly to prevent blood from flowing backwards, while it passively continues to flow forward to body's vital organs. When next heartbeat ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
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