This 58-year-old patient on chronic hemodialysis for end-stage renal disease presented with acute systolic heart failure, metabolic acidosis, and hypotension. On ECHO his aortic valve area was 0.4 cm². The valve had a fixed opening and therefore the patient also had moderate-to-severe aortic insufficiency. He was stabilized and promptly taken to the operating room for surgical aortic valve replacement with a CryoLife On-X valve.
The choice of a mechanical valve was based on his young age, the fact that he was already on chronic anticoagulation, and the concern that a biological valve would deteriorate rapidly from the impact of hemodialysis.
This photograph shows the aortic valve specimen removed intact, revealing a donut of calcium and debris, along with a small fixed opening.
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When Michael learned his coronary calcium score was 775, he knew something wasn’t right. Although initial stress tests appeared normal, advanced cardiac imaging eventually uncovered severe coronary artery disease with critical blockages. Just 11 days after cardiac catheterization, he underwent successful double bypass surgery and was back home within days, experiencing minimal pain and a remarkable recovery.
Obstructive Sleep Apnea
Many people think obstructive sleep apnea is simply a nuisance because of loud snoring, but it can have serious consequences for heart health. Repeated interruptions in breathing place tremendous stress on the cardiovascular system and may increase the risk of high blood pressure, atrial fibrillation, heart failure, stroke, and heart attack. Learn the warning signs, risks, and treatment options that can improve both sleep quality and long-term health.
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Pages
- Learn about heart valves. Heart Valves
- Read testimonials. Testimonials
- Did you know I have a consulting firm? Singer Heart/Lung Consulting
- Check out my TedTalk! Defining Success
Links
- Links page with more information about your heart. Links
- Dr. Adam Pick's Site: heart-valve-surgery.com
