Mitral aortic valve prosthetics – before and after surgery

In preparation for the operation, you must follow these recommendations:

  1. Conduct appropriate diagnostics, which may include:
    • echocardiography;
    • laboratory tests of urine, blood (general and biochemical analyzes);
    • chest x-ray;
    • blood coagulation test;
    • ECG;
    • Ultrasound of the heart.
  2. Take advantage of the advice of specialists who will directly participate in the operational process:
    • anesthetist;
    • cardiologist;
    • surgeon;
    • respiratory therapy specialist;
    • nursing staff.
  3. 8 hours before surgery, completely refuse food. Before this, eat light foods during the day to avoid heart overload.
  4. Prepare psychologically, enlist the support of relatives.

Before the operation, you should rest, sleep. Take a shower no later than 8 hours before the intervention.

This type of surgery is considered the most difficult. Not every surgeon can perform an open heart surgery. To carry out such an intervention requires modern equipment and highly qualified doctors.

Currently, in our country there are not enough clinics equipped with the latest technology, so there is no opportunity to provide timely assistance to all those in need of such operations. Replacing the aortic valve of the heart is for many the only way to save lives, but, unfortunately, not everyone waits for their turn.

But there are foreign cardiology centers that are ready to receive foreign patients and provide them with the necessary assistance, thereby saving their lives.

Replacing the aortic valve requires careful preparation of the patient. After going to the doctor, the patient is prescribed a number of studies:

  • The first step is an examination by a doctor.
  • Blood tests are taken.
  • An echocardiogram is performed in which the movement of the heart and its valves is determined.
  • An electrocardiogram is performed to trace the heart rhythm.

A few days before surgery, the patient should observe the following recommendations:

  • Stop taking anti-inflammatory drugs and aspirin.
  • Do not take anticoagulants.
  • The day before surgery, only light food should be included in the diet.
  • On the day of the operation you can not eat at all.
  • Clothing must be prepared for unabashed movements.

Only after all the necessary preparations for the operation, the doctor prescribes a surgery time and the aortic valve will be replaced.

Recovery after mitral valve replacement surgery

Aortic valve replacement (transplant) surgery is a surgical procedure in which the doctor removes the valve and replaces it with an artificial one.

Replacement is carried out in order to prevent rupture, stretching or stratification of the damaged aorta.

A more gentle technique that is used for simple lesions is aortic valve plastic surgery (suture jointing, sash resection, balloon valvuloplasty, etc.).

After the operation, a person may experience unusual sensations, including euphoria or depression, loss of appetite, appetite and sleep disorders, swelling of the lower extremities.

Such reactions are considered a variant of the norm and pass on their own throughout the month.

  1. When installing a mechanical or donor valve, lifelong administration of drugs (anticoagulants, immunosuppressive agents) is necessary.
  2. Before carrying out any medical procedures, you must inform the doctor about the presence of an artificial valve – you may need additional medications.
  3. Diet after replacing the aortic valve implies a decrease in the consumption of fatty, fried, salted and smoked, as well as the rejection of fast food and foods that contain large amounts of cholesterol and salt. After implantation of a biological prosthesis, products that contain calcium should not be abused, since an excess of this element can reduce the life of the valve.
  4. The patient needs regular monitoring by a cardiologist, exercise therapy (in the first stages) and light physical activity in the future.
  5. Heavy physical exertion, as well as professional sports should be postponed for several years.
  6. Artificial heart valve and alcohol, drugs, and nicotine are incompatible.

This is an anatomical formation that helps to stop the communication of the left ventricle (LV) with the aorta during the relaxation of the heart muscle (diastole). The valves of this valve close tightly during the impact of the blood stream, preventing its movement from the aorta back into the ventricle. Its normal area is 3-4 cm ².

Congenital or acquired defects provoke danger:

The combination of these factors causes heart defects.

With abnormalities, aortic malformations arise: combined, stenosis, insufficiency.

The operation to replace the heart valve begins after special preparation (breathing exercises, an enema, etc.) and the introduction of anesthesia machines.

