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LeakyValve

Well-known member
Joined
Dec 22, 2008
Messages
76
Location
Leesburg, VA
Hi, All -

My name is Michal and next Tuesday, January 6th, I will be six weeks removed from successful Mitral Valve Repair surgery performed by Dr. Paul Massimiano at INOVA Fairfax Hospital. I return to work on Monday following an echo and have my follow up with my cardiologist (Dr. Subash Bazaz) next Thursday. This site was recommended to me by someone from another medical site and it (you all) has been a God-send. I am very happy to be part of this community and hope to contribute in a manner that helps someone else as you all have aided me.

I had always known about my MVP, but was surprised at my physical this year when my doctor recommended that I go in for an echocardiogram. Dr. Bazaz sat down with me immediately following and told me that my results "were not 100% normal." What does that mean?, I asked. "Well," he said, "you have Mitral Valve Prolapse." It was all I could do to not say, "Duh, I've known that since I was a kid." But I did say, "I know that already." "Well, did you also know that you have severe regurgitation and that you'll need surgery to repair it." "OPEN HEART surgery?," I inquired. "Of course," he replied, "what other kind of surgery is there?"

I am a 43 year-old competitive cyclist who was completely asymptomatic. In fact, doctors were amazed that I was able to race my bike considering the amount of regurgitation that showed up on my subsequent stress echo. I then interviewed various surgeons who made arguments both for and against surgery in the short term, considering how well I was doing. But I decided that I didn't want this hanging over my head (i.e., going back every so often for an echo and waiting for the word that my heart was starting to malfunction) and with the health-related anxiety that I already have, let's get it done sooner rather than later!

After talking with Cleveland Clinic (they wouldn't see me, only schedule me for surgery if I was considered a good candidate), meeting with Johns Hopkins (Dr. David Yuh), and two INVOA Fairfax surgeons (Speir and Massimiano), I decided to go with Paul Massimiano based upon the amount of time he spent with me explaining the procedure and the number of Mitral Valve Repair surgeries he does every year. For the Mitral Valve, he is the best I found (Dr. Speir is great for the Aortic Valve, from what I've learned).

The surgery was a success and I was discharged at noon the day after. Just a little over 24 hours in the hospital. Sounds great, but I was scared to death of going home so soon after the procedure. Especially with a chest tube hole that was continuing to ooze red stuff.

Fast forward four weeks and my family and I travel down to Wintergreen Resort for a two-night stay. I drove the entire trip (3 hrs) and helped carry the luggage up steep hills to our hotel room. I had been feeling really good up until then...shortness of breath, rapid HR and dizziness soon enveloped me. I called the surgeon's office and was fortunate to get a Nurse Practitioner working late. I told her my symptoms and where I was located, to which she responded, "YOU'RE WHERE?!?! AND YOU DROVE?! ARE YOU ALREADY THERE?!" Even though I was released to drive at 2 weeks, I guess I forgot to ask about doing trips (apparently not good for 6-8 weeks). The altitude, while not excessive, definitely contributed to a faster HR and the occasional dizziness. So, no skiing for me...just a lot of rest and relaxation.

Sorry for the long post. That's my story and I'm sticking to it.

Glad to be here...although I am sure we would all rather not have to be here. Thanks for all your help!

Michal
 
Welcome and I am amazed- out of the hospital in one day!!!! I think that has to be a VR.com record!
 
Michal, welcome to the group!
At 6 weeks post op I still had my hubby working at home and helping with everything.
There is alot to be said for doing this surgery while a person is still reasonably fit and strong. Good for you.
 
Welcome no longer LeakyValve! I have to say that although it is fantastic that you were in good enough shape to go home after 24 hours, I still think it is totally crazy on the part of the hospital to have let you go home so soon!! Also, the fact that they let you drive after two weeks!! It doesn't matter how great shape you are in, the sternum is not anywhere near healed, and if you had an accident, it would be terrible! Anyhow, be careful lifting luggage even now!
 
Whoa.... 24 hours post op you were discharged home? :eek:
You win the prize. I am certain I've never read anyone going home that soon.
Did you have your chest cracked or minimally invasive?

Happy to hear how well you are doing. Keep up the good work.
 
If they had tried to discharge me after 24 hours I would have refused! There would be no way that I would have been comfortable with that, even with minimally invasive. I'm glad that it turned out ok for you.

Kim
 
Michal,

Step away from the bike. If you had a sternotomy step far away from that bike until your sternum is completely healed.:D

John
 
Let me say welcome and majority have said it already

but again .........WOW discharged in 24 hours:eek:

I know my 2nd surgery is next week and in no way am

i gonna be so ready to the medical team to let me go

What were they thinking?:confused:

I,m glad you are alright and all worked out for you:)

zipper2 (DEB)
 
Michal - I see from the First Line below your signature that you had "Minimally Invasive Mitral Valve Repair" at INOVA Fairfax Hospital in VA.

I'm surprised by your early release and apparent lack of restrictions. Didn't your surgeon give you instructions NOT to Lift / Pull / Push more than 5 or 10 lbs for X weeks after surgery? I'm thinking everyone else received such instructions (at least all of the Sternotomy recipients!).

Personally, I would NOT want to be discharged from OHS after only ONE Day, regardless of what kind of incision I had or how well I was feeling !

'AL Capshaw'
 
Hi Michal and welcome. I have to agree.....WOW, discharged after 1 day. I was not even awake or alert. Man, I thought I healed quick. Sounds like you are doing ok though. That's good. Take it easy and stay away from lifting. Best of luck to you.
 
