Some. Patients with limited disease burden.
It depends. The type of surgery and a history of prior surgery usually determine if an operation can be minimally invasive - if only the aortic valve or mitral valve need to be replaced/repaired you may qualify for a less invasive approach. This approach is avoided in patients who need a valve surgery and bypasses, or (sometimes) in patients with prior surgery - the scarring may interfere.
Anybody. Mainly the patients needing mv repair surgery.
Many. Minimally invasive valve surgery for aortic valve replacement. This is achieved by a smaller incision in the top of the chest. Mitral valve replacement can be done by robotic. Coronary artery bypass can be done by small incisions. The most important question is to do surgery the safest with good outcome. Recovery from surgery requires dedication from the patient and family.
Edema. Because of swelling and edema -- so we are trying to monitor the volume by weight and urine output.
Low salt. Low salt, low on animal fat, limited calorie intake to keep weight normal.
See AHA. Seven simple steps and diets.
It depends. Hopefully improvement in symptoms. If the surgery is for coronary disease and chest pain, doing away with the pain. If it is for a leaking or too tight valve, improvement in things like fatigue and shortness of breath. There of course can be bad consequences such as rhythm problems, kidney failure, anemia, fluid around the lung, pain in the incision, stroke, and even death.
Depends. For what condition? Congenital holes / conditions? May have complete repair /or may need subsequent interventions or surgery. Coronary blockage- bypass and generally improved prognosis. Valves improve and may ned coumadin risks are dying, bleeding, infection, stroke, recurrence.
Yes. If properly tested with neuropsychological tests many patients have mild memory problems up to a year after ohs. Fortunately the vast majority have no obvious changes noticeable to them or their family members.
Telogen Effluvium. Hair loss by telogen effluvium happens when trauma of some kind adversely affects the body, and forces hair into the telogen stage. This hair will first start to thin, and then fall. It is common after surgery, to develop a telogen effluvium where the hair goes into a shedding phase. The telogen effluvium usually lasts for 6-12 months.
It's complicated. Hair loss can happen for a number of reasons, lots of them unrelated to surgery. However, the stress and trauma of surgery, as well as medications to treat heart problems or blood pressure, or anemia after surgery can contribute. You should see a doctor if you are concerned.
Tropinon I test - negative / ejection fraction 35% - 40%. High BP / diabetes patient for the last 12 years. Would you recommend an open heart surgery?
That depends. It really depends on what blockages you have and their locations. Studies do show that diabetics with 3 vessel coronary artery disease do better with surgery. In addition left main disease also do better with surgery. Reduced ejection fraction with 3 vessel disease is another classic case where surgery is performed. Your cardiologist and surgeon should be able to help you make a decision.
Complicated. This depends on several factors. The type and indication for the surgery formost....Thereafter your doctor will determine your cardiac risk profile and determine your physical activity level or metabolic equivalency. Once all of these factors are taken into account a decision can be made in proceeding with the surgery.
Yes. Yes if your cardiac cath shows blockage in your main artery that feeds the heart or all three vessels that supply the heart.
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
Depends. Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient.
Heart surgery. This is a tough question to give a general answer to. It depends on the type of surgery needed and its complexity. It should only be performed at centers with extensive experience in these types of procedures and by surgeons who do this type of surgery on a routine basis.
When? Most aortic and mitral valve procedures and some limited coronary bypass procedures.