Is an open surgery feasible after a stent placement?

Question

Hello doctor,

I am 43 years old and had a heart attack. I had an angioplasty and a stent was placed 45 days ago.

But now, the doctor says that one of my valves needs to be replaced as it is malfunctioning. My ejection fraction is only 30 percent. Is it safe to undergo open heart surgery now?

For how many years will I be able to live after this operation? Can yoga or exercise help me improve my ejection fraction or valve function? Please guide.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have noted all your details.

Valve malfunctioning is divided into three stages; mild, moderate, and severe. The treatment protocol of every stage is different. Ejection fraction (a measurement of the percentage of blood leaving the heart each time it squeezes) 30 percent can be because of coronary artery blockage.

You have not mentioned whether your angioplasty was planned or you had a myocardial infarction (heart attack), for which stents have been placed. The success of open heart surgery and its prognosis depends on many factors. Does your ECG show any bundle branch block? Before making any comment, a detailed analysis of your ECG, 2D echo, angiography, and angioplasty reports is required.

Also, you have not specified which valve they are going to replace, either mitral or aortic. People with successful operations can live a normal life with medications and a healthy lifestyle. Yoga and other exercises are helpful, but for your case, I have to look at all the reports in detail before making any comments.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.