Mended Hearts Open Forum

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  • 1.  Hello

    Posted 08-30-2024 11:11

    Hi.  I'm Karen.  I'm the wife of a man who had triple bypass about a month ago.  He was complaining of pain on the right side of his chest & since he's gotten the all clear from his Dr.  I didn't want to call them.  I remembered being handed the brochure for this group & decided to see if there was anyone else having that trouble.  Sure enough, lots of people do.  So, I will check in here from time to time, since I doubt my husband will.



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    Karen Friedel
    Cleveland GA
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  • 2.  RE: Hello

    Posted 08-31-2024 00:52

    Did your husband discuss the matter of his chest pain with his cardiologist?  If not I would do so.  If yes, he should have gotten an explanation as to what is going on and why he's given the all clear.  For example, what is the origin of the chest pain that causes the cardiologist to be unconcerned.  I would go prepared to obtain these answers from your husbands cardiologist.  I think you want to know and with good reason.  The doctor may need a little nudge to provide the information you seek.  They get busy and often want to move on.  You may need to advocate for your husband if he finds that difficult.  Best of luck getting this straightened out.



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    Ed M
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  • 3.  RE: Hello

    Posted 08-31-2024 09:13

    Hi there I had pain in my chest, that wasn't heart related after my aortic valve surgery. I spoke with my heart surgeon and my cardiologist for clarification. My take on this is that there were so many instruments, tubes, etc. involved in the surgery, which causes trauma on the surrounding tissues and areas. I am now 5 months post op,things continue to heal, and the pain has diminished or isn't there anymore. Hope this helps. Sending you well wishes and healing thoughts. 



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    Mary Malone
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  • 4.  RE: Hello

    Posted 08-31-2024 07:01

    HI Karen and welcome.  I had 3xBP sixteen months ago and experienced general pain in my chest area for quite some time.  Each time I saw my cardiologist, every 3 months for the first year post op, and when I saw my surgeon for the post op follow up, all my heart related functions were normal, even with the chest pain.  As they explained it, the pain was a result of the physical trauma of having to open the sternum and wire it back together....nerve endings having to readjust to being cut and finding new paths, plus the removal and relocation of two arteries from my chest wall...one from the left and one from the right side of the incision.  That's a lot of tissue healing that has to happen. 

    As time passed, so did the pains, which eventually became just flashes of nerve impulses.   For me, it took a full year for that to subside.   I hope this is all your husband is experiencing.  And, if so, it's normal.  But at this point he'll be seeing his cardiologist regularly.  And if he hasn't had his surgical post op appointment yet, he should mention anything of concern to his surgeon as well.  



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    Michael Brown
    Retired
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  • 5.  RE: Hello

    Posted 08-31-2024 10:19

    Hi.  Yes, he just had his visit with the surgeon last week, and was given the all clear.  His surgeon just said it's his chest healing.  And yes, the surgeon seems like a great guy, we met him as an emergency patient, but they always seem in a rush.    But, you all know how it is, he was still worried about it.  Thank you for all youf answers.  I think it make him feel a little better to know it's not uncommon.  He has cardio rehab starting in a couple weeks & a visit with his cardiologist right after that, so it's another chance for him to ask questions.



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    Karen Friedel
    Cleveland GA
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  • 6.  RE: Hello

    Posted 09-01-2024 12:43

    Follow up visits will/should include listening with a stethoscope for clicking of the sternum to detect loose wires.?? Concern that the healing process is going well was a concern I had that is likely typical given the variety of pains and nerve tingling involved.?? Assurances during the visits of no clicking were helpful.??






  • 7.  RE: Hello

    Posted 09-01-2024 14:50

    loose wires? I wouldn't think so.  My doctor listens and taps to detect air or fluid pockets that may develop. 

    And I did ask my surgeon on my 30 day post op follow up about the wiring process as I was curious about how it's done and if the wire is left in or later removed.  He said they use surgical wire that has a needle built in to one end.  The needle is strong enough to punch thru bone.  With a surgical plier, they inserted four wire wraps in my sternum.  The two at the top and bottom went thru the bone on each side and the two in the middle went thru the 'meat'.  They pull them tight and knot them in a similar method to surgical sutures.  The are permanent and are only removed if they cause severe discomfort later on.  They won't set off any metal detectors or security wands, which I can confirm..  :).  But one of the wires coming loose is not impossible, just highly unlikely.  

    I can, btw, feel the lump where my wire wraps are on my sternum if I press firmly.  Eventually, bone will grow over the wire, just like it does if you have surgical screws in a bone.   



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    Michael Brown
    Retired
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  • 8.  RE: Hello

    Posted 09-02-2024 08:07

    Before sternum healing, straining ones arms can cause the wires to wear into the bone and thus loosen.?? My surgeon's PA related they had recently had a patient require follow up surgery to install a sternum plate with screws after wires had loosened due to failure to observe weight and motion restrictions.???? I suspect it is rare, but given the warnings... it is no doubt a thing.






  • 9.  RE: Hello

    Posted 09-02-2024 11:30
    Arlyn,
    I have learned to never have consults or discussions with anyone other than a MD.
    Vic

    Victor Fabry, Founder
    Greylock Advisors, LLC
    Healed Hearts of New Jersey





  • 10.  RE: Hello

    Posted 09-05-2024 01:50

    Only two discussions with my cardiac surgeon with both accompanied by his PA.?? The first happened?? during heart cath recovery while processing the news of blockages that couldn't be stented.?? She arrived first and presented the need for bi-pass and detailed what was involved.?? When he arrived, the discussion was about when it could be scheduled.

    The second was post surgery day three.?? She had visited both day 1 & 2 and on the morning of day 3 they came together and he related that the nursing staff were going to celebrate a rare three day dismissal she had suggested on day 2 was possible.??

    That's it.?? Post surgery calls and three visits were all with his PA.

    Only one post op (two months) visit with cardiologist with another in two weeks at 4.5 months.?? I don't think he has a PA.