Aortic Valve Replacement to Treat Congestive Heart Failure
Bob: Thereís a lot of bicyclists. And I get to know a lot of them because I try to come over here quite, quite a bit. We can go a little bit slower, right? And then weÖ. Dr. Raghava Gollapudi: Heís got severe aortic stenosis which is a narrowing of the heart valve, so blood canít get out of the heart. Blood backs up into the lungs and patients become short of breath with exertion.
Anita, Bob's Wife: Thereís quite a difference in this man, from what he was before. Dr. Robert Adamson: We can restore his life, not only lengthen it, but we can restore it back to health. Heís an avid cyclist, who actually cycled clear across the United States. Bob: We had to average 85 miles a day.
And I was 68 at the time. Theyíre going to replace my aortic valve. Iíll be able to bike with Manny. Manny: Actually thatís not going to be too hard. Bob: You know what? When you ride that bike youíre a kid again.
And what better, what better thing to have when youíre 84 years old. Anita: Thirty years, and not one fight. Bob: Maybe we better start one. Weíve traveled the world together. We just, weíre just one, weíre just simpatico.
What more can I say? God gives you what you ask sometimes, and if you grab it, youíll win. Anita: Without him, wonít be my life. Dr. Gollapudi: Weíre going to be replacing his old aortic valve with a new aortic valve without having to open up the chest. Now, for Bob this is great because heís already had open-heart surgery once, and this just makes it so much easier for him. You have any questions for me? Bob: No, I think weíve talked a lot. Dr. Gollapudi: (Laughs) Bob: I didnít want my chest opened again.
Anita: We thought he had no options to make his life better. Bob: I didnít even know this was available until recently. And it hasnít been availableÖ. Anita: Brand, brand-new. Tina Orsag, Cardiovascular Technician: You all right? You ready? Every patient that walks through our doors, you know, we really take that patient into our arms and just help them feel comfortable.
Them and their family. Dr. Adamson: If he chose not to have this procedure, the only thing he could look forward to was progressive shortness of breath. Eventually being bedridden and dying of heart failure. Anita: Love you. OK, all right, it's going to be OK, it's going to be OK. Dr.
Gollapudi: Todayís procedure in terms of complexity is a 10 out of 10. Itís the most complex procedure that I do. Itís extremely high risk.
We have 16 people in the room, 6 doctors, 4 different specialties, all working together as a team to make sure we have a great outcome for Bob. Dr. Adamson: An 80-year-old enjoys waking up tomorrow just as much as a 10-year-old.
Tomorrow is all we all have. Dr. Gollapudi: We take this new valve, and we place it on a balloon, we crimp down so we can get to the patientís arteries in his groin.
Dr. Adamson: Make a little incision right here. OR Team: Pigtail going in. Dr. Gollapudi: What I do, as an interventional cardiologist, is I implant the valve itself. OR Team: Balloonís going in. And inject please. Going up.
Dr. Gollapudi: That is the patientís new aortic valve. Tina: Every patient is important. Just knowing what their lifestyle was like before, what they hope to achieve by getting this procedure, it really hits home for me. So when we deployed that stent I was internally cheering. OR Team: Weíll just take a quick pressure measurementÖ.
Dr. Gollapudi: Patients are able to go home in two to three days and they do as well as they would have with traditional open-heart surgery. Thatís the best thing. Letís go talk to the family. Hello! How are you doing? Anita: Smiling Ö youíre smiling. Dr.
Gollapudi: Everything went great. Anita: Itís OK? Dr. Gollapudi: He did really, really well. Patients are able to go back to biking or go back to walking normally. They can try to live for that next birthday or that next anniversary. Tina: I was thinking about you the whole time I was in there.
Anita: Oh, thank you. Tina: No problem. He did well. Anita: Now I can cry. Iím just so happy. Tina: Just the worry she must have felt every morning. That you know, you want your husband there when you wake up, your best friend, and so now she got him back.
So Iím happy for Anita. Bob and Anita: (Inaudible) Ellie Matthews, RN: If he would have had open-heart surgery he would have been in the surgical intensive care unit for days on end. Lots of rehabilitation afterward so this is remarkable. Eleven times around is a mile. Bob: I might take off here.
Anita: It will be wonderful to see him coming around the corner. Bob: All I had to do was step on the pedal. (Laugh) Back in the saddle again. How lucky can you get? This new procedure comes along just when I, I need it. I donít think I would have finished the year. Anita: You look so good.
Youíre just so fast, you look so good. Bob: Baby, I dropped them off. My hope is that weíll soon be able to hit the road and get a few little trips in.
Anita: I donít think it's going to be too long the way heís going. Heís ready to go. Bob: Iím back! Anita: Love you, honey. Bob: Great life. Anita: Great life. And now we have more of it. Bob: Now we have more of it.
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