Your Child’s Heart Surgery: What To Expect
Being told your child needs heart surgery is never easy. And while your child is in exceptional hands, we understand that it’s still a difficult time filled with questions and concerns. We want to help alleviate some of the stress and anxiety by walking you through the surgical process, explaining what you can expect, telling you more about our program and sharing resources you might find helpful.
Your child’s surgical team will provide you with additional information along the way information that is specific to your child’s care.
Who Can Have Minimally Invasive Heart Surgery
Most minimally invasive cardiac surgeries are best for patients who have valvular heart disease including aortic, mitral, and tricuspid valve stenosis or regurgitation . In addition, minimally invasive cardiac surgery can be used to treat atrial fibrillation. It can also be used to close atrial septal defects and patent foramen ovales.
Some patients who need coronary artery bypass surgery may also be able to have MICS.
What Is Robotic Heart Surgery
Robotic heart surgery is a form of minimally invasive surgery. In robotic heart surgery, a cardiac surgeon directs the movements of a machine designed to make highly precise movements. The robot is a surgical tool, and it is controlled entirely by the surgeon. Robotic surgery may be used for the treatment of coronary artery disease, atrial septal defects, mitral valve disease, removal of cardiac tumors, and the correction of abnormal heart rhythms.
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What Are The Risks Of An Open Aortic Valve Replacement
There are certain risks with any type of surgery. Your particular risks will vary based on your particular medical condition, your age, and other factors. Be sure to talk with your doctor about any concerns that you have.
Most people who have open aortic valve replacement will have a successful outcome. However, there are some possible risks. These include:
About Minimally Invasive Surgery
Is Pre-Operative Evaluation Different With MICS?
In general, all patients who are being considered for cardiac surgery are thoroughly screened. First, we must make sure that you need surgery. Many patients avoid visiting a heart surgeon because they fear they will quickly be taken to the operating room even if they dont need surgery. Its our job to make sure we know when to operate, but also when not to operate. This requires experience and sound judgment so we give the best advice to our patients and their families.
We recognize that each patient is different. We are prepared to deal with any situations that are unique to your specific health condition.
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How To Prepare For Open
Tell your doctor about any drugs you are taking, even over-the-counter medications, vitamins, and herbs. Inform them of any illnesses you have, including herpes outbreak, cold, flu, or fever.
Its important to talk to your doctor about your alcohol consumption before you prepare for the surgery. If you typically have three or more drinks a day and stop right before you go into surgery, you may go into alcohol withdrawal. This may cause life-threatening complications after open-heart surgery, including seizures or tremors. Your doctor can help you with alcohol withdrawal to reduce the likelihood of these complications.
The day before the surgery, you may be asked to wash yourself with a special soap. This soap is used to kill bacteria on your skin and will lessen the chance of an infection after surgery. You may also be asked not to eat or drink anything after midnight.
Your healthcare provider will give you more detailed instructions when you arrive at the hospital for surgery.
If I Need Heart Surgery What Are My Next Steps
If you think or have been told you need heart surgery, your next step should be to get an evaluation or second opinion from a cardiac surgeon. Our surgeons can help you decide if surgery is truly necessary, and if so, which type of approach makes the most sense for you and your particular condition.
To get started, call 305-2633 or use ourappointment request form.
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What Is An Open Aortic Valve Replacement
An open, invasive aortic valve replacement is a surgery to replace a poorly working aortic valve with an artificial valve. The aortic valve is one of the hearts 4 valves. These valves help blood flow through the heart and out to the body. Under certain circumstances, your valve can stop working well. Your surgeon will use an artificial valve to replace your poorly working valve. This will ensure that your blood can exit the heart and flow out to the body normally. The surgery is called “open” because it uses a traditional type of incision to expose your heart. This incision is larger than those in minimally invasive types of aortic valve replacement surgery.
Preparing For The Surgery
Preparation for open heart surgery starts the night before. A person should eat an evening meal as usual but must not consume any food or drink after midnight.
It is a good idea to wear loose, comfortable clothing to assist with restricted movement following surgery, but wear whatever is comfortable.
Be sure to have all personal medical information on hand. This might include a list of medications, recent illness, and insurance information.
It is normal to feel anxious before an anesthetic, and people should not hesitate to seek reassurance from the healthcare team.
The doctor may request that the person washes their upper body with antibacterial soap. A member of the healthcare team may need to shave the persons chest area before they can have the anesthetic.
The doctors may also need to run tests before surgery, such as monitoring the heart or taking blood samples. A doctor or nurse might place a line into a vein to enable the delivery of fluids.
After the medical team has completed the preliminary tasks, the anesthesiologist will administer general anesthesia.
