Aortic regurgitation surgery recovery: Difference between revisions
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{{Aortic insufficiency}} | __NOTOC__ | ||
{{Aortic insufficiency surgery}} | |||
'''For the WikiPatient page for this topic, click [[Aortic valve surgery (patient information)|here]]'''; '''For the main page of aortic insufficiency, click [[Aortic insufficiency|here]]''' | '''For the WikiPatient page for this topic, click [[Aortic valve surgery (patient information)|here]]'''; '''For the main page of aortic insufficiency, click [[Aortic insufficiency|here]]''' | ||
{{CMG}}; '''Associate Editor-In-Chief:''' | {{CMG}}; '''Associate Editor-In-Chief:''' [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]][mailto:msbeih@wikidoc.org]; {{USAMA}} | ||
'''Related Key Words and Synonyms:''' Aortic valve replacement. | '''Related Key Words and Synonyms:''' Aortic valve replacement. | ||
==Recovery at the Hospital== | |||
The patient may spend 4 to 7 days in the hospital after surgery (much less in Minimally invasive mitral valve surgery-3 to 5 days). Then patient will wake up in the[[intensive care unit]] (ICU) and recover there for 1 or 2 days. Two to three tubes will be in the patient's chest to [[drain]] fluid from around the heart. They are usually removed 1 to 3 days after surgery.<ref name="pmid26803325">{{cite journal| author=Disha K, Rouman M, Secknus MA, Kuntze T, Girdauskas E| title=Are normal-sized ascending aortas at risk of late aortic events after aortic valve replacement for bicuspid aortic valve disease? | journal=Interact Cardiovasc Thorac Surg | year= 2016 | volume= 22 | issue= 4 | pages= 465-71 | pmid=26803325 | doi=10.1093/icvts/ivv387 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26803325 }} </ref><ref name="pmid26896474">{{cite journal| author=Koskinas KC, Stortecky S, Franzone A, O'Sullivan CJ, Praz F, Zuk K et al.| title=Post-Procedural Troponin Elevation and Clinical Outcomes Following Transcatheter Aortic Valve Implantation. | journal=J Am Heart Assoc | year= 2016 | volume= 5 | issue= 2 | pages= | pmid=26896474 | doi=10.1161/JAHA.115.002430 | pmc=4802442 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26896474 }} </ref> | |||
The patient may have a [[catheter]] in the bladder to drain urine, and may also have intravenous lines to get fluids. Nurses will closely watch monitors that show information about the [[vital signs]] (pulse, temperature, and breathing). | |||
The patient will be moved to a regular hospital room from the ICU. The nurses and doctors will continue to monitor the heart and vital signs until the patient is stable enough to go home. The patient will receive pain medicine to control pain around the surgical incision site. | |||
A nurse should help the patient to slowly resume some activity, and the patient should begin a physical therapy program to make the heart and body stronger. | |||
A temporary [[pacemaker]] may be placed in the patient's heart if the heart rate becomes too slow after surgery. | |||
==Recovery at Home== | |||
The patient should be informed about the following: | |||
*Taking care for his or her healing incisions. | |||
*Recognizing signs of infection or other complications. | |||
*Coping with after-effects of surgery. | |||
*Followup appointments, medicines, and situations when he or she should call the doctor right away. | |||
*When he or she can go back to daily routine, such as working, driving, and physical activity. | |||
After-effects of heart surgery are normal. They may include muscle pain, chest pain, or swelling. | |||
Other after-effects may include loss of appetite, problems sleeping, constipation, and mood swings and [[depression]]. After-effects usually go away over time. | |||
Less recovery time is needed for off-pump heart surgery and [[minimally invasive]] heart surgery. | |||
==Ongoing Care== | |||
Ongoing care after valve surgery may include periodic checkups with the doctor. During these visits, the patient may have blood tests, an [[EKG]] (electrocardiogram),[[echocardiography]], or a [[stress test]]. These tests will show how the patient's heart is working after the surgery.<ref name="pmid26896474">{{cite journal| author=Koskinas KC, Stortecky S, Franzone A, O'Sullivan CJ, Praz F, Zuk K et al.| title=Post-Procedural Troponin Elevation and Clinical Outcomes Following Transcatheter Aortic Valve Implantation. | journal=J Am Heart Assoc | year= 2016 | volume= 5 | issue= 2 | pages= | pmid=26896474 | doi=10.1161/JAHA.115.002430 | pmc=4802442 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26896474 }} </ref> | |||
