Mitral regurgitation surgery recovery: Difference between revisions

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==Overview==
==Overview==
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.
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 units|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]].


==Recovery==
==Recovery==


'''Recovery at hospital'''
'''Recovery at 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.
*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="pmid4847963">{{cite journal |vauthors=Klüsener R |title=[A so called granulation polyp of the larynx caused by blunt trauma (author's transl)] |language=German |journal=Laryngol Rhinol Otol (Stuttg) |volume=53 |issue=5 |pages=334–6 |date=March 1974 |pmid=4847963 |doi= |url=}}</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 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 your surgical cut.
*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 your surgical cut.<ref name="pmid174674382">{{cite journal |vauthors=Zhao L, Kolm P, Borger MA, Zhang Z, Lewis C, Anderson G, Jurkovitz CT, Borkon AM, Lyles RH, Weintraub WS |title=Comparison of recovery after mitral valve repair and replacement |journal=J. Thorac. Cardiovasc. Surg. |volume=133 |issue=5 |pages=1257–63 |date=May 2007 |pmid=17467438 |doi=10.1016/j.jtcvs.2006.12.048 |url=}}</ref>
*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 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.
*A temporary [[pacemaker]] may be placed in the patient's heart if the heart rate becomes too slow after [[surgery]].


'''Recovery at home'''
'''Recovery at home'''
*The patient should be informed about the following:
*The patient should be informed about the following:
:*Taking care for his or her healing incisions.
:*Taking care for his or her healing incisions.
:*Recognizing signs of infection or other complications.
:*Recognizing signs of infection or other [[complications]].
:*Coping with after-effects of surgery.
:*Coping with after-effects of [[surgery]].
:*Followup appointments, medicines, and situations when he or she should call the doctor right away.
:*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.
:*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.
*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.
*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.
*Less recovery time is needed for off-pump heart [[surgery]] and [[minimally invasive]] heart surgery.


'''Ongoing care'''
'''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.
*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]].
*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.
*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.
*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==

Latest revision as of 16:44, 31 January 2020



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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D. [2]

Overview

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.

Recovery

Recovery at 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.[1]
  • 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 your surgical cut.[2]
  • 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.
  • 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

  1. Klüsener R (March 1974). "[A so called granulation polyp of the larynx caused by blunt trauma (author's transl)]". Laryngol Rhinol Otol (Stuttg) (in German). 53 (5): 334–6. PMID 4847963.
  2. Zhao L, Kolm P, Borger MA, Zhang Z, Lewis C, Anderson G, Jurkovitz CT, Borkon AM, Lyles RH, Weintraub WS (May 2007). "Comparison of recovery after mitral valve repair and replacement". J. Thorac. Cardiovasc. Surg. 133 (5): 1257–63. doi:10.1016/j.jtcvs.2006.12.048. PMID 17467438.

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