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What Happens During Open
Heart surgery is complex. Some surgeries may take six hours or longer. You will receive anesthesia and be asleep during the procedure.
Surgery steps vary depending on the heart condition and procedure. In general, your surgeon:
- Makes a 6- to 8-inch long incision down the middle of your chest.
- Cuts the breastbone and spreads your ribcage apart to reach your heart.
- Connects the heart to a heart-lung bypass machine, if youll have an on-pump surgery. An anesthesiologist gives IV medication to stop your heart from beating and monitors you during the surgery.
- Repairs your heart.
- Restores blood flow to your heart. Usually, your heart starts beating on its own. Sometimes, the heart needs a mild electrical shock to restart it.
- Disconnects the heart-lung bypass machine.
- Closes the breastbone or other incision with wires or sutures that remain in your body.
- Uses stitches to close the skin incision.
Most Common Cardiac Surgeries In India
Cardiac or cardiovascular surgeries are procedures that can treat cardiac ailments. It is the solution when no other medicine can treat the heart problem. A doctor performs cardiac surgery to repair heart valves and other damaged structures, implant medical devices, treat heart failure or coronary diseases and replace the heart with a new one.
Doctors perform over 500,000 open heart surgeries worldwide every year. According to a study in BMJ Journals, in India alone doctors perform over 60,000 open heart surgeries yearly. With the incidence of cardiac disorders rising, the need to know about their possible treatments is increasing too. To serve this issue, letâs look at the five most common cardiac surgeries in India.
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How Do I Get Ready For An Open Aortic Valve Replacement
As you plan for the surgery, you and your healthcare provider will decide what kind of valve will work best for you. Your surgeon will replace your valve with a biological valve or a mechanical valve.
- Biological valves are made mainly from pig, cow, or human heart tissue. Biological valves dont last as long as mechanical valves but have less risk for blood clots.
- Mechanical valves are man-made. People with mechanical valves need to take blood-thinning medicines for the rest of their lives because of the risk for blood clots. Mechanical valves also have an increased risk for infection.
Talk with your healthcare provider about how to prepare for your upcoming surgery. Remember the following:
- Avoid eating or drinking anything after midnight before your surgery.
- Try to stop smoking before your operation. Ask your doctor for ways to help.
- You may need to stop taking certain medicines before your surgery. Follow your healthcare providers instructions if you usually take blood-thinning medicine like warfarin or aspirin.
You may arrive at the hospital the afternoon before your operation. This is a good time to ask any questions you have about the procedure. You may need some routine tests before the procedure to assess your health before surgery. These may include:
- Coronary angiogram
About an hour before the operation, someone will give you medicines to help you relax. In most cases your surgery will proceed as planned, but sometimes another emergency might delay your operation.
What Is The Recovery Time
Recovery time depends on the type of surgery you have, but for most types of heart surgery you are likely to spend a day or more in the hospitalâs intensive care unit. Then you will be moved to another part of the hospital for several days until you go home.
The National Heart, Lung, and Blood Institute notes that the length of your recovery time at home will depend on the type of surgery you had, your overall health before the surgery, and whether you experienced any complications from surgery. For example, full recovery from a traditional coronary artery bypass may take six to 12 weeks or more.
Anesthesiologists are the most highly skilled medical experts in anesthesia care, pain management, and critical care medicine. They have the education and training that, in some circumstances, can mean the difference between life and death.
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Why Might I Need Coronary Artery Bypass Surgery
Your doctor uses coronary artery bypass graft surgery to treat a blockage or narrowing of one or more of the coronary arteries to restore the blood supply to your heart muscle.
Symptoms of coronary artery disease may include:
Swelling in the hands and feet
Unfortunately, you may not have any symptoms in early coronary artery disease, yet the disease will continue to progress until theres enough artery blockage to cause symptoms and problems. If the blood supply to your heart muscle continues to decrease as a result of increasing blockage of a coronary artery, you may have a heart attack. If the blood flow cant be restored to the particular area of the heart muscle affected, the tissue dies.
There may be other reasons for your doctor to recommend CABG surgery.
After You Leave The Hospital:
- Make sure you have someone to drive you home from the hospital. You will also need some help at home for a while.
- You will probably have your stitches or staples removed in a follow-up appointment in 7 to 10 days. Be sure to keep all follow-up appointments.
- You may tire easily after the surgery, but you will gradually start to recover your strength. It may be several weeks before you fully recover.
- After you go home, take your temperature and your weight every day. Tell your doctor if your temperature is over 100.4°F , or if your weight changes.
- Ask your healthcare provider when it is safe for you to drive.
- Avoid lifting anything heavy for several weeks. Ask your healthcare provider about what is safe for you to lift.
- Follow all the instructions your healthcare provider gives you for medicines, exercise, diet, and wound care.
