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This should depend on your surgical technique and surgical method, is it thoracotomy? Or is it minimally invasive?
The different types of surgery and the level of skill will affect the time taken during the surgery.
At the level of our prefecture-level city hospital, my mother had several surgeries before and after, most of them were to replace a mitral valve, which was about three hours or more, and some changed two mitral valves and tricuspid valves, and the time was much longer, about five hours, or even longer (my mother changed two valves, one of which was replaced after the repair was unsuccessful, and it took more than six hours). The longer the surgery, the greater the damage to the heart and other organs.
I say this time by pushing into the operating room to pushing out from the operating room.
After being pushed out of the operating room, the family members can only look at it, and they have to be pushed into the intensive care unit (ICU), and the family members will not be able to see it, they will be outside and call you at any time if there is a situation. After about 12 hours or more, the patient will be able to come out after his condition is stable. Some have to stay in the ICU for 24 hours, or even more than 48 hours, which is a serious condition.
The longer you stay in the ICU, the worse it is, indicating that the condition is unstable. Also, the ICU is charged by the hour.
If you can get out of the ICU smoothly, you can basically count it as a success. However, if you have to stay in a regular ward for a few days, you need to pay more attention to your family.
Hope it works for you.
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Generally, the surgery takes about 3 hours, but if you include the preparation before anesthesia, the time is 4 hours. However, if the condition is different and the difficulty of the surgery is different (e.g., it is a second operation, combined with coronary artery grafting, etc.), the time of surgery will vary greatly.
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It should have been about two to three hours, my mom just did it last month, had two valves replaced, and the surgery took more than 3 hours.
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Valvular heart disease can be multiple, one or two. Of course, the time and cost of surgery are different. There is no good or bad between biological and mechanical valves, only whether they are suitable or not.
Does anyone want to go for a bad one? Usually the people who are suitable for bioprosthetic valve replacement are patients over 60 years old, of course, 54 years old is not suitable for replacement. It's just that 15 to 20 years after the replacement of the biological valve requires a second surgery to replace the valve, and the younger you are, the shorter the time may be.
However, there are few complications of anticoagulation after bioprosthetic valvuls, and the possibility of anticoagulation accidents is relatively greater due to the lifelong use of anticoagulants for mechanical valves. It costs about 60,000 yuan to replace one imported mechanical flap, and about 10,000 yuan to replace two. Biovalves are thousands of dollars more expensive.
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Analysis: rest assured, this surgery is now very mature, postoperative to take warfarin for life, the dosage needs to find the law after the operation, generally after the operation of the doctor will draw blood every day, and then adjust the dose, when discharged from the hospital to tell you a basic dose, opinions and suggestions: the valve is divided into two kinds of mechanical valves and biological valves, and each of which has a variety of brands, the mechanical valve has a long service life, basically to achieve lifelong use, but it needs to be taken for life, and there is a sound of valve closure during auscultation, It is the most widely used valve bioprosthetic valve is to use the pericardium of pigs or cattle to make the shape of the valve to replace the patient's diseased valve, the advantage is that only about half a year of anticoagulant drugs need to be taken after surgery, and there is no mechanical sound during auscultation, but the disadvantage is that the life span is not as long as the mechanical valve, that is, it is possible to replace the valve again in the future, of course, so far, the time from the first batch of replacement bioprosthetic valves has exceeded the theoretical life of the biological valve, but no patient has come to replace the new valve, That is to say, the life of the instructions is the most conservative estimate, the actual situation is higher than the estimated requirements for the replacement of biological valves, not everyone is suitable, the specific situation of the doctor will analyze the final by the patient, now the replacement is more mechanical valve, different brands of valves his caliber thickness and activity angle are different, suitable for almost all forms of heart, the general doctor will choose different brands according to the actual situation and personal habits of the patient, different brands are not the same, **expensive is not necessarily the best, It's just that according to the difficulty of different forms of production, the domestic one is much cheaper than the imported one, but it is strongly recommended to choose the imported one, whether from the performance or the workmanship of the domestic one can not be compared, in the process of surgery, the domestic valve often brings trouble to the doctor on the suture, because the humanization of the production is definitely not as good as the imported one, you must know that this is a matter of life and death, don't lose more because of the cheap.
Life care: Postoperative recovery is similar to other surgeries, that is, to improve nutrition, promote **, exercise appropriately, etc.
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In general, this condition is related to the success rate and quality of the surgery. It is not certain how long the life expectancy is, generally there is no special circumstance that the maintenance time after the operation is still relatively long, as long as you listen to the doctor's words and review on time, do not do some excessive physical work, and rest more.