Prosthetics of the aortic valve of the heart is performed on an open organ. After opening the chest, the heart connects to artificial blood flow. Without mandatory disclosure, the procedure is carried out in the grave condition of the patient, unstable hemodynamics.

Methods of such surgical intervention include access to the organ through the femoral vein. The process is observed on a special screen using contrasting vessels.

Biological material makes it possible to do without them after taking anticoagulants for a period of three months after surgery.

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Stages of the operation

After special preparation (it is described above) and the introduction of general anesthesia, surgery involves the following steps:

  • processing of the surgical field;
  • longitudinal section of the sternum, opening of the pericardial cavity;
  • connection of the mechanism of cardiopulmonary bypass;
  • manipulations on the heart (removal of the affected valve);
  • installation (implantation) of an artificial prosthesis;
  • monitoring the functions of the implanted prosthesis, checking the joints;
  • shutdown of artificial blood flow, “launch” of the heart;
  • stitching.

The procedure takes place under general anesthesia. Myocardial treatment throughout the operation (at least 2 hours) is performed with cold saline.

At the end of the process, the operated person is sent to intensive care. He is not allowed to get up for two days. Initially, pain behind the sternum, high fatigue. On the fifth day, the patient washes out. Suture treatment is carried out daily. They are removed on the 7-10th day.

Modern valve implantation operations are carried out with minimal risk. A person is discharged from the hospital on the fifth or sixth day, if there are no complications. However, the person who has undergone this procedure must change his lifestyle.

Rehabilitation after surgery is important. The motor mode should be gentle:

  • when landing, keep the legs at right angles in the knees, do not cross them;
  • before getting out of the chair, you should move to the edge;
  • Before getting out of bed, first roll onto your side;
  • To raise objects from below, do not lean, but sit down.

New movements should be added gradually, in a gentle mode. At first, legs may swell, sleep and appetite may be disturbed, and visual disturbances may occur.

Attacks of depression can be replaced by excessive gaiety. But these phenomena are temporary. Life after surgery is quickly getting back to normal.

With competent rehabilitation, after a few months (six months), the patient restores normal heart function and feels healthy.

It is important to undergo planned examinations, treatment annually, ensure proper dietary nutrition, and practice restorative physical education, which is important for breathing. Over the course of 2-4 weeks, the rehabilitation prescriptions prescribed by the doctor must be followed, fluid balance should be monitored, and your health regularly monitored.

There are no strict restrictions on nutrition, but it is not recommended to abuse certain foods.

  • salt;
  • coffee drinks;
  • animal fats;
  • carbohydrates.
  • vegetable oils;
  • fresh fruits and vegetables;
  • a fish.

In general, the diet is not strict, with standard recommendations. Alcohol consumption is required to be reduced to a minimum. Smoking is also desirable to limit.

After surgical valve replacement, consequences and complications are possible. The most common are:

  • instability of the surgical wound;
  • migration of the implanted prosthesis;
  • stroke, heart attack;
  • complications due to prolonged immobility.

With any operation, a certain risk exists. For the prevention of thromboembolic complications and bleeding, anticoagulants with an individually selected dose are prescribed.

In any case, implanted prostheses are foreign bodies that can affect blood coagulation and the formation of blood clots.

The aortic valve is an element of the inner skeleton of the heart. It is located on the border of the left ventricle and the largest coronary vessel of the circulatory system, carrying oxygen-rich blood throughout the body. The design consists of a fibrous ring and three lunate cusps, which swing open during the expulsion of a portion of blood into the aorta and prevent its return. As a result of this process, cameras have the opportunity to take turns to relax.

It’s important to know! When the valve does not cope with its function, hemodynamics are impaired, which leads to overload of the myocardium and its premature wear. Heart failure causes a slowdown in blood circulation, which results in stagnation that negatively affects the functioning of internal organs and systems.

The prognosis after surgery to replace a heart valve of any kind is considered favorable. The risk of disability and mortality from heart failure is significantly reduced, and life expectancy, on the contrary, is significantly increased.

