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MIL heart situtaion Part 2. Anyone know about noninvasive bypass??

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  • 1 Post By r.waddill
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MIL heart situtaion Part 2. Anyone know about noninvasive bypass??

Old 06-29-2018, 04:44 AM
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Default MIL heart situtaion Part 2. Anyone know about noninvasive bypass??

I posted this a couple weeks ago about MIL and got a lot of good information for Wife/SIL.

Basically MIL went in for heart cath and heart Dr said she needed bypass, however after talking with heart surgeon he agreed that the bypass surgery
would be very tough for her . More worried about recovery and rehab than the actual surgery (Dr agreed with MIL as well as Wife/SIl )

First heart Dr said the stents were too risky due to the arteries (widowmaker being one) and they way he would have to do them, he felt very risky on her and basically said stents not an option

MIL also basically told her girls she was NOT going to go through bypass (73 yrs old) and end of day it is her decision

They were referred to Cardiologist surgeon in Greenville SC that does Non Invasive bypass, recovery time is HALF of regular by pass and do not have to cut breast plate out like in regular bypass . They have appointment Tuesday with them to see IF she is a candidate for this procedure

ANyone familiar with this Non Invasive bypass and what/who would or would not be candidates



Opinions on Stents v Bypass surger for my 73yr old MIL-UPDATED



Last edited by tprice; 06-29-2018 at 04:59 AM.
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Old 06-29-2018, 06:30 AM
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It's really called minimally invasive, smaller incision and it's done off pump while the heart is still beating. The pump is a cardiopulmonary bypass machine that acts as the heart to keep blood flow to the brain and organs. It's a really good option but all vessels cannot be done this way so other vessels would probably require stents after the fact. I worked 5 years in a post CABG unit and found that the people who had a minimally invasive procedure and or off pump procedures were way more stable post op but seemed to experience more incision pain initially. My dad had a single bypass done this way and at 82yo he was discharged to home in 3 days which I felt was nothing short of amazing. The biggest factor as in all surgeries is the experience of the physician and their team. I had the pleasure of working with a surgeon who pioneered a lot of these procedures and pretty much wrote the book. There are also robots that are used but we don't use them so any opinion I have would be totally hearsay, I like to keep my comments focused on personal experience.
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Old 06-29-2018, 08:48 AM
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My dad had a newer experimental bypass done last year the name escapes me but it was wonderful. He was out of the hospital in 3 days. I will try and find out what it was. I believe the procedure was called TAVAR. You would have to google it
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Last edited by r.waddill; 06-29-2018 at 08:56 AM.
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Old 06-29-2018, 09:43 AM
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Originally Posted by tprice View Post
I posted this a couple weeks ago about MIL and got a lot of good information for Wife/SIL.

Basically MIL went in for heart cath and heart Dr said she needed bypass, however after talking with heart surgeon he agreed that the bypass surgery
would be very tough for her . More worried about recovery and rehab than the actual surgery (Dr agreed with MIL as well as Wife/SIl )

First heart Dr said the stents were too risky due to the arteries (widowmaker being one) and they way he would have to do them, he felt very risky on her and basically said stents not an option

MIL also basically told her girls she was NOT going to go through bypass (73 yrs old) and end of day it is her decision

They were referred to Cardiologist surgeon in Greenville SC that does Non Invasive bypass, recovery time is HALF of regular by pass and do not have to cut breast plate out like in regular bypass . They have appointment Tuesday with them to see IF she is a candidate for this procedure

ANyone familiar with this Non Invasive bypass and what/who would or would not be candidates



Opinions on Stents v Bypass surger for my 73yr old MIL-UPDATED


lf I recall you correctly, she has marginal pulmonary reserve .P02 of 60 on room air?

Vital signs summary is quite good. Be advised she may still require mechanical ventilation for some time afterwards and that is if things go well. She barely meets extubation requirements before surgery. I've been able to get most in her condition off the ventilator readily but hang crepe to everyone with a marginal oxygen exchange .

Get a non bypass surgeon and team thats done a bunch. It is a technical challenge that can have good outcomes .

Good luck .
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Old 06-29-2018, 12:44 PM
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Originally Posted by dssmith View Post
lf I recall you correctly, she has marginal pulmonary reserve .P02 of 60 on room air?


Good luck .

You are correct, I know heart surgeon had concerns over that PO2 level
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Old 06-29-2018, 07:31 PM
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TAVR is a valve procedure that we've been doing for 2 years, that is a minimally invasive aortic valve replacement mostly reserved for high surgical risk patients, there are moderate risk trials going on now and we've done a few of those. It's a very good device, I'm very involved with the program and see great results but the OP has a very different situation. Thank you DSSmith.
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Old 06-30-2018, 04:49 AM
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Originally Posted by Vitalsigns View Post
TAVR is a valve procedure that we've been doing for 2 years, that is a minimally invasive aortic valve replacement mostly reserved for high surgical risk patients, there are moderate risk trials going on now and we've done a few of those. It's a very good device, I'm very involved with the program and see great results but the OP has a very different situation. Thank you DSSmith.

Thanks again for the information, REALLY appreciate it

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