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6 for Sarah

Active member
Joined
Apr 29, 2008
Messages
32
Location
Lakes Region, New Hampshire
Sarah. I have been reading for a long while but just now decided to join and post. You have such a warm, caring, supportive, helpful community. Here is part of my story. I look forward to becoming an active member of this community.

I am so gratefull for the past 4 years in my life. I was born with a bicuspid aortic valve. We always knew it would need replacing but the cardiologist wanted to wait as long as possible. I put it out of my mind except for the yeatly cardiologist appts, and the EKG's. I had no symptoms to speak of. I got married, had a family then in 2001 at my routine cardio appt I knew something was wrong. They immediately rushed me into a cardiac MRI right then, nurse escort and all from the office to the MRI room. Turns out I had formed an aneurysm on the aortic root from the pressures of my left ventricle trying to get enough blood out. (It leaked back moderately-severely by then).

The cardiologist, whom I did not care for too much, told me to not have any more kids as pregnancy would be too risky. I was devestated as I knew after 3 kids we were NOT done. I cried for about 2 days. We were in Raleigh, NC at the time and I made an appt at Duke with a doc that specializes in congenital valve disease. He was supportive of my plans to have more children and said I did not need to rush and end our childbearing years. I fired my other cardio and started seeing the one at Duke. He suggested cardiac MRI's and EKG's every 6 months for a year to see if the aneurysm was growing. After 2 more MRI's and a year of much praying, nothing had changed. We got the go ahead to try for number 4 in 2003. PG and everything else was fine. I was followed by my cardio at Duke and my bp was closely followed which luckily naturally runs on the low side.

Then we moved to AL and my symptoms escalated big time in 2004. I could not even mop the floor without having to sit down and huffing like I had run a marathon. I could not climb to our upstairs either. So I found a wonderful cardio at UAB. The leak was much worse, but the aneurysm was stable still.(~5cm) He said it was time to replace the aortic valve. We went over the options. I still did not feel our family was complete so I opted for a human valve. (So I would not have to be on coumadin, just a low dose aspirin daily.) I was placed on a waiting list in Aril, 2004. In August 2004 I got the call they had valves available and scheduled surgery for Aug. 19, 2004.

We got there the day before and had all kinds of tests and surgery the next morning. I was not scared at all, dh was terrified. UAB is about 90 miles from my house and my mother stayed with my girls. Surgery went fine, the cardio said the valve was much worse than he thought and the aneruysm not as bad as he thought. After 7 days in the hospital I went home but could not pick up my then 18 month old for 6 weeks. That was torture.

Got the go ahead from the cardio and cardio surgeon we could have another baby. I got pg 4 months after the surgery. Had another uneventful pg. Then another one in 2006.

I cannot even imagine the hurt some family was in but they thought to donate their loved ones organs and tissues. Without someone's sacrifice my 2 littlest babies would not be here. I cannot imagine my life without them. They allowed me to be able to have these precious babies. I often think who's part of their heart is beating in my body and has enabled me to a normal life again. What were they like? What happened to them? I wish their family could know how much I appreciate what they lovingly gave of their precious departed family member.

I will have to have it replaced again and that scares me to death as my hospital stay and recovery were very hard and I never imagined the horrendous pain afterwards. I would rather have dozens of babies without drugs than that, and yes I have had 3 without so know what I am comparing it to! But I am still so grateful for my valve!!
 
Welcome, Sarah!


I'm so glad you decided to post and share your experience with us! How is your homograft holding up? I hope that you get many, many more years of use from it.
I think you will find several members who have had Dr. McGiffin perform their surgeries.
Once again, welcome!:)
 
Welcome! Yours is quite a success story. Thank you for sharing it.
 
Hello Sarah, a touching tale there. :) Your single mindedness, willingness to challenge medical advice and then change specialists; all with a positive outcome, should be highlighted.
Mainly the best outcome is to do as told and go with the flow; on occasions the best outcome is to dissent. It's a difficult judgment. One you seem to have got perfect. :)
 
New

New

Sarah,

I am also new here and read your story with great interest. I also have a bicsuspid aortic valve and enlarged aorta. I am curious why you experienced so much post op pain. I'm going in for a consult as my aorta is now 5.1cm with moderate leakage on the valve. I'm told the valve is not bad enough in itself, but the aortic enlargement is driving the need for surgery. The "pain thing" caught my attention. I was told that Northwestern Memorial Hospital in Chicago uses a tube in the chest along the incision with a pump delivering pain medication directly to the incision to relieve this pain. Is this the area you experienced the most trouble?

upchurch131- pre op
 
Welcome, Sarah. What a story you have shared with us. Thank you.

And best wishes to you and your family. Hope it is many years before you need to worry about future surgery. Enjoy all those babies!
 
Thanks for sharing your story. It was inspiring and encouraging. Glad that you were blessed with all your babies!!!
For the pain issue I really don't remembering having hardly any at all with my surgery. Good luck and you will be in my thoughts and prayers...
 
Isn't Dr. McGiffin GREAT !