In the case of active and reasonable surgery, the postoperative effect is good, and the heart function can be improved while improving the symptoms.
The life span of heart valve surgery has a certain relationship with each person's physical constitution and the physical condition of the friend, if the individual's physical constitution is better, then its life span will be longer, on the contrary, it is a bit short, there is no fixed time period, generally there are more than ten years.
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Hello, valve replacement, depending on the replacement valve, the survival time is also different. The quality of life is also different. In general, it is normal, after valve replacement, healthy lifestyle habits, can live for a long time. There are those who have not had heart problems for more than 25 years, and those who are in good health, and those who have been working longer.
In the United States, many people have their bioprosthetic valves replaced for quality of life, but they may need a second surgery because of their poor durability. Mechanical valves, on the other hand, have better durability but require lifelong anticoagulation, and the quality of life is slightly worse than that of biological valves. Mechanical valves rarely have problems, except for poor anticoagulation, mechanical valves have few problems alone, and can also be corrected by surgery.
If you follow the doctor's guidance, have regular check-ups, and take your medication on time, you will live for a very long time.
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It's the same as a normal person, just pay attention to recuperation and not intense exercise.
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If you take anticoagulants well and do not do strenuous exercise, the surgery itself will not have a very important impact on your lifespan.
Artificial heart valve replacement has a history of more than 40 years, and valve replacement is a mature and safe procedure, and its mortality rate is even lower than that of major abdominal surgery. Artificial valves in use today can be divided into two categories: mechanical valves and bioprosthetic valves, both of which have their own advantages and disadvantages. The advantage of mechanical valve is good durability, the current design life of mechanical valve is 100 years, which is enough to meet the needs of a person's life, but the disadvantage is that lifelong anticoagulation is required, that is, anticoagulants should be taken every day, but only once a day, if you get used to it, it is not very troublesome, we have many patients in our hospital, and the postoperative cardiac function recovery is very good, and there is no need to take other cardiac diuretic drugs, but just take an anticoagulant every day.
The advantage of the bioprosthetic valve is that it only needs to be anticoagulated for 3 months after surgery, but it is relatively poor in durability, and the lifespan is generally about 15 years, and it needs to be operated again.
When the following problems occur, you need to go to the hospital for follow-up:1In case of fever of unknown origin; 2.
There is significant palpitation, shortness of breath, and edema; 3.When coughing up frothy bloody sputum; 4.When jaundice appears in the sclera and all over the body**; 5.
Subcutaneous hemorrhage, hematuria and other bleeding tendencies; 6.When a new arrhythmia occurs; 7.Sudden syncope, hemiplegia or pain in the lower limbs, chills, and pallor occur.
1. Take the drug regularly, and take oral anticoagulants once a day.
2. The patient should maintain a regular life, be in a happy spirit, be in a comfortable mood, and have a suitable temperature and coldness during home recuperation; Strictly prevent colds, avoid exertion, prevent injuries, infections and infectious diseases.
3. The diet must be a combination of meat and vegetables, and should not concentrate on eating too many vegetables or high-fat foods, so as not to affect the anticoagulant effect or increase the burden on the heart. People taking potassium-excreting diuretics should eat more potassium-containing foods, such as seafood, legumes, mushrooms and fruits, and do not eat too salty foods.
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Analysis: According to your condition, you may suffer from mitral stenosis, according to your symptoms, you may have right heart failure, it is recommended that you should immediately go to a specialist hospital for examination, to determine what is the area of your mitral valve orifice (do cardiac ultrasound), pulmonary artery pressure, to determine whether you are an indication for valve replacement. Guidance:
Now mitral valve replacement is very mature, and the success rate of the surgery is very high. Don't worry too much about this.
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Hello, after heart valve replacement surgery, you can recover to be able to take care of yourself, save your life and improve your quality of life. Female, 64 years old, mitral stenosis for 15 years, has little risk of surgery in a large and well-established cardiovascular surgery center. Early surgery is recommended.
I hope the above reply will be helpful to you, and I wish your grandma a speedy **.
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According to your description, she has developed acute pulmonary edema due to mitral stenosis, which can lead to death in severe cases. Therefore, it is necessary to undergo medical drugs**, stabilize the condition, and then perform surgery as soon as possible**. If she is resistant to surgery**, if the mitral valve is elastic and there is no thrombosis, she chooses medical interventional balloon dilation surgery**, which is minimally invasive and is no problem for older people.
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64 years old is not very big, and this situation can not be life-threatening soon. Therefore, it is necessary to have surgery**. The quality of life of patients can be greatly improved after surgery.
There is no way to tell the specifics.
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