All -

Thanks for the replies and the welcome. I had a (very) minimally invasive procedure done by Dr. Massimiano. In fact, the scar won't even be detectable unless I raise my right arm (he cut under my right pectoral muscle...still don't know how he got to my heart from there!). Nurses and doctors who I've seen since cannot believe the size of the incision.

As I said, there was considerable apprehension about leaving the hospital so soon after the operation. But the attending surgeon and Dr. Massimiano reviewed my vitals, looked at me and said that I would be safer (i.e., from infection, etc.) at home. The staff did say that if I was uncomfortable, I could stay another night. They weren't pushing me out the door, but they did say that there was no medical reason to keep me.

As for the driving, I was off the pain meds after about a week and because I had the minimally invasive (through the right rib cage) procedure, the typical sternotomy restrictions didn't necessarily apply. I did, however, need to take it easy, not lift anything over 10 pounds, ease into a short walking program and schedule cardiac rehab (next week) before doing any type of exercise other than walking.

I must admit that I was skeptical when Dr. Massimiano told me during the consult that he expected me to go home one or two days after surgery (Hopkins and Cleveland Clinic were telling me that at minimum I'd be there 5-6 days). But he was true to his word. Plus, it was Thanksgiving week and there is nothing more challenging than being in the hospital during the holidays.

The key to my own recovery will be patience. I want to be back where I was pre-op (resting heart rate of 48 bpm), but as some of you have appropriately described our situation...we've been hit by a truck and need to remember that.

Thanks again to all who replied and made me feel welcome.

Michal
 
Michal - I see from the First Line below your signature that you had "Minimally Invasive Mitral Valve Repair" at INOVA Fairfax Hospital in VA.

I'm surprised by your early release and apparent lack of restrictions. Didn't your surgeon give you instructions NOT to Lift / Pull / Push more than 5 or 10 lbs for X weeks after surgery? I'm thinking everyone else received such instructions (at least all of the Sternotomy recipients!).

Personally, I would NOT want to be discharged from OHS after only ONE Day, regardless of what kind of incision I had or how well I was feeling !

'AL Capshaw'

Al - They certainly did give me plenty of restrictions. Leaving the hospital the next day was at my discretion once all my tests were returned and the battery of docs came to review my case. I was welcome to stay another night if I felt uncomfortable. But truth be told, walking around the step-down unit, seeing everyone else who appeared to be in worse shape than me (one nurse even said to me during one of my "laps" of the floor, "What are YOU doing here?!"), I felt as though my bed would be put to better use for someone who needed it more than me.

The first few days at home were challenging (changing the dressing on my chest tube was always fun...how MUCH stuff was going to come squirting out on the bathroom floor when we changed the dressing! :eek:), but after a while the hard part was not overdoing it. I was feeling good. Deceptively good. I'd forget for a while that I had major surgery and would be walking up and down stairs, running errands with my wife, etc. and by the end of the day I would feel absolutely crushed.

My surgeon's office has always been VERY accessible when I've had questions or concerns. They have taken very good care of me.

Michal
 
Who removed your chest tubes? What about pacing wires? I can't imagine anyone other than the surgeon pulling those out.:confused:
I imagine if you were asymptomatic before repair, you should feel really good once you return to competitive cycling.:)
 
Wow, I spent five days at Inova Fairfax, and Dr. Speir was my surgeon. I was highly pleased with my care, and Dr. Speir is the best, in my book.

I had many restrictions on driving, lifting, etc., and benefitted from Cardiac Rehab a few months later. Of course, you had a surgery different from mine, so I guess we had different sets of instructions.

I guess as you indicated you've learned a lesson, but I would urge you to take care and not rush the healing, which comes in its own sweet time.

Best wishes....
 
Welcome, Michal, and I am happy for you that nothing went wrong after leaving the hospital. Next morning of my surgery, all my vitals were great, I was so alert, no pain, I did not believe I had surgery nor any of the nurses, visitors, doctors around believed that either...Glad I did not leave! the second day after my surgery my HR rate shooted up to 106, BP dropped, and I felt upside down...my surgery was different from yours! In brief, God has watched over you and after this lesson, take it easy and I hope you will be soon as fit as you wish.

With prayers :)
 
hello lion heart, just wanted to say hi because I also had coarctation repair in 1975 , bit of a chicken
 
Hi, Michal! My wonderful little nephew, now 6, had surgery through his tiny little armpit just like you did at 10 days of age for coarctation of the aorta. He has a bicuspid valve like aunt Fran does, so at least we all know he'll need monitoring.

I went home from a Friday surgery on a Monday afternoon. I was floored! But it was so good to rest my weary self on my own couch and escape the hospital, as much as I always adore the nurses and doctors who care for me.

Better than safe than sorry, still. I remember doing a few things just a tad bit too soon, and paying for it with the traumatized sternum sorta screaming at me! :rolleyes:

That resting heart rate of 46 will be back soon enough. Your body's been through a major ordeal, remember to give it space and time to compensate. :)

All the best! fran
 
Who removed your chest tubes? What about pacing wires? I can't imagine anyone other than the surgeon pulling those out.:confused:
I imagine if you were asymptomatic before repair, you should feel really good once you return to competitive cycling.:)

Mary -

Not sure about pacing wires. But the chest tube, main line in my neck and IV were all removed by a Physician's Assistant the next morning. A nurse removed my catheter. Funny, but I expected all of the OTHER tubes to hurt much more...and the nurse even said that the catheter would be the easiest...but for crying out loud, that hurt like an SOB. I had an ace bandage over the hole where my chest tube was located and that thing oozed for days after discharge.

I left the hospital without any tubes or wires. Just me, my new scars, an oozing chest tube incision and some pain meds.

Mike
 

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