Routine tests should be done to make sure the patient is getting the right amount of the blood-thinning medicine in case of mechanical valve placement. | |||
The patient may be advised to change his or her lifestyle, this includes: quitting smoking, making changes to diet, being physically active, and reducing and managing stress. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 15:45, 5 January 2017
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Aortic Insufficiency Surgery | |
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Treatment | |
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Aortic regurgitation surgery recovery On the Web | |
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American Roentgen Ray Society Images of Aortic regurgitation surgery recovery | |
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Directions to Hospitals Performing Aortic insufficiency Surgery | |
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Risk calculators and risk factors for Aortic regurgitation surgery recovery | |
For the WikiPatient page for this topic, click here; For the main page of aortic insufficiency, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D.[2]; Usama Talib, BSc, MD [3]
Related Key Words and Synonyms: Aortic valve replacement.
Recovery at the Hospital
The patient may spend 4 to 7 days in the hospital after surgery (much less in Minimally invasive mitral valve surgery-3 to 5 days). Then patient will wake up in theintensive care unit (ICU) and recover there for 1 or 2 days. Two to three tubes will be in the patient's chest to drain fluid from around the heart. They are usually removed 1 to 3 days after surgery.[1][2]
The patient may have a catheter in the bladder to drain urine, and may also have intravenous lines to get fluids. Nurses will closely watch monitors that show information about the vital signs (pulse, temperature, and breathing).
The patient will be moved to a regular hospital room from the ICU. The nurses and doctors will continue to monitor the heart and vital signs until the patient is stable enough to go home. The patient will receive pain medicine to control pain around the surgical incision site.
A nurse should help the patient to slowly resume some activity, and the patient should begin a physical therapy program to make the heart and body stronger. A temporary pacemaker may be placed in the patient's heart if the heart rate becomes too slow after surgery.
Recovery at Home
The patient should be informed about the following:
- Taking care for his or her healing incisions.
- Recognizing signs of infection or other complications.
- Coping with after-effects of surgery.
- Followup appointments, medicines, and situations when he or she should call the doctor right away.
- When he or she can go back to daily routine, such as working, driving, and physical activity.
After-effects of heart surgery are normal. They may include muscle pain, chest pain, or swelling. Other after-effects may include loss of appetite, problems sleeping, constipation, and mood swings and depression. After-effects usually go away over time.
Less recovery time is needed for off-pump heart surgery and minimally invasive heart surgery.
Ongoing Care
Ongoing care after valve surgery may include periodic checkups with the doctor. During these visits, the patient may have blood tests, an EKG (electrocardiogram),echocardiography, or a stress test. These tests will show how the patient's heart is working after the surgery.[2] Routine tests should be done to make sure the patient is getting the right amount of the blood-thinning medicine in case of mechanical valve placement.
The patient may be advised to change his or her lifestyle, this includes: quitting smoking, making changes to diet, being physically active, and reducing and managing stress.
References
- ↑ Disha K, Rouman M, Secknus MA, Kuntze T, Girdauskas E (2016). "Are normal-sized ascending aortas at risk of late aortic events after aortic valve replacement for bicuspid aortic valve disease?". Interact Cardiovasc Thorac Surg. 22 (4): 465–71. doi:10.1093/icvts/ivv387. PMID 26803325.
- ↑ 2.0 2.1 Koskinas KC, Stortecky S, Franzone A, O'Sullivan CJ, Praz F, Zuk K; et al. (2016). "Post-Procedural Troponin Elevation and Clinical Outcomes Following Transcatheter Aortic Valve Implantation". J Am Heart Assoc. 5 (2). doi:10.1161/JAHA.115.002430. PMC 4802442. PMID 26896474.