How long after mitral valve replacement surgery can I see a cardiologist?
After the surgery and the hospital discharge, patients will follow up with the surgeon in the 1-2 weeks after the mitral valve replacement to ensure there are no immediate problems from the surgery and that everything is going well. Moving forward the cardiologist may see patients in weeks to months after the surgery.
How long after heart surgery can I have dental treatment?
During that time, many of our patients have undergone some type of heart surgery, such as bypass surgery, placement of pacemakers, angioplasty, placement of stents, and placement of artificial valves. There seems to be no clear consensus on how long the patient should wait before undergoing dental treatment.
Do you need surgery for mitral valve disease?
If you have mitral valve disease, you may eventually need mitral valve repair or mitral valve replacement surgery to treat your condition. Your doctor may often recommend mitral valve repair if possible, as it preserves your mitral valve and may preserve heart function.
What is mitral valve replacement?
Mitral valve replacement If your mitral valve can't be repaired, your doctor may recommend mitral valve replacement. In this procedure, your doctor removes the mitral valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue (biological tissue valve).
How long after heart valve replacement can you have dental cleaning?
See your cardiologist in 4 to 8 weeks. Tell all of your health care providers you have had a heart valve replacement. Do not go to the dentist for 3 to 6 months after your TAVR unless you have an abscess or toothache.
How long after heart surgery is dental treatment?
It is best to wait a minimum of six months after a heart attack before undergoing any extensive dental treatments. You do not need to wait to have a dental cleaning.
Can I go to the dentist after open heart surgery?
It is important for you to tell your surgeon about any dental pain or loose teeth, before undergoing heart surgery. Dental work after heart surgery is fine, but your cardiologist will often recommend pre-procedural antibiotics to protect the new graft or new valve.
Why do I need dental clearance before heart surgery?
ANSWER: A dental exam before surgery helps to rule out dental abscesses, dental infection or gum (periodontal) disease. This is important because dental infections may lead to bacteria entering the bloodstream that could settle into surgical areas and cause complications.
Can I have dental work after surgery?
For functional surgery or surgery for pain (deep brain stimulators or spinal cord stimulators), we recommend avoiding routine dental prophylaxis and simple procedures for 3 months following surgery. If you must have a dental procedure within 3 months then it would be advisable to use antibiotic prophylaxis.
Should heart patients take antibiotics before dental work?
The American Heart Association (AHA) recommends that antibiotics be used prior to some dental procedures for persons with certain heart conditions, who may be at risk for developing an infection of the heart.
What is dental clearance for surgery?
Dental clearance is communication between a medical provider and a patient's dentist to validate that planned medical/surgical treatment is safe for the patient and to review the potential need for dental treatment prior to the medical/surgical treatment.
Which tooth is connected to the heart?
Wisdom teeth, on the other hand, connect to the central nervous system, heart, liver, and intestines. They can also signal high blood pressure, eczema, headache, liver disease, pain in the extremities, and cardiovascular disease.
Can a tooth extraction affect your heart?
Now it appears that tooth extraction and other oral surgeries also temporarily — but slightly — increase the risk of a heart attack or stroke.
How does heart disease affect dental treatment?
Patients with angina treated with calcium channel blockers may have gum overgrowth. In some cases, gum surgery may be needed. Like patients with a previous heart attack, patients with angina may want to ask their dentist if oxygen and nitroglycerin are available in case a medical emergency should arise.
Can I have my teeth cleaned before surgery?
No, it is unnecessary to get a teeth cleaning before heart surgery. However, it is a good idea to get a dental exam prior to surgery in order to rule out significant decay. Any significant loose teeth may harbor bacteria, which could infect a new heart valve.
Mitral Valve Replacement vs Mitral Valve Repair – When should the mitral valve be repaired and when should the mitral valve be replaced?
Decision making in valvular heart disease is complex. Operation may be required for mitral regurgitation, mitral stenosis, or both. Mitral regurgitation is a leaky mitral valve. Mitral stenosis is a tight mitral valve.
Should I get a metallic or a tissue mitral valve?
Many factors need to be taken in to account before deciding on the type of prosthetic heart valve. It’s important to take in to account the preference of the patient and how the choice will affect lifestyle. For example, a tissue valve does not require long-term blood thinning medication, whereas a metallic valve does.
How often will valve replacement patients have to see their heart doctor?
This depends on factors such as other ongoing health issues, the type of valve and other factors that will be determined by the MD or DO in charge of your care.
How often do metallic mitral valve replacement patients need imaging studies?
If all goes well after surgery and the patient is doing well without issues, there is usually a yearly follow up to assess how the patient is clinically doing. After surgery there will be an echocardiogram performed to ensure normal valve functioning.
How often do tissue (i.e. animal) mitral valve replacement patients need follow up imaging?
This is slightly different for patients with metallic valves. Tissue valves are subject to degeneration over time. Degeneration isn’t likely in the first 10 years after a tissue mitral valve replacement. But, afterwards this it is increasingly likely to occur with each year that passes.
What tests are needed before mitral valve replacement surgery?
Typically most patients have had an ultrasound scan of the heart known as an echocardiogram before they are sent to a surgeon.
How long will the mitral valve replacement operation take?
In general the whole process in and out the operating room takes 2-4 hours. It also depends on whether there are other things being fixed, such as additional valve or bypass surgery. The usual time from stopping the heart to getting the heart beating again is around 45 minutes.
Overview
- Mitral valve repair and mitral valve replacement are types of surgery to fix or replace a leaky or stiff mitral valve in the heart. The mitral valve is between the left heart chambers (left atrium and left ventricle). Mitral valve repair and mitral valve replacement may be done as an open-heart surgery procedure or as minimally invasive heart surge...
Why It's Done
- Surgery or another procedure to repair or replace a mitral valve may be done if you have mitral valve disease such as: 1. Mitral valve regurgitation.The flaps (leaflets) of the mitral valve don't close tightly, causing blood to leak backward. Mitral valve regurgitation is common in people with mitral valve prolapse. Mitral valve repair surgery is recommended if you have severe mitral valv…
Risks
- Possible risks of mitral valve repair and mitral valve replacement surgery include: 1. Bleeding 2. Blood clots 3. Malfunction of the replacement valve 4. Irregular heartbeats (arrhythmias) 5. Infection 6. Stroke 7. Death
How You Prepare
- Before mitral valve repair or replacement, an echocardiogram and other tests may be done to get more details about your heart condition. Your care providers will review what to expect during surgery and discuss any concerns you may have. As you prepare for mitral valve repair or replacement, it can be helpful to talk to your loved ones about your hospital stay and what help y…
What You Can Expect
- Surgery to repair or replace the mitral valve is done at a hospital by a heart (cardiac) surgeon. If you need heart surgery for another condition in addition to mitral valve disease, the surgeon may perform both surgeries at the same time.
Results
- Mitral valve repair and replacement surgery may help reduce symptoms and improve quality of life in people with mitral valve disease. If you had mitral valve replacement with a mechanical valve, you'll need blood thinners for life to prevent blood clots. Biological tissue valves break down (degenerate) over time and usually need to be replaced. Regular health checkups are needed to …
Clinical Trials
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