10/23/11
mitral valve surgery?
mitral valve surgery?
Best answer:
They did the replacement to my husband opening the left the side instead of opening his chest. Ask your doctor.That greatly depends on the condition of the valve leaflets. If they are healthy (as should be in your case), I believe a second repair is possible. If the leaflets are thickened, calcified, or greatly distorted (as in patients with rheumatic valvular disease) a repair is not possible. Anyhow, it is eventually the surgeons decision, sometimes even after he opens and sees.
Re-do operations are accompanied by massive adhesions that might make the decision to use a minimally invasive approach impractical.I am a cardiac surgery nurse and my husband is a cardiothoracic surgeon who performs this procedure. Yes, it can be done 'minimally invasive' without cracking the sternum again. There is an approach via thoracotomy (going in between the ribs) with less healing time, but initial post pain is essential since it tends to be painful for the first 2 days. They could cannulate off your femoral artery (in groin) to circulate your blood volume to the bypass machine instead of cannulating the heart. It's an exciting time for these new techniques, my husband frequently travels all over the country observing other surgeons to stay on top of all the technology. If you are in the NJ area by any chance, we could guide you further- but if not, do your homework in your area on who is performing this procedure with good statistics. You can go to your state Medical Board of Examiners and get the surgeons statistics.
Good luck and be well.
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