AVR surgery at the VA hospital

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Jack, you're finding out just how right Tom Petty was, when he said "the waiting is the hardest part." The full monty is not as bad as its cracked up to be. I'm not quite 6 weeks post op, and am itching to get back on my bike, and back to work. I see the cardiologist tomorrow, and hopefully will be riding soon after. Best of luck on your personal journey-lots of us have been through it, and this site is a great resource..I found the stick post on "surprises" very enlightening before my own surgery. See you on the far side.

Joe
 
I had my pre-op yesterday at Washington Hospital Center in DC. I inquired about less invasive techniques, and was told that to qualify for anything other than sternotomy I would have to be a) too old and sick to withstand surgery, or b) part of a formal trial group. To do the latter, I would have to get my cardiologist and surgeon to provide a justification, and then if accepted go to the end of the waiting line. I've waited too long already - I'm having the full Monty :eek2: this Friday 7/26.
Huh? What it really means is your surgeon either doesn't know how to do it or doesn't like to do it, meaning the mini thoracotomy. I think the answer you received was for TAVI, which implants the valve via the groin; that procedure, for now, is only done on those not expected to survive traditional OHS.

I had a mini thoracotomy almost 4 years ago. I can assure you I was not too old or too sick to have a sternotomy; I preferred not to have the bone broken if not needed, and that was the only difference in my surgery than a traditional AVR.

My initial question was for Aviator, who started this thread saying he's having minimally invasive surgery, asking to clarify if minimally invasive will be smaller sternotomy or mini thoracotomy.
 
I agree with Luana based on my experience. The TAVI procedure was only recently approved for those that cannot tolerate any kind of surgery, i.e. too old, weak, sick. I understand the clinical trials will be widened to accept those in a healthier condition sometime in the future. Once the trials are completed, then I understand this procedure will be the gold standard in the future.

Before my AVR, I did a lot of research regarding the less invasive approach but as it turned out my local hospital only performed the traditional OHS. Once my angiogram showed I was a candidate for the minimally invasive surgery, I insisted that I be transferred to a hospital that did this type of procedure. In retrospect, it was a shame that this type of information was not made available to me - I had to do the research first. As an FYI, I had no problem with Medicare transferring from my local hospital to Keck Hospital at USC, Los Angeles. In fact, I understand minimally invasive surgery costs less so Medicare is happy to comply. Nita

July 21, 2013, Minimally invasive Aortic Valve Replacement, 21 mm St. Jude porcine valve, septal myomectomy, Age 73. Keck Hospital at USC, Los Angeles, Ca. Dr. Cunningham, Surgeon
 
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Hi Aviator,

I know where you head is. The night before my surgery I cried and told my family I wanted to run away! After waiting 13 years, I knew in less than 10 hours it would be over but somehow this positive thought was not being relayed to my brain. Once your surgery is over, and you are on the path to recovery, you will be thankful it will all be behind you and you don't have to worry about it - your only job will be to focus on your recovery and take back the life you once had. Good luck and see you on the other side, Nita


July 21, 2013, Minimally invasive Aortic Valve Replacement, 21 mm St. Jude porcine valve, septal myomectomy, Keck Hospital at USC, Los Angeles, Ca. Dr. Cunningham, Surgeon
 
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Aviator hasn't posted in four weeks. Perhaps he's now on the Post-Op forum.

Aviator -- if you're back, please update us on what type of surgery they finally decided to perform.
 
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