Attention! The fatal outcome of the operation is 0,2%, and it is almost always associated with the formation of blood clots or the development of infectious endocarditis.

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After replacing the valve, the patient is invited to radically change living conditions. During the first year after the operation, he should visit the doctor every month, in the second year, much less – once every six months. At all other times, contact a specialist for the purpose of inspection at least once a year. At each visit, it is recommended to undergo an ECG and echocardiography.

Regardless of the period that has passed after the operation, it is recommended that you follow simple rules for the rest of your life.

  1. Refuse to drink strong drinks, including coffee.
  2. Get rid of bad habits.
  3. Correct the diet, follow a sparing diet.
  4. Periodically take vitamin-mineral complexes to maintain their optimal balance in the body.

It is necessary to formulate the correct daily routine: allocate no more than 8 hours for labor activity, no less than the specified period – for rest and sleep. The rest of the time should be divided between meals, a walk in the fresh air and exercises in therapeutic gymnastics, which is aimed at strengthening the heart muscle.

According to patients who underwent aortic or mitral valve replacement, most of them returned to their previous lifestyle. Discomfort disappeared, the work of the heart was completely restored. Many women with cardiac pathology after the operation were able to find the happiness of motherhood.

All pathologies of the valvular apparatus of the heart are divided into two large categories: congenital and acquired. Congenital heart defects, as a rule, should be operated on as soon as possible, when the condition of the child will allow this to be done.

Acquired defects are corrected as the patient’s cardiovascular system stabilizes.

Rehabilitation after replacing the valves on the heart involves supporting metabolic therapy of the myocardium (substances that improve the metabolism of the heart) and drugs that prevent the increase of blood coagulation.

There are several fundamentally different types of valve apparatus. They can be divided into petal and axisymmetric types depending on the type of their structure and the mechanism of attachment to the heart chamber. Petal valves have lost their relevance in modern medicine due to the large number of postoperative complications and the high cost of the elements used.

Valve types

Even the possibilities of modern science and technology still do not allow creating the perfect valve. Those varieties that are used now have their pros and cons. To replace the surgeons use several types of prostheses:

  • Mechanical valves. Create them from modern alloys of high strength. Their advantage is their indefinite functioning, but the patient will have to take anticoagulants throughout their lives to prevent the formation of blood clots.
  • Biological prostheses are made from animal valves. After their installation, the use of blood thinning drugs is not required, but the life of the prosthesis is only 10-15 years, and then a second operation is needed.

When aortic valve replacement is required, the choice of variety depends on several factors:

  • Age group of patients.
  • General health.
  • For whatever reason, valve replacement is required.
  • The presence of other chronic diseases.
  • Does the patient have the opportunity to take anticoagulants for life?

Once the valve type is selected, there is a difficult replacement operation.

Recovery after mitral valve replacement surgery

It is presented in the form of two valves between the atrium and the left ventricle. Blood penetrates from the first to the second. When compressing the ventricle, the valve is closed. Blood at this moment is not pushed into the atrium, but through the aorta into the vascular region.

Replacing it with minimally invasive methods takes about three hours. The open method is used in severe cases.

Correction methods

The endovascular method involves the insertion of a femoral artery (or brachial) into incisions with local anesthesia of a catheter with a prosthesis. For dangerous defects, endovascular replacement is not applicable.

Minithoracotomy is a replacement for the mitral valve. In this case, a cardiopulmonary bypass is used. The chest does not open completely, only a few incisions are performed. General anesthesia is prescribed.

The heart changed by defects works with overloads, its departments increase in size. Heart failure affects internal organs. The life of the patient is under constant threat due to decompensation – depletion of the heart’s ability to supply the body with blood.

Valves prevent the reverse movement of blood in the pulmonary and pulmonary circulation. Their surgical correction is carried out with irreversible structural changes, when the correct blood flow in one direction is impossible. Rehabilitation after valve replacement is an important part of a person’s adaptation to new living conditions. Includes drug therapy, diet and exercise.

