Doctor insights on:
Life Expectancy After Open 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
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 more
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 more
It varies: If indeed it is sundowning, and not something else (medications, hypoxias, infections, metabolic, etc), it should improve within days as the brain recovers and a more normal routine is instituted. Sometimes, recovery is not complete until the patient is home amidst more familiar surroundings. ...Read more
Stages: "full" recovery takes months. But I typically think of this in stages. The child is usually hospitalized ~10-14 days. Then the major portion of the recovery is complete by ~2 months (i.e. Home for ~6-8 weeks). But it will take another few months for the sternum to completely heal, etc. ...Read more
Many reasons: There are many reasons why arteries are closed after coronary artery surgery. Remember that surgery "bypasses" and does not remove blockages. Most importantly surgery does not chnage the medical problems which caused the blockages (such as cholesterol, diabetes, hypertension, smoking, obesity, and sedentary lifestyle) and unless these are addressed the arteries will continue to close. ...Read more
Well cleaned preop
excellent prophylactic antibiotics given on time
careful prep of skin
excellent surgical technique and tissue handling and careful closure
Ŕll are standard practices but there is still an incidence if infection:
etc. ...Read more
Blood clot in vein?!: This is not a common symptom following heart surgery. Of course, anyone can have any symptom, especially if you have been in bed and not using your muscles in one part of the body and they have atrophied. But one thing to rule out is dvt, i.e. Blood clot in veins of the legs. This is not uncommon in people following major surgery, cardiac included, due to inactivity and stasis of blood in the veins. ...Read more
NO.: Standard midline sternal approaches take two months to heal completely. Less invasive approaches may heal more quickly and allow for quicker return to activities and work. ...Read more
Valve or vessel?: Prudent diet good idea for all. Avoid high fat, sugary, high salt, processed meats, processed grains. Eat more vegetables, fruits, beans, legumes, whole train bread, cereal, pasta, low fat or no fat dairy, poultry, fish. Dash diet (online): dietary approach to stop hypertension is tasty, nutritious, easy, has data supporting its use. There are others as well. Talk to dietician. ...Read more
Heart Surgery: I ask my patients to walk 10-20 minutes twice daily right away but caution that they are not expected to set land speed records. This should be combined with a cardiac rehab program and increase to one hour twice daily. ...Read more
After open heart surgery if as of now I bench 225. After surgery when would I be able to start working out with this type of heavy weight again?
Minimum 3 mo: I restrict my patients to 10 lbs with arms for 6 weeks followed by another 6 weeks with limits of 25 lbs. Also no pushing or pulling. After the 3 months you can begin building back up slowly. ...Read more
How does BP stabilize after open heart surgery? If you'r on a lot of IV drugs to help BP, in what way does your body adapt to stop needing the IV meds
Ask surgeon: If you are the individual with the heart surgery, I am concerned of a more complex cardiac history. A 33 year old having undergone significant cardiac surgery should directly discuss all these matters with both surgeon and cardiologist. Diet after any surgery is discussed with specific surgeon. Coffee is often started with regular diet. ...Read more
Some operations are more complex, tedious, and complications.
Simple ones lead to speedy recovery in infants.
They are pliable and quick to heal. ...Read more
Six weeks: Six weeks if routine and no complications. ...Read more
Yes, like bone fract: The sternum is a bone & heals like any other bone. It is "fractured" (cut) at the start of open heart surgery. At the end of surgery, the sternum is usually "sewn up" using metal wires to hold the 2 parts together. Further bone healing (fusion) occurs over the course of 3-6 months (eg, as with a broken arm). Wires hold the sternum together in that time & fuse with bone as it heals. Ask surgeon. ...Read more
After open heart surgery about 5 weeks now is it normal to be experiencing pain and stiffness in neck, head, shoulders and heart?
Depends: On your problem. How u- important it may look bring to the attention of your doctor (s). Your doctor will make sure is not procedure related. ...Read more
After open heart surgery. When will I be able to lift heavy weights again? And do people usually lose significant weight after surgery?
3 months & yes: I typically restrict lifting, pushing and pulling for 3 months following heart surgery thru standard incision. 1 month for min invasive approach. I keep them to 10 lbs for 6 weeks and 25 lbs for another 6 weeks. Weight loss. I usually tell patients to expect to loose 10 to 30 pounds over 2-3 months after surgery. Unfortunately they often gain it all back w/in a yr. ...Read more
On call surgeon: If you had open heart surgery & are coughing up blood, you should contact the on-call surgeon immediately. ...Read more
After open heart surgery what are some challanges people usually face with a broken sternum? I just want to know what to expect
Limit use of arms: There is so much you do with your arms without thinking. You push off with hands on thighs to stand. You use arms to adjust yourself in chair or bed. All of this puts pressure on sternum. I limit patients to 10 lb 6 wks then 25 lb for another 6 weeks. And no pushing or pulling for 3 months. Coughing and sneezing can be uncomfortable also. ...Read more
What to do if I have sharp pain around my arm pit left side of my brest bone after open heart surgery. Please help.?
Not from heart: If you had a coronary bypass then the sharp pains to the left of the sternum may be due to the harvesting of the Internal mammary artery which requires cutting the pleura on either side of it. The pleura is highly innervated and cutting the sensory nerves produces a numbness over the left chest for many patients and then "pleuritic " pain as the nerves grow back. See your Surgeon if worried though ...Read more
After open heart surgery I want to punch my heavy bag for excercise. I know it will put a lot of pressure on my sternum. It has been twenty weeks?
OK: Your sternum has healed to almost full strength. You can start a punching bag routine. You will probably develop some chest wall or muscle pain as you start the exercise - because you haven't used your muscles to this extent since the operation. Listen to your body and start gradually and workup to the level that you performed prior to surgery. ...Read more
Depends: It depends on how deep the infection is; a superficial infection can often be cleared in a couple of weeks. The deeper the infection, the longer the antibiotic course/risk of complications. The other variable would be if this is a mssa or a MRSA infection, and the choice of antibiotic. ...Read more
Blister at incision site on leg after open heart surgery. Appeared about a month after surgery on bottom of incision. How to treat?
Likely benign: See the surgeon to be safe. If OK wi surgeon, topical aloe &/or vaseline is good. ...Read more
What is the cause of small soft stools after open heart surgery. Every now and then I hear noise in my stomach its not gurgling souds like heart beats and its loud.?
Are this many complications common after open heart surgery? My dad, 69 years old--overweight but no other health problems other than heart. 11 days ago had triple bypass, aortic valve replacement, and block for afib. Two hours after surgery needed anot
I: I am so sorry that your dad and your family are having to go through this. As you know, that is an extremely major surgery. Triple bypass with aortic valve replacement and procedure for atrial fibrillation is extremely extensive surgery. Factors that can affect the surgery and outcome include the condition of the patient prior to surgery, age, kidney function prior to surgery, and the condition of the heart prior to surgery. Keep an open line of communication with the doctor and nursing staff so that your family's questions can be answered to your satisfaction. I wish the best for your father. ...Read more
Almost 500, 000:
Difficult to get exact numbers. Close to 300, 000 coronary artery bypass, although this number is trending down due to stents, anticholesterol meds, smoking sessation, etc.
Then there are surgeries for aneurysms, valvular disease and many different pediatric heart surgeries. So somewhere around 450k to 500k. ...Read more
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