Both of these malfunctions could have major consequences if not properly addressed such as heart failure, stroke, sudden cardiac arrest or blood clots . In such cases the valve would need repair or complete replacement.
...ers. Numerous signs and symptoms occur with an aortic dissection, making it very difficult to diagnose. Chest x-ray and chest and abdomen CT angiograms are the two most common tests performed to confirm a diagnosis, with CT angiogram being the modality of choice. If the patient survives the initial onset of an aortic dissection long enough surgical repair may be done. Surgical repair is very risky and does not have a high success rate, however, if surgery proves to be successful a patient’s prognosis greatly increases after 30 days. Perhaps the next time one is faced with the familiar imagery of a man grasping his chest and collapsing due to “heart disease,” instead of assuming the man suffered from the usual heart attack, one will remember that there are countless conditions that heart disease encompasses, and that aortic dissection remains one of the most deadly.
The surgery that was needed is called a bypass surgery. Essentially surgeons will use veins from the leg, then take the vein and bypass the blockage and reattach. My grandpa needed not one bypass, but four. Dr. Mudy, the heart surgeon (pronounced Moody) told us that one bypass surgery is a big operation, a four bypass is extremely risky. The news still was alarming, but surgery needed to be done as soon as possible. Another pressing issue was my grandpa’s aortic valve and the top part of the aorta would need to be replaced. Again any open heart surgery is extremely nerve racking and scary. Also the mortality rate for my grandpa given his unique conditions was about twenty-two percent. That night was the first time I cried since being down there. My grandpa wasn’t just my grandpa he was practically the dad I never
Transcatheter aortic valve replacement or TAVR is the latest technology used principally for the treatment of aortic stenosis, a condition in which one of the major valves of the heart, the aortic valve, becomes tight and stiff, usually as a result of aging (3). Since many patients who need aortic valve replacement for aortic stenosis are too sick to undergo major valve replacement surgery, they are unable to get the treatment they need. With the transcatheter aortic valve, this issue is bypassed because this valve can be implanted in the heart by accessing the patient’s heart through an artery in the groin. The valve can be inserted through a wire that can be pushed to the heart and the old valve is simply pushed to the side when the new valve is implanted. This technology has been in use in the US with Edwards’ Sapiens valve since 2011 and has saved the lives of many patients with aortic stenosis (4). Medtronic’s CoreValve uses similar technology and has won patent fights in Europe and has been in use internationally. However, within U.S., Medtronic has not been...
In our young cardiovascular center we have treated over 50 patients with aortic aneurysms and aortic dissections over the last three years with very encouraging clinical outcomes. The following case report describes one of our cases with hybrid minimally invasive surgery and endovascular approach for a patient suffering from life threatening acute aortic dissection Stanford type
Endovascular stent graft repair is designed to help reinforce a weakened aorta. Endovascular surgery is performed inside the aorta using thin, long tubes called catheters to place a stent surrounded with a fabric liner. Endovascular stent grafting uses an endovascular stent graft to reinforce the wall of the aorta and to help keep the damaged area from rupturing and developing into a potentially serious health problem that can be fatal and cause massive internal bleeding.
The patient, who will be referred to as Mr. Doe throughout this paper, is a 58 year old male with coronary artery disease. His medical history includes angina, shortness of breath, diabetes type II, as well as hypercholesterolemia. He was scheduled for a CABG surgery, and it was performed on February 4 of this year (Mr. Doe, personal communication).
In a healthy individual receiving a general anaesthetic, the anaesthetist must be aware of the causes and treatment of acute onset AF, both intra-operatively and peri-operatively. Patients with AF often develop a decline in left ventricular performance and other hemodynamic instabilities including reduced diastolic filling and tachycardia mediated cardiomyopathy1, all of which can reduce cardiac output and pose difficulties for the anaesthetist.
We live in times of a fast pace economy, meaning always on the go, rushing trying to get everything on our daily to-do lists done. This can lead to lack of rest, increased stress, poor diet, and all around unhealthy lifestyle. Let’s face it, it’s much easier to run thru the local fast food chain and grab supper when time is not on your side. What can all of this potentially cause? Health risks, both short term and long term to an individual. Coronary heart disease is a leading cause of death in Americans in the United States. Each year 400,000 Americans die from coronary heart disease. (2) In the unfortunate case that an individual is diagnosed and faced with the disease, there are procedures that can help relieve and treat it. There is a special exam room and team of specially trained staff that conduct these procedures inside the hospitals cardiac catheterization lab.