New Member, need AVR info

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Hi Patrick-

Glad you made a committment to have your surgery. My husband had his last mitral repair with port access, and another member who had a tumor in her heart (Helene Smith) just had it removed with the port method.

It really does help with the recovery. Helene was home from the hospital in about 5 days, and after a week, she was out and about with her friends for brief jaunts, getting her hair done, I think. Joe also had a very nice early recovery, unfortunately, he came down with another medical situation which interfered with that. But his heart was in good repair.

Both procedures were done by Dr, Harry J. DePan, at Ellis Hospital's, Wright Heart Center, in Schenectady, New York.

Here's some info for you:

The last two are addresses from the manufacturer's website.

"Johns Hopkins Becomes One Of Few U.S. Hospitals Using New Minimally Invasive Heart Surgery

Johns Hopkins surgeons have begun performing a revolutionary method of minimally invasive heart surgery designed to make patients' recovery easier and reduce costs. Following recent FDA approval, Hopkins and five other medical centers across the nation started performing -- and soon will train other surgeons to perform -- the new technique called Port-Access for single-graft coronary artery bypasses and heart valve replacement and repair. In traditional open-heart surgery, the breast bone is split open. But in the new method, surgeons operate endoscopically through several small incisions in the chest wall. Through "ports" between the ribs, a catheter to the heart delivers a drug to stop its beat and a balloon that expands in the aorta and blocks blood flow. A heart-lung machine then is attached -- far less invasively than in traditional surgery -- at the leg's femoral artery, rather than at the heart, to take over the body's circulation. For bypasses, surgeons then take a replacement artery from another part of the body and sew it to the coronary artery below the blockage, restoring blood flow to the heart. The method is designed to reduce trauma, complications and pain, resulting in shorter hospital stays, quicker recovery times and less cost, says Scott Stuart, M.D., an associate professor of cardiac surgery who leads the training program in the new method at Hopkins. Patients should be able to return to work within two to three weeks, rather than the two to three months required for standard bypass, says Stuart. Of the 1,200 bypasses performed each year at Hopkins, 40 to 50 involve one graft. But Stuart says the procedure should be available within 12 to 18 months for double and triple bypasses. The bypass and valve systems, developed by Heartport, Inc., include specially designed microsurgical tools and a miniaturized video camera that provides magnified, three-dimensional images. The systems will be available commercially in the United States next year after enough surgeons are trained. The leading cause of death in the United States, coronary artery disease affects about one in three Americans, costing an estimated $38 billion in health care bills. Other centers in the clinical training program are Barnes-Jewish Hospital at Washington University in St. Louis, Brigham and Women's Hospital in Boston, the Cleveland Clinic Foundation in Cleveland, New York University in New York City and Stanford University in Palo Alto, Calif. Hopkins cardiac surgery faculty members also have been successfully performing another type of minimally invasive coronary artery bypass surgery for the past year at Sinai Hospital in Baltimore. This method also is done through small incisions, but the heart continues to beat."

http://www.cardiovations.com/

http://www.ethiconinc.com/cardio_prod/index.html
 
Patrick,

I also had an AVR with pulmonary valve replacement and a pulmonary artery graft. I did not have an option about where I had surgery. There was only one surgeon who was willing to do what I needed to have done, this was Dr. Joseph Coselli at Methodist Hospital in Houston. Dr. Coselli is well known for his surgical skill and he is a professor of cardio-thoracic surgery at Baylor University. He has a very good team of professionals working with him. I can't say that I have any complaints about his work.


Lettitia
 
Rain's two cents....

Rain's two cents....

Well Patrick... I think your current physical condition and attitude about the whole deal make as much difference in your recovery as how they open you up.

But on the other hand.... !! You oughtta see Bill Hall?s scar!! :eek: Amazing.

