Posts Tagged ‘surgery’

The Risks of the Maze Procedure

Monday, March 8th, 2010

 

A lot of people misunderstand the causes and potential side effects of atrial fibrillation (commonly known as Afib). Even among those who have coped with the disorder for years, there is a mistaken belief that the condition is harmless. In reality, it is not.

It can lead to stroke, heart failure, and other consequences.

To review, Afib is characterized as an erratic discharge of rapid electrical impulses that spread across your heart’s atria (i.e. the two upper chambers). Rather than contracting in sync with your heart’s ventricles (i.e. the two lower chambers), the atria flutter – or fibrillate. In some cases, the disorder causes no noticeable symptoms. In other cases, the patient might be at risk of experiencing medical events that can be life-threatening.

In this article, we’ll explore some of the dangerous risks involved with not addressing atrial fibrillation. We’ll also detai an operation known as the maze procedure that a growing number of surgeons are using to help solve the problem.

The Risk Of Stroke

A stroke is caused by blood clots that clog one of the arteries of the brain. Clots rarely form in these arteries; instead, they form elsewhere, break away, and travel along your bloodstream.

Atrial fibrillation can result in the pooling of blood with one or both of your atria. As a result, the blood begins to clot. As long as the clots remain inside the atria, they pose little danger. However, they can break away and move through your ventricles on their way to the aorta.

Blood flows from your heart into the aorta and toward your brain. The clots and then travel through your bloodstream until they reach and clog a major artery. That produces a stroke. Common symptoms of a stroke can include partial paralysis, eye problems, and difficulty remembering things.

The Risk Of Heart Failure

Heart failure occurs when the heart muscle is overworked to the point of exhaustion. This can happen for a number of reasons, including coronary artery disease, diabetes, and of course, atrial fibrillation. In the latter case, the rapid electrical signals cause the atria to flutter so quickly that they eventually wear themselves out and weaken the heart. That reduces your heart’s ability to pump blood effectively throughout your body. As a result, the heart muscle becomes enlarged and is further weakened.

Secondary Side Effects

The reduced ability of your heart muscle to pump oxygen-rich blood to your tissue and organs can produce a number of secondary side effects. For instance, your lower extremites (i.e. ankles and feet) may begin to swell. Moreover, it’s quite common for the abdomen to also begin expanding.

Depending on the severity of the Afib-induced heart failure, you may experience a level of organ damage. This is due to your organs not receiving a sufficient supply of oxygen-rich blood.

You might also develop a persistent cough and shortness of breath if the condition produces excess fluid around your lungs. Unless Afib is resolved, these side effects can become permanent.

Maze Procedure To Resolve Afib

The most common method for addressing atrial fibrillation is the maze procedure. This is an operation during which your surgeon will create incisions or use catheter ablation to produce a maze of scar tissue across the surface of your atria. Scar tissue cannot conduct electricity. By creating this path, your surgeon can disrupt the erratic patterns of the electrical impulses. In effect, the surgeon is able to guide the signals along a defined path, thereby eliminating the fluttering and restoring a uniform rhythm for your heartbeat.

Atrial fibrillation can remain undetected for years. This has been attributed to many patients never seeking treatment. The problem is, the conditin can be very risky, depending on the severity of the case. If you suspect you have Afib, consult your doctor regarding whether the maze procedure is an appropriate solution for your circumstances.

Other Related Posts: 

Treating Atrial Fibrillation With the Maze Procedure

While it has traditionally been treated with medications such as anti-arrhythmics and shock therapy, the Maze procedure is far more effective. In this article, we’ll provide a brief overview of atrial fibrillation and describe how Maze …

Treating Atrial Fibrillation With The Maze Procedure

Over 2 million people in the US suffer from atrial fibrillation (also referred to as AF or AFib). The likelihood of developing the condition increases as you grow older. It is estimated that nearly 5% of those who are over the age of 65 …  

How to Prepare for the Atrial Maze Procedure

The atrial maze procedure is a common treatment for atrial fibrillation. However, because it is often performed through open surgery, you may require up to six months for a full recovery. Finding the right doctor for Atrial Fibrillation …  

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The maze procedure is the primary form of treatment for resolving atrial fibrillation (Afib). If the condition is not severe, doctors may suggest alternative solutions, such as anticoagulants, electrical cardioversion, and medications. …  

Understanding Atrial Fibrillation and Its Effects

If you suffer from AF, ask your doctor whether a maze procedure is a viable solution. Finding the right doctor for Atrial Fibrillation or cardiac surgery is crucial. Visit a specialist for proper diagnosis and treatment … .