- Make sure all your dentists and other healthcare providers know about your medical history. You may need to take antibiotics before certain medical and dental procedures to prevent getting an infection on your replacement valve.
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What Is Traditional Heart Surgery
Traditional cardiac surgery, or open heart surgery as it is often referred, is performed by making a large incision, roughly 6-8, in the chest to gain access to the heart. Once the heart is exposed, the heart is actually stopped and the patient is connected to a heart-lung bypass machine that does the work of the heart and lungs to allow the surgeon to perform the surgery.
What Open Heart Surgery Treats
Open heart surgery is major surgery. Physicians at The Ohio State University Wexner Medical Center strive to use less invasive procedures whenever possible, but some conditions can only be treated with open heart surgery. If you have certain problems involving the heart muscle, arteries, valves and other structures, open heart surgery may be recommended.
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What Is Recovery Like After Open
Recovery time varies depending on the surgery type, complications and your overall health before surgery. It can take 6 to 12 weeks to recover from an open-heart procedure.
Your surgeon will let you know when you can return to work and other activities. Typically, you shouldnt drive or lift anything heavy for the first six weeks.
Some people need to take blood thinners after heart surgery to prevent blood clots. Your healthcare provider may also recommend cardiac rehabilitation. This medically supervised program can help you regain strength and stamina and improve overall heart health.
Surgeries And Other Procedures
Your healthcare team may recommend surgery or other procedures to treat your heart condition. Heres what you need to know.
Ablation helps restore normal heart rhythm.
It can be used to treat rapid heartbeats or rapid, uncoordinated heartbeats .
Ablation is used most often if your condition has not responded to medication.
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What Happens During An Open Aortic Valve Replacement
Check with your doctor about the details of your procedure. In general, during your open aortic valve replacement:
- You will be given anesthesia before the surgery starts. This will cause you to sleep deeply and painlessly during the operation. Afterwards you wont remember it.
- The operation will take several hours. Family and friends should stay in the waiting room, so the surgeon can update them.
- Your doctor will make an incision down the middle of your chest. To access your heart, your doctor will separate your breastbone.
- The surgery team will connect you to a heart-lung machine. This machine will act as your heart and lungs during the procedure.
- Your surgeon will remove your current heart valve and replace it with a new valve.
- The surgery team will remove the heart-lung machine.
- The team will wire your breastbone back together.
- The team will then sew or staple the incision in your skin back together.
Preparing For Your Procedure
Prior to your open heart surgery, youll meet with your doctor to discuss your medical history, the medicines you take and any questions you have about the procedure.
Typically, you cannot eat or drink after midnight the day of surgery. Before surgery, you use a special soap on your chest and legs and your body hair is shaved to prevent infection after surgery.
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Procedure Completion Both Methods
Your doctor will sew the sternum together with small wires .
He or she will insert tubes into your chest to drain blood and other fluids from around the heart.
Your doctor will sew the skin over the sternum back together.
Your doctor will put a tube through your mouth or nose into your stomach to drain stomach fluids.
He or she will then apply a sterile bandage or dressing.
Conditions Treated With Mics
Minimally invasive heart surgery provides a unique approach to many traditional cardiac surgery operations. At University of Utah Health, we perform the following operations using minimally-invasive techniques:
- Mitral valve repair or replacement
- Aortic valve repair or replacement
- Tricuspid valve repair or replacement
- Modified maze procedure
- Limited coronary artery bypass grafting
- Epicardial lead placement
Are Complications of MICS Different from Traditional Heart Surgery?
Any type of heart surgery has some risks, regardless of which type of surgery youre having. Complications include infection, bleeding, stroke, electrical conduction problems, organ failure, arrhythmias, and death. Fortunately, these complications are fairly rare, even with open heart surgery.
Many types of heart surgery can be performed without using a cardiopulmonary bypass machine. But valvular surgeries need a heart-lung machine. To use this machine, doctors will place tubes in a patients artery and vein in their groin. Some patients may feel numbness or have drainage around the area where the tube is place near their groin. Some patients may also have temporary numbness under their right breast where doctors insert more tubes.
If you have MICS, your chances of having complications are usually lower compared to other types of heart surgery. This is because there is less risk of bleeding and infection. You will also be able to start walking earlier and return to your normal activities.
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Open Heart Surgery Scar
Given the fact that open heart surgery requires a large incision to be made to the chest, you should take all the necessary measures to protect the incision and make sure that the wound heals properly. Maintaining excellent hygiene is essential, so as to prevent infection and guarantee that you have a clean scar in the end. Avoid soaking the incision in hot water until the wound heals but be sure to take regular showers and keep the area clean. If the scar looks infected, then be sure to contact the doctor and see what treatment options are available.