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Suggest Treatment For Aortic Stenosis

Posted on Sat, 2 Aug 2014

Question: I have been diagnosed with a 90% aortic stenosis along with a double bypass. Can these procedures be done at the one time and also from the groin rather than open heart? I am an insulin taking diabetic on warfarin - factor 5 leiden and 72 years old/female

Answered by Dr. Sudhir (1 hour later)

Brief Answer:
Depends on how well you respond to anesthesia.

Detailed Answer:
It depends how long your body lets your doctor to keep you under anesthesia.But generally at your age doctor might want to keep the procedures separate.

If they are going to attempt bypass and angioplasty or putting stent for stenosis, then they might combine the procedure.

Angioplasty or putting stent can be done from groin, but not if there are planing to operate for stenosis.

Hope this answers your query.Regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sudhir (16 hours later)

Along with the above details, I am also on the list for gallbladder removal. It is hard to know where to start, but obviously the heart -aortic valve 'replacement' needs to be the first consideration, to be followed by if not done together, the double bypass. As you see it goes on and on!!!!!
Being diabetic now for 44 years, I have shown over the years to be a bad, very slow healer, still not right after a patelectomy 3 1/2 years ago, result from a fall and smashed knee cap,which was, 1st wired,2nd wires removed due to severe discomfort,3rd patella removed and still ongoing pain, wearing Norspan patches and taking 6 panadol osteo daily - with not much help I'm afraid.
Hence my concern with open heart surgery-expecting the bones to take forever to heal...................and I have not got the time, being an older, once very active
lady and wanting to get going again.

Follow up: Dr. Sudhir (2 minutes later)

by the way I am in Sydney ,Australia, where medical procedures are not as up to date as in the USA!!!!

Answered by Dr. Sudhir (3 hours later)

Brief Answer:
Thanks for follow up question.

Detailed Answer:
Yes, heart aortic valve replacement would top the priority.After that bypass may be considered.

Gallbladder can wait, if not acutely inflamed.Also if removed laparoscopically this should not take time to heal.

Bones do take time to heal at your age, due low bone density and osteoporosis.
But this will not be a major concern as sternotomy done for heart surgeries is well sutured with wires and healing pattern of these bones is different from weight bearing bones like knee bones.

Hope this helps.Best wishes to get you healthy sooner.Regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sudhir (19 hours later)

Thanks Dr XXXXXXX for your reply. Guess my 2nd opinion appointment on July 24 will confirm any unanswered and not understood issues, although you have helped me enormously. It is hard to get your head around and accept all this, being piled on one on top of the other.
An interesting fact in all this from a doctors point of view - my own mother had German Measles in the first three months of her pregnancy - all related no doubt.
My own father was a medical Doctor - GP and was my inspiration and reason for surviving many health issues under his guidance. God bless him. XXXXXXX

Answered by Dr. Sudhir (25 hours later)

Brief Answer:
It was pleasure assisting you.

Detailed Answer:
Hope everything goes fine for you.Will look forward if there are any follow up questions.Nice to here about your Father.

Best wishes.Regards.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T