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Atrial Maze Procedure

Monday, March 8th, 2010

A surgical method called the maze procedure is used  for treating patients who suffer from atrial fibrillation (Afib). This is a type of arrhythmia. Usually, electrical signals are created by a group of cells known as the sinoatrial node. These signals are distributed throughout the upper and lower chambers of heart (i.e. atria and ventricles, respectively) and cause them to contract.

They work in unison, which makes it possible for your heart to pump blood effectively.

With Afib, the impulses are generated elsewhere and spread throughout the upper chambers in a disorganized pattern. This causes the upper chambers to fibrillate out of sync with the ventricles. As a result, the heart becomes less capable of pumping blood.

If you suffer from atrial fibrillation, maze surgery may be a viable option. This article will describe what you can expect before and after the operation.

Preparation

Your doctor will want you to make an appointment one or two weeks prior to the surgery. This is the time during which he or she will inform you about the procedure, recovery, and returning to your regular routine afterward. You will likely have an opportunity to meet the surgical team, including the surgeon and anesthesiologist.

The night prior to surgery, you should avoid eating or drinking. You can then check yourself into the hospital the following day. Your chest will be shaved and cleaned while your heart will be monitored. Then, you’ll receive a general anesthesia to put you to sleep before the maze procedure begins.

Maze surgery usually takes a couple of hours and possibly less if the surgeon is performing the operation with a minimally invasive approach.

Hospital Recovery

One the operation is completed, you’ll be moved to the ICU, where you’ll may stay for up to a week and a half. During your stay there, your physician will want to monitor your heart and other vital signs. Breathing tubes and related equipment will be connected and a catheter will be inserted to preclude the need to use the restroom.

The breathing tubes are typically removed after several hours. You’ll be transferred from the ICU into a general recovery ward where your doctor and nurses can continue to observe your progress. After about a week, if you experience no complications, you will be released to go home.

Recovering at Home

The length of your at-home recovery period depends upon a few factors. Your health prior to undergoing maze surgery plays a role. So too, does the surgeon’s approach (i.e. minimally invasive versus open heart surgery). Most patients can recover within six to eight weeks, and return to their normal routine a few weeks later.

While recovering at home, you’ll need to be diligent about taking any medications prescribed by your surgeon. You should also make sure the incision and the skin surrounding the area is cleaned on a regular basis. You will likely feel some degree of soreness as the area heals. That’s normal and will subside with time.

Your doctor will encourage you to adopt a healthy diet and mild exercise routine in order to rehabilitate your heart. Follow-up appointments will include a physical test to monitor your heart’s strength and identify any risks that might present a problem down the road.

Back To Normal

Within three months, you should be able to return to work and participate in your normal activities. It’s worth noting that one in three patients will experience a recurrence of atrial fibrillation after undergoing the maze procedure. Your doctor may prescribe medications to lessen the symptoms. Gradually (within a year), your heart will adopt a normal rhythm.

Atrial fibrillation is not always dangerous. It can often be managed by medications. That said, if you feel the condition is impacting your quality of life, consult your doctor regarding whether the maze procedure is an appropriate treatment path.


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New Stem Cell Tests Show Promise For Heart Patients

Thursday, January 7th, 2010

 

A promising new heart therapy involving injecting stem cells from persons with severe heart disease back into their diseased hearts is being tested and has shown promising results.

When the stem cells are injected into the damaged hearts,the heart patients have shown marked improvement.