Prosthetics of heart valves is performed in cases of:

  • severe stenosis, i.e. narrowing of the hole, which cannot be expanded by reconstruction;
  • valve insufficiency due to salt deposition, ulceration, fibrosis, sclerosis, wrinkling;
  • violations of the dynamics of the valves due to sclerosis of the chords.

Most often, the mitral and aortic valves replace. They are more susceptible to sclerosis and infectious diseases, which are accompanied by inflammation and deformation of tissues than tricuspid and pulmonary.

Contraindications to the operation are:

  • patient refusal to replace the valve;
  • severe disease of other organs, which may worsen during surgery;
  • blood clotting;
  • the inability to fix the defect due to its neglect.

The operation is performed on an open heart in specialized cardiac surgery centers. This is a complex intervention, in which the organ is stopped, and blood circulation is carried out by special equipment without involving the heart muscle. During the operation, the heart is cooled. This protects him from hypoxia.

The postoperative period is quite long due to the large volume of intervention and a long time of anesthesia. A vertical scar remains on the chest after the dissection of the chest.

Important. In this way, the mitral valve is replaced, because it is located inside the heart. When replacing the aortic, minimally invasive technology of endovascular prosthetics is used. It does not require general anesthesia and is performed on a working heart.

A mini-conductor is inserted through the femoral artery or a small incision in the chest. After removing the damaged valve, a new mechanism is precisely installed in the right place.

Rehabilitation after endovascular prosthetics is much faster. In the hospital, the patient spends less time, and the restoration of disability occurs earlier than after the operation in an open way.

In intensive care, the patient spends the first day, then, with favorable dynamics, he is transferred to the general ward. Rehabilitation in a hospital after open heart surgery lasts at least 7-10 days. During this period, the patient is recommended to carry out:

  • breathing exercises aimed at restoring lung function (inflate a ball, cough) to avoid postoperative pneumonia;
  • light tapping back massage to enhance blood circulation and sputum discharge;
  • make movements with arms, legs, squeezing and unclenching of the hands;
  • If possible, get up and move for faster recovery of organs.

With endovascular intervention in a hospital, the patient spends 3-4 days.

A patient undergoing valve replacement surgery regains strength and gets used to a new lifestyle for 6-12 months. As a rule, a person experiences a surge of strength, improvement of well-being. Routine actions are now performed easily and are not accompanied by fatigue.

With the intervention, a valve made of artificial materials or biological tissues is installed. The body reacts to a foreign body with increased platelet production. To avoid thromboembolism, the patient should take anticoagulants – warfarin, clopidogrel.

With a mechanical valve, this is a lifelong appointment, with a biological valve – 3 months. We need constant monitoring of INR – international normalized relations (IPT, PTV). Its recommended value is 2,5-3,5. There is a risk of hemorrhage, therefore it is forbidden to change the dosage of the drug. Only an observing cardiologist can do this.

Drug therapy includes:

  • taking anticoagulants;
  • antibiotic treatment of rheumatic defects;
  • treatment of arrhythmia, angina pectoris, hypertension;
  • taking diuretics.

Important. This will help to avoid the main complications of valve replacement – thromboembolism and bacterial endocarditis – inflammation of the heart muscle.

Valve prosthetics improves heart function, but requires lifestyle changes and constant monitoring of the coagulogram. The first time they visit a cardiologist a month after the operation. It is necessary:

If the results are good, the next visit is done after a year. It is necessary to focus on well-being, it may be necessary to consult a doctor more often. If the monthly analysis of PTI is unsatisfactory, there are deviations up or down, only a cardiologist can make an adjustment.

After prosthetics, however, as before it, you need to lead a healthy lifestyle:

  • no smoking;
  • do not drink alcohol;
  • observe the regime of work and rest – you can not work in the country, lift weights, overwork;
  • protect yourself from viral infections;
  • follow a healthy diet.

It must be remembered that some products increase blood coagulation, so you can not abuse them.

After discharge, continue breathing exercises. Rotate hands, arms, feet and legs several times a day. The load must be increased gradually, without excesses. But you must move.