Rain
 
Aortic Valve Replacement

Aortic Valve Replacement

Hi Patrick,
I had my aortic valve replacement surgery with a minimally invasive incision at Cleveland Clinic on April 12, 2002. Flew from El Paso to Cleveland and back without much of a hitch, but was gratefull that they let me use the wheel chair for getting through the airport lines on my return trip. Got a limo for $10 from the Cleveland airport to the Cleveland Clinic Guest House across the street from the Clinic. While I felt like I was a unit of production in a factory and would have appreciated at least meeting my surgeon, I can not complain about the results. If I had to choose between handholding and results, I'll go with the results side of the equation. You have to look hard to even see the scar. I was out of the hospital in four days but hung around the Guest House for four more days just in case something happened. I opted for the bovine tissue valve, although if I was younger I may not have made that same choice -- but then again I may have. Six months later I feel that I am doing very well.
Sincere best wishes to you Patrick.
Don
AVR; 4/02; CCF; Cosgrove; bovine tissue valve
 
Hello Patrick, Welcome, I live in Durham, and had my surgery done at duke. My surgeons name was Donald Glower, and there are two other people on this site that also used him. Had wonderful care, can't say enough about the folks at duke. If I can be of any other help, please let me know. martha
 
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AVR due dilligence almost complete

AVR due dilligence almost complete

Hello all,

I've have essentially come to a decision regarding my procedure,
After many hours of thought, reviewing the info on this board, web,etc. coupled with the advice of members of this forum, doctors, friends, etc.

I am now confident in making a decision that works for me.

The apparent winner of Patrick's AVR contract is Dr. Steven Colvin of NYU Medical Center. Performing the minimally invasive port access technique.

The remaining decision is valve type. Intially mechanical seemed to be the preferred choice due to my age of 41.

However due to my lifestlye I was told to consider a Porcine Bioprostesis valve. My use of alcohol may conflict with the coumadin required for mech. valve.

The valve selection I've narrowed it down to is The Medtronic Mosaic. It has been treated with an anti-calcification process as well as some improved stent design.

Any thoughts on this valve or others would be appreciated.

Anyhow it appears that I'll be a short term resident of Manhattan, NYC.
My scheduled surgery date is 11/18/02.
I've leased a corporate apartment within crawling distance to the hospital through 12/12/02.

Thanks
 
Patrick:

I'm glad to hear you have made your decision regarding your surgery. I'm also glad that you did your research and went with the physician, procedure and valve that you are comfortable with. That is so very important. My first day back to work after my AVR is November 18th. I will be thinking of you on that day. Keep us all informed on how things go.

Good Luck & Take Care!
Creed
 
Good Luck Patrick

Good Luck Patrick

I have you down for the 18th. We will all be thinking of you that day. Do you have anyone to post for you. We all like to hear from our valvers...Hope you have some help in your apt. when you go there..for meds, showers, food, ect.. Try to walk out in lobby, halls, ect...You will be fine. We mech. valvers still enjoy our glass of wine, beer, ect. Just don't over do it.. Coumadin is no big deal... But to each his own:) Bonnie
 
Hello Patrick.....

Well, I guess it's WELCOME TO THE BIG APPLE!!! When are you leaving for NYC? I'm sure you'll be ok----they're renown for their work, and I know you wanted the minimally invasive surgery. If Tyce and I get into the city, maybe we can look you up and "do lunch" once you're up and about.

If you need anything, we're about an hour and a half away and certainly can get there by train and cab....not that big a deal. Will you have a laptop with you or access to a computer so someone can let us know how you're doing? Our number is 631-722-3311 if you need anything at all---it's not an imposition.

I wish you the best, but know everythiing will be fine.

Evelyn
 
Best wishes, Patrick!

Best wishes, Patrick!

Patrick,

My name is also Patrick, I also recently discovered this Web site, and I also need to have an AVR. So I guess I feel a kinship towards you. I see that you are scheduled for surgery tomorrow, so you probably won't be seeing this post for awhile.

GOOD LUCK AND HAVE A QUICK RECOVERY! I am sure all will go very well for you and you'll be back home soon. It's just too bad that you won't have the energy to enjoy NY to the fullest while you're there. :)

When you're back home and recovering nicely, I'd be very curious to learn how you made your choice, since I'm making the same choices now.

All the best,

Patrick
 
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