The trial tests, being conducted by Baxter Laboratories and researchers from Northwestern University, is creating quite a stir in the stem cell research and heart disease communities. Preliminary results from their tests were presented to the American Heart Association at their scientific conference in Ft. Lauderdale last fall. 

Dr. Douglas Losordo, a Northwestern University researcher working on the tests, is using technology developed by Baxter to extract and purify stem cells from heart patients with severe angina or who have had prior open-heart surgery or balloon angioplasty procedures to treat their heart disease. The purified stem cells in the test procedures was injected back into the hearts of the patients.

There was a test and a control group totalling 167 patients, most of whom were men,and the test group  showed significant improvement in their conditions. Many have been able to resume moderate physical activity since receiving the treatments. Some of them were home bound and were unable to do normal daily activities like walking up stairs or going out of the house to shop but could do these after they completed the tests.

These trials are the second phase of the three phases required for FDA approval. No date has been announced yet for the start of the third phase.

Adult stem cell treatments such as these are showing similarly encouraging results in other medical areas such as cancer and even spinal injury rehabilitation.  

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Atrial Fibrillation–What It Is And How To Deal With It

Friday, October 16th, 2009

To understand what atrial fibrillation is we first have to understand what is happening with a healthy heart. Though the heart is a complicated organ with a very serious job to do, we can picture the heart quite simply picture two sets of paired chambers, one larger pair sits on top of the lower, smaller pair. The larger chambers are known as atria (or atrium if singular) and the lower chambers are known as ventricles.

The atrium’s job is to collect the blood as it enters the heart and then to push this blood into the ventricle sitting below it which will in turn, expel the blood from the heart under pressure as it starts its journey around the body again. This results in the double-beat of the normal, healthy heart as first the atrium contracts and then the ventricle this is known as the Sinus Rhythm by doctors. How this is all coordinated is the responsibility of a part of the heart located at the top of the right atrium this is known as the Sinus Node or he Sinoatrial Node (the SA Node) this is the heart’s natural pacemaker.The electrical signal travels across the right to the left atrium and ends at the Atrioventricular Node (the AV Node), then the atrium contracts just before the beat of the ventricles.

 

Now atrial fibrillation occurs where the electrical signal bypasses the atrium (hence the atrial term) the atrium doesn t contract properly and instead, it fibrillates and to imagine this, think of a jelly on a plate when it is shook. What causes the electrical signal to bypass the atrium or to deteriorate which also can cause the condition may be damage to the SA Node or some other condition.Regardless of the cause, symptoms can go unnoticed until something serious like a heart attack or stroke occurs. This is why it is important to have regular cardiac screenings which can identify the condition early.

Those with a history of heart problems, rheumatic fever, diabetes or strokes are all in a higher risk category for contracting atrial fibrillation. Symptoms that present themselves may include shortness of breath, intolerance to exercise, palpitations and sometimes even angina. The condition lends itself to treatment with mild instances not requiring any treatment where the patient is not in a high risk group or the symptoms are not creating issues for the patient. First stage treatment includes medication to control the heart rhythm and the use of catheters though open-heart surgery may be required using an operation known as the Maze Procedure.

The Maze procedure consists of making incisions in the atrium and sewing them up again; this allows the atrium to hold blood and contract normally but the electrical signal cannot traverse the incisions that have been made the signal must follow the route which is delineated by the incisions and cannot, therefore, bypass the atrium.Sometimes an artificial pacemaker will need to take the place of the SA Node that is damaged by the disease. The success rate is high with 80% to 100% success rate being reported.

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While studying how the heart is formed, scientists at the University of Pennsylvania School of Medicine serendipitously found a novel cellular source of atrial fibrillation (AF), the most common type of abnormal heart beat. … Professor of Medicine, have identified a population of cells in the atria of the heart and pulmonary veins of humans and mice that appear to be the seat of AF. The finding may lead to a more precise way to treat AF, with reduced side effects.   

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The most common abnormal heart rhythm is atrial fibrillation and involves the atria, or the heart’s two upper chambers.  


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