The intensity of classes depends on the age and condition of the operated person. A set of exercise therapy exercises for rehabilitation is selected by a doctor.

There are known cases of athletes returning to sports. But in the majority there are still restrictions that cannot be neglected.

Endovascular interventions are easier to carry. Adaptation is faster, a person almost immediately returns to the rhythm of ordinary life. But regardless of the method of the operation, you need to take anticoagulants, monitor IPT, and lead a healthy lifestyle.

The prognosis after replacement of the mitral and aortic valves is favorable. Well-being is noticeably improving. Life extends for more than 20 years. Cardiac surgeons joke that with an artificial valve you can live 300.

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It is worth paying attention to your health. When visiting dentists, conducting any medical procedures and interventions, you need to warn in advance about the operation. If the condition associated with cardiac activity worsens, consult a doctor immediately.

Surgical treatment cost

In most cases, aortic valve replacement surgery is free. This is due to the presence of quotas that are provided by the Russian public health system through the compulsory medical insurance system. But if there is no possibility to use such a quota, or for some reason the patient was refused, he has the option of performing the operation at his own expense. Surgical interventions of this kind are considered quite affordable for ordinary citizens and are performed in all major cities of Russia.

The cost of surgical treatment varies in the range of 90-200 thousand rubles. In Moscow, this figure is slightly different and amounts to 65-600 thousand. Moreover, the increase in price directly depends on the volume and complexity of manipulations.

The standards for heart valve prosthetics abroad are an order of magnitude higher, so often patients choose foreign clinics. In different countries, the cost of a replacement operation has significant differences.

CountryCost / Euro
USA120000
Israel50000
Singapore30000
Spain24000
Poland20000
Turkey10000
Mexico9000
India4000

Given the numerous patient reviews, we can conclude that the treatment both abroad and in the Russian Federation is of high quality and is carried out at a decent level.

Until recently, the operation to replace the aortic valve on the heart necessarily required the cardiac muscle to be stopped and the chest to be opened. These are the so-called open operations. During surgery, the life of the patient is supported by means of a cardiopulmonary bypass.

But now in some clinics it is possible to replace the aortic valve without opening the chest. These are minimally invasive operations in which cardiac arrest is not required, as well as large incisions.

Of course, it must be said that carrying out such surgical interventions requires real skill from the surgeon. For example, Israeli clinics are famous for their cardiac surgeons, so many patients, if funds permit, are sent to this country for such an operation.

Types of Artificial Valves

They vary in composition and manufacturing method.

Biological

The biological valve is made from natural tissues of pigs and other animals and is introduced for up to 15 years. After that, the replacement is repeated.

Advantages: an opening of the chest is not required, the appointment of anticoagulants is provided for only 3 months.

Disadvantage: quick wear (12-15 years).

Mechanical

It is specially made using hypoallergenic materials such as plastic and metal. Such valves are installed indefinitely.

Advantages: durability, stability.

Disadvantages: the obligation to ensure open access to the heart, lifelong anticoagulant therapy.

Donor valves are rarely practiced.

Performing an operation

When the patient is on the operating table, he is given general anesthesia, and he falls asleep. If the operation is performed with an opening of the chest, then in the middle the surgeon makes an incision and pushes the chest out so that you can reach the heart.

Cardiac arrest is required so that it is possible to make a replacement, so the patient is connected to a heart-lung machine. The doctor in the aorta makes an incision, removes a worn or damaged valve, and in its place sets a new one. After this, the aorta is sutured, the heart muscle is launched, the rib cage is connected and sutured.

Surgical treatment cost

Prosthetics of heart valves can be done for free, at the expense of the state. But for this you need to register in the queue. Benefits are provided on an emergency basis.

Paid options are faster, but they are expensive.

Heart pathologies requiring surgical intervention are diseases subject to quotas. However, each clinic is issued by the Ministry of Health of the Russian Federation only a certain number of budget quotas, which are distributed by the commission.

The cost of replacing the aortic valve mainly includes the cost of the prosthesis, the work of the surgeons, and the stay in the medical facility.