Out of curiosity, I'm wondering who referred you to him.

Are you in HSV?

We are SW of Huntsville in Morgan County, Hartselle. I saw a cardio at the Heart Center in Huntsville and he just dismissed my aneurysm and my symptoms and said it was not a pressing issue. I then got on UAB's website and found Dr. Gertler at the Acton Road Clinic. I really like him. He is the one that referred me to Dr. McGiffin. After consulting with Dr. McGiffin, I knew he would be the one to do my surgery. Dr. Gertler continues to do all my yearly follow-ups.
 
The "pain thing" caught my attention. I was told that Northwestern Memorial Hospital in Chicago uses a tube in the chest along the incision with a pump delivering pain medication directly to the incision to relieve this pain. Is this the area you experienced the most trouble?

I did not have anything but IV pain meds, nothing like you described. I wish that was offfered when I had my surgery. I guess it was so bad because I react violently to any type of anesthesia. I vomit/dry heave for days afterwards. The nurses in the CVICU thought I was gagging/heaving and such from the ET and kept telling me to calm down, but in reality it was the anesthesia. I could not wait to get the tube out and tell them I needed the Zofran around the clock and not "as needed". I had to have the Zofran every 5-6 hours until post-op day 5. Heaving with a cracked chest is what caused most of my pain. (We have a family history of sickness/death from anesthesia. My grandmother died from it, and my mom and all my siblings that have had surgery get very sick afterwards and vomit for a while.) I will be SURE to have this noted on my next surgery and make sure the Zofran is every 5-6 hours and NOT as needed, especially while I have the tube in.

That and morphine was not at all effective pain control for me. Once the tube was out and I asked for something else, I got much better pain relief with the percocets, which made me hallucinate though. Also, my incision opened up at the top, about the top 3 inches. We had to pack that 2 times a day and it took a good 3 months to close up. Then I had one of the dissolvable sutures work it's way out. They just clipped that one, but it was interesting to see "fishing line" coming out of your scar!

The top 5 inches or so of my scar formed a massive keloid scar and it is still very tender and itchy to this day. The bottom half is barely visible now but the top half is huge. Some people are just prone to keloids and the breastbone is one of the more common places for that kind of tissue to form. My breastbone is still senitive and I find i can't lift anything heavy or it gets sore. I used to lift some weights with my husband but I can't do anything for arms or chest anymore, at least not like I used to be able to.

I guess it is just a combination of all the above that has me dreading another surgery. I can't dispute the fact that I feel a million times better after the surgery though and don't regret it.
 
Sarah ~

I just wanted to join the others in welcoming you to this group of wonderful, caring people. You're a real inspiration with all you've been through and i hope you won't need surgery again for many, many years to come! Dawn-Marie
 
Welcome to the community Sarah! You have found a wonderful home. Great place for information sharing. You are right...not being able to pick up the little ones after AVR is torture! I had a 2 year old and a 6 week old at the time of my AVR...and couldn't pick up my 2 year old for 8+ weeks. You live in Huntsville? I'm from Huntsville, but live about an hour and a half north of there now in Murfreesboro, TN. I still visit from time to time since my parents are still there. Anyway, welcome and hope to see more posts.

Take care,
 
6 for Sarah said:
I did not have anything but IV pain meds, nothing like you described. I wish that was offfered when I had my surgery. I guess it was so bad because I react violently to any type of anesthesia. I vomit/dry heave for days afterwards. The nurses in the CVICU thought I was gagging/heaving and such from the ET and kept telling me to calm down, but in reality it was the anesthesia. I could not wait to get the tube out and tell them I needed the Zofran around the clock and not "as needed". I had to have the Zofran every 5-6 hours until post-op day 5. Heaving with a cracked chest is what caused most of my pain. (We have a family history of sickness/death from anesthesia. My grandmother died from it, and my mom and all my siblings that have had surgery get very sick afterwards and vomit for a while.) I will be SURE to have this noted on my next surgery and make sure the Zofran is every 5-6 hours and NOT as needed, especially while I have the tube in.

That and morphine was not at all effective pain control for me. Once the tube was out and I asked for something else, I got much better pain relief with the percocets, which made me hallucinate though.

I'm confused. Your first paragraph left me with the impression that you knew all of that BEFORE your surgery. Is that true?

I'm guessing that the Surgeon and Anesthesiologist were NOT aware of that information beforehand.

Also, I wonder why you didn't indicate you needed a Note Pad to write your request down for the ICU Nurse before your tube came out.

Of course it's all water over the dam BUT I hope you will make your Doctors and Nurses aware of those issues BEFORE your have another surgery or hospitalization for ANY reason. Hopefully that will avoid a repeat of your difficult first few days of recovery.

'AL Capshaw'
 
I DID know about it before the surgery (I have had a few smaller non heart surgeries)and I guess I took it for granted they would give it around the clock. I will not make that mistake again!! I did not even think to ask for a notepad, nor would I have known how. Who is your cardio? Are you in the HSV area? Was Dr. McGiffin your surgeon?
 

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