Doctor insights on:
Problems After Open Heart Surgery
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
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
Incision: Usually sharp pain after a sternotomy is incisional. You might have pulled something if you were overexerting yourself. If pain meds don't make it improve then make appointment to see your surgeon. ...Read more
Early and late: Early complications can be as minor as a little "shrinkage" f the lung from the anesthesia, and your doc will give you an "incentive spirometer" to encourage you to breath. Still, some people get pneumonia, and this is more serious. During or shortly after surgery, you can get fluid backed up into your lung. Late complications include blood clots, and pleural reactions (fluid around the lung). ...Read more
Stoam hurting and when let out gas it is exsteamly foul oder, I have been doing this for about 3 month. I am 62 and have had open heart surgery in 2007. I am having problem with releaseing gas that is almost to much for my family to bear, this oder is ex
Sir is was operated with open heart surgery (pulmonary r.P) 1year back but still having some problem but I want to punch punching bag. What can I do?
At a year the sternum-breast bone should be healed.
Work your way through cardiac rehab to check your general capacity.
Then start slow and steady to, your maximum level
boxing may not be ideal in terms of taking the hits, but I have had a patient return to that as well. ...Read more
Will I be able to talk to the perfusionist before my open heart surgery. I have a lot of questions about cognitive problems from bypass machine.?
Possibly: Your surgeon should also be able to address these questions, as they are certainly well-versed in the complications related to bypass, and also what sort of bypass will be needed for your case. On the other hand, I'm certain most centers could easily arrange for you to spam with the perfusionist... ...Read more
Husband to go to the ER because he is complaining that his chest hurts, he has COPD and he had open heart surgery in oct three years ago, I found him in respiratory failure, he had a trak, prone to get bronchitis and a host of other medical problems. Th
Got to the er for chest pain. Go to the er for respiratory failure (sob, difficulty breathing, air hunger) although it could also be cardiac failure secondary to a heart attack or angina.
Combination of COPD and heart disease is not good so must see cardiologist and pulmonologist/or internist (if comfortable in managing sever respiratory problems). Past h/o a trach makes him high risk. ...Read more
I had an open heart surgery 5 weeks ago. I still have problems with numbness on both my pinky fingers and down the left side of my left leg. I have asked my surgeon and my cardiologist and got the same answers. Whatshould I do?
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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
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
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
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