Complications and consequences of the operation

Today, this surgical intervention is carried out regularly, and at the same time gives positive results.

Recovery after such an operation takes a fairly short period of time, during which it is required to follow the doctor’s simple recommendations.

Heart valves provide the correct direction of blood flow in the human body.

Their job is to alternately close and open during heart contractions, as a result of which blood flows from the atria to the ventricles, from where it passes towards the aorta and the pulmonary trunk.

In the event that the valve is destroyed, it is simply impossible to ensure normal blood flow. Inaction in this case may result in acute heart failure, which in turn is a clear threat to human life.

Heart valve replacement is required if:

  • infectious lesions;
  • the presence of a birth defect;
  • fibrosis;
  • calcification;
  • lack of required valve density;
  • lack of access to the procedure for dissecting adhesions;
  • pathology of valve cusps.

Absolute contraindications for this operation can be called average heart failure in a patient in average form, deformation of several valves at once, and the presence of infectious endocarditis and rheumatism, expressed in severe form at the stage of exacerbation.

Rehabilitation after surgery in this case is due precisely to surgical intervention, that is, opening the chest and making changes to the structure of the organ. During the operation, the human heart is turned off, and to ensure the vital functions of the body, it is connected to a special apparatus that creates artificial blood flow.

The first day after surgery, the patient is in the intensive care unit, after which he is transferred to a stationary ward. A tube is installed in the lungs through which fluid is pumped out of the lungs. After the end of the action of anesthesia, if necessary, painkillers can be injected into the person.

Standing up is allowed no earlier than two days later. And in the absence of complications, after 5 days the patient can be discharged home for further recovery. If necessary, additional therapy, the stay in the hospital increases to 10 days.

Rehabilitation after replacing the valve with the heart, first of all, consists in taking medications, the name and exact dosage of which are determined by the attending cardiologist. The main ones include:

  • drugs whose action is aimed at suppressing immunity, which can provoke rejection of foreign tissue, as a result of which the donor valve does not take root;
  • antibiotics, the purpose of which is to prevent rheumatic attacks. These drugs must be used for those patients whose valve replacement was required due to rheumatic defect;
  • anticoagulants that prevent blood clots. When replacing the heart valve with a biological or mechanical analog, the blood supply system perceives it as a foreign body. As a result, blood coagulability increases, which can cause a blood clot to form on it. It will not only impede the work of the heart, but can at the same time tear itself away and enter the bloodstream. Such circumstances threaten a person’s life and will inevitably lead to serious complications – pulmonary embolism, stroke or vascular thrombosis;
  • antiplatelet agents, that is, drugs based on aspirin. Their purpose is to reduce blood coagulation, as a result of which the risk of blood clots is reduced.

In the event that the patient, both before and after the operation, has symptoms of other cardiovascular diseases, such as arterial hypertension or angina pectoris, then in addition to the above medicines, you should also take drugs whose action is aimed at eliminating them. It is necessary to carry out reception in those doses that were prescribed by the doctor constantly. If the effect of drugs for one reason or another becomes ineffective, then contacting a cardiologist should be immediate.

In most cases, patients who have experienced manifestations of chronic heart failure are sent for valve replacement surgery.

This disease in itself caused intolerance to physical exertion, and did not allow a person to actively move and play sports.

After the operation, the patient’s well-being improves significantly, and he has the strength to increase the load. But at the same time, the fear of harming oneself is stronger.

In order to understand what the body is capable of after changing the valve, the best option is to visit a specialized sanatorium.

This institution has in its staff specialists who will select an individual schedule and increase the intensity of the loads, in which a person in a short time will be able to significantly expand his motor regime.

All classes will be conducted under close medical supervision, which will make it possible to avoid negative consequences. The result of such rehabilitation after heart surgery when replacing the valve will be a return to a full active life.

If, for certain reasons, visiting such a sanatorium is not possible, then on issues of increasing the degree of load it is necessary to decide with your doctor.

Only on this basis, the doctor will be able to determine at what point in time the patient can begin to actively engage in sports, lift certain weights and generally carry out certain actions that require attention and strength from him.

