Open-heart surgery, otherwise called traditional heart surgery, is when a cardiothoracic surgeon opens up the chest to operate on the heart's muscles, veins, or arteries. The most common open-heart surgery done on adults is coronary artery bypass grafting (CABG).
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After open heart surgery, how long will I survive?
Query: Hello doctor, I am 43 years old and had a heart attack. 45 days ago, I had angioplasty and a stent was placed. But now, the doctor says that one of my valves needs to be replaced as it is not functioning properly. My ejection fraction is only 30%. Is it safe to undergo open heart surgery now? For... Read Full »
Answer: 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 30% can be because of the coronary artery blockage. You have not mentioned whether yo... Read Full »
My mother had open heart surgery nine years ago, and now she complains of an accumulation of fluid in the lungs. Why?
Query: Hello doctor, My mother had open heart surgery, aortic valve, and bypass nine years ago; she has had an ejection fraction of 65 % since she was fine. Her medications are Concor 7.5 mg daily, Sintrom 4 according to the test, and Lanoxin, one tablet for five days a week. A year ago, she developed brad... Read Full »
Answer: Hello, Welcome to icliniq.com. Fluid in the lungs has two meanings either pleural effusion or pulmonary edema. Please, send me her echocardiography report (the recent one) and chest X-ray. If echocardiography is not done during the last year, then repeat it. Pulmonary edema occurs due to a weak hear... Read Full »
I have pain on right side of chest 15 years after a heart attack. Why?
Query: Hello doctor, I had a massive heart attack 15 years ago. I am 54 years old now with a height of 173 cm and weight 64 kg. Within two weeks, angioplasty was done for me in LAD (left anterior descending) coronary artery. After four years, I had undergone bypass surgery for four vessels. Every year, du... Read Full »
Answer: Hi, Welcome to icliniq.com. I read through your entire case history. You are lucky that you have a good cardiac output. Your EF (ejection fraction) is all right and as per your stress test, there is nothing going in opposite and your heart is still doing well. Frankly speaking, heaviness on the righ... Read Full »
My grandmother has pleural effusion and cannot breathe or talk well after valve replacement surgery. Please help.
Query: Hi doctor, My grandmother had open heart surgery three years ago and replaced a valve. Now she has pleural effusions, cannot breathe or talk well and is hospitalized. Some doctors recommend another valve surgery because it is damaged and misplaced, and some say it is dangerous in her condition wheth... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Redo surgery is usually risky for most people, especially in older age. Specifically, it depends upon many patient and procedure-related factors. Which valve was implanted, aortic or mitral? Which type of valve was implanted, tissue valve or mec... Read Full »
My father was suggested surgery for heart blockage. Kindly give your opinion.
Query: Hello doctor, My father have been advised for a heart operation, as heart blockages found in the medical examination. I am attaching the report (scan copies). I need a second opinion from your side. Please help and advise further. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through all the reports of your father (attachment removed to protect patient identity). He has got a triple vessel disease and all the three major coronary arteries are critically blocked. The main problem before giving a suggestion is that you have not... Read Full »
What can cause heart murmurs in a 9-day-old baby?
Query: Hi doctor, My baby is 9 days old. Heart murmur was identified during check with the pediatrician. He said that the cardiovascular system is abnormal with soft systolic grade 2/6 murmur at LSB. We have done the echocardiogram and the results are as follows: Ventricular septal defect (Q21.0) with stab... Read Full »
Answer: Hi, Welcome to icliniq.com. I appreciate your trust in our services. I have carefully reviewed your query and can well establish the sensitivity of the health issues you described. The baby has actually got congenital heart malformations that are abnormalities in the development of normal heart stru... Read Full »
How to manage acyanotic heart disease in a six month baby?
Query: Hi doctor, My baby is six months old female. Recently, we did a 2D echo test, and the result came as acyanotic congenital heart disease. The report shows a small sized ostium secundum ASD with left to right shunt across the defect, approximately with a size of 8 mm. Why does it occur? What can I do... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your child's report (attachment removed to protect patient identity). It is an atrial septal defect. Have a follow up till the age of one and a half to two years. There is 80 to 90 % chance for the defect to get closed by itself. If not, when the chi... Read Full »