In the first time after surgery, the patient must control the degree of physical activity very strictly.

It is worth noting that increased load after such surgery is contraindicated. But at the same time, its complete absence will entail a very long recovery period.

Motor activity in itself has a positive effect on the cardiovascular system and the whole organism.

Proper nutrition

Nutrition after heart surgery when replacing the valve in most cases does not require special adjustments, that is, a person can eat all the same as before surgery. At the same time, he needs to limit the intake of alcoholic beverages. This rule applies only if the patient does not have any concomitant diseases.

If the valve replacement operation was performed to a person in old or middle age, and also has signs of atherosclerosis, a special diet is required.

Enrich the diet with fresh vegetables and fruits, vegetable oils and protein products.

Working capacity

The first few weeks, rehabilitation after replacing the aortic valve with the heart implies abstinence from work, that is, a sick leave is issued for the patient, which gives the right not to attend work.

After this time, a person can return to work without any restrictions. This happens if he does not have any concomitant diseases.

In the event of complications or the inability to perform this or that work by a doctor, recommendations can be made on replacing working conditions with lighter ones.

Also, often after such operations, a person is given a disability group, the presence of which means adjusting the intensity of work. Specific recommendations are given to each patient individually, depending on the type of operation that was performed, the name of the changed valve and the patient’s initial diagnosis.

A person who has undergone surgery associated with heart valve replacement throughout his life should pay attention to his feelings and changes in them associated with the work of this organ. When there is chest pain and a feeling that the heart began to work intermittently, as well as swelling and shortness of breath began to appear, he should immediately consult a doctor.

When visiting a dentist, as well as other specialists, he needs to warn about a previous operation, as this is the reason for adjusting treatment. You should also limit the intake of drugs containing an increased amount of calcium, as well as products in which it is included in large quantities. This is especially necessary to consider for those patients in whom the “native” valve was replaced by a donor valve.

Thus, recovery after heart surgery to replace the valve occurs quickly enough and does not require the patient to perform impossible actions. The main thing at the same time in this period and throughout life is to learn to understand your feelings and pay close attention to them. If any changes occur, you should immediately consult a doctor.

  • Heart rate is determined.
  • Tracked respiration and blood pressure.
  • Checks the oxygen content in the blood.

After replacing the aortic valve, the patient usually spends 5-7 days in the hospital if there are no complications.

Surgery on the heart is always a big risk. When planning to replace the aortic valve, the following complications are possible:

  • Infection.
  • Possible bleeding during surgery.
  • The appearance of clots, if there was a stroke or there are problems with the kidneys.
  • Complications of anesthesia.

There are also factors that increase the risk of complications during surgery:

  • The presence of heart disease.
  • Diseases of the lungs.
  • Hypertension.
  • Diabetes.
  • Obesity.
  • Smoking.
  • The presence of infections in the body.
  1. The growth of scar tissue. There are cases when, after surgery, fibrous scar tissue quickly grows in the patient at the valve replacement site. This process does not even depend on the type of valve and can lead to thrombosis. But thanks to modern methods of operation, this complication is quite rare.
  2. Bleeding on the background of receiving anticoagulants. Moreover, it can occur not only in the valve area, but also in any organ, for example, in the stomach.
  3. Thromboembolism. You can recognize it by the following manifestations:
  • The patient has shortness of breath.
  • Consciousness.
  • Lost sight and hearing.
  • Numbness and weakness in the body.
  • Dizziness.
  • Swelling of the limbs.
  • Pain in the incision area.
  • The inflammatory process in the place where the incision was made.
  • Nausea.
  • Accession infection.

Annual surveys

They are shown to everyone who has gone through such an operation. Cardiological follow-up includes:

  • ECG;
  • echocardiography (echocardiography);
  • blood tests (clinical, biochemical);
  • X-ray.

Calcium-rich foods and medicines are prohibited. In case of any deterioration in well-being, a doctor should be consulted without delay.

Postoperative period

After the operation, doctors recommend to observe the regime of work and rest and strictly dispense physical activity.

It is best of all if the patient spends the recovery period not at home, but in a specialized institution, for example, in a sanatorium or in a cardiological rehabilitation center.

There, under the supervision of doctors, there is a recovery of the body, each individual program is selected. Rehabilitation may take a different time. It all depends on the general condition of the patient, the complexity of the operation and the regenerative abilities of the body.

It is mandatory that the doctor prescribes medications to the patient after surgery. Their reception must be carried out strictly according to the scheme and cannot be canceled independently.

If various physiotherapeutic procedures and medical interventions are required, then it is necessary to inform you that there is an artificial aortic valve.

If there are concomitant heart diseases, then replacing the valve does not cure them, so you need to visit a cardiologist and conduct appropriate therapy.

Rehabilitation therapy at home

If the patient does not have the opportunity to go to the sanatorium for recovery after surgery, then all the doctor’s recommendations at home should be strictly followed.

  1. If a mechanical valve is installed, it is mandatory to take anticoagulants, and this will have to be done all my life.
  2. If dental surgery or other surgical procedures are to be taken, then antibacterial drugs must be taken before them to prevent inflammation in the valve area.
  3. Be sure to control the balance of fluid in the body.
  4. Do special exercises on the recommendation of the doctor, which will help to normalize respiratory function.
  5. Perform hardware prevention of pneumonia.

Only compliance with all the recommendations of the doctor will help make life after the replacement of the aortic valve normal and complete.

Physical exercise

Activity in the post-rehabilitation period is practically unlimited. Only excessive loads and occupations in competitive sports should be excluded.

Consulting a doctor will help everyone individually in these matters. Recommended exercises, walking with an increasing load, walking.

Physical activity positively affects the state of blood vessels, heart, strengthens the body as a whole. There are cases of returning to professional sports after surgery.

Life after prosthetics

Any surgical intervention on the heart muscle requires a radical review of your lifestyle. Replacing the aortic valve (reviews only confirm this) is no exception. Patients after surgery:

  1. Exclude from your life all bad habits, if, of course, the road is life. Smoking, alcohol intake and the use of large amounts of caffeine is not compatible with an artificial valve, and indeed with the pathologies of the heart.
  2. It is necessary to virtually eliminate fatty foods from your diet.
  3. To minimize salt intake, no more than 6 grams per day.
  4. Meals should be balanced and contain more fresh vegetables and fruits.
  5. Drink plenty of clean water, but without gas.
  6. Gradually introduce loads that will strengthen the heart muscle.
  7. Every day, in any weather, take walks in the fresh air.
  8. Exclude from his life psycho-emotional overload, stress.
  9. Make a daily routine with the doctor and stick to it.
  10. Use vitamin preparations to maintain mineral balance.

If you look at the reviews of patients who have undergone a valve replacement operation, you can be sure that most were able to return to a normal lifestyle. Disappeared unpleasant symptoms that did not give rest, the work of the heart normalized.

Replacing the aortic valve (reviews confirm this) is not an obstacle to future pregnancy. Many women suffering from heart disease did not even hope to become moms, and such an operation gives them that opportunity.

In such a situation, the most important thing is to find a competent specialist, then you can be sure of a positive outcome of the operation. Modern science and medicine allow not to put an end to one’s life even in the presence of serious pathologies in the heart, so do not give up. One should always hope for the best, and a miracle will happen – your heart will work long and reliably. Take care of yourself and be healthy.

Detonic – a unique medicine that helps fight hypertension at all stages of its development.

Detonic for pressure normalization

The complex effect of plant components of the drug Detonic on the walls of blood vessels and the autonomic nervous system contribute to a rapid decrease in blood pressure. In addition, this drug prevents the development of atherosclerosis, thanks to the unique components that are involved in the synthesis of lecithin, an amino acid that regulates cholesterol metabolism and prevents the formation of atherosclerotic plaques.

Detonic not addictive and withdrawal syndrome, since all components of the product are natural.

Detailed information about Detonic is located on the manufacturer’s page www.detonicnd.com.

Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

Detonic