What is the process for scheduling my surgery?
Initial Consult: You will be evaluated by the Heart/Vascular/Lung Surgeon in our office after being referred by your primary MD or Cardiologist for a consultation. The surgeon will discuss diagnostic test results (such as the Angiogram, CT Scan, Echocardiogram, Stress Test, Nuclear Medicine Test, and Laboratory Tests) as they pertain to your need for surgery. The surgeon will also provide general information regarding the surgery along with its risks and benefits so that you and your family can make an informed decision. It is important that you bring 1–2 close family members with you to this appointment.
After the decision for surgery is made, you will be scheduled for a pre-operative appointment at least 3 days prior to the surgery. This appointment is designed to obtain any tests necessary for surgery, gather important insurance information, discuss surgical preparation, and explain the logistics regarding your hospital admission.
Am I going to need a blood transfusion?
Blood Transfusion: Not every heart surgery requires a blood transfusion. Most scheduled, non-emergent heart/lung cases do not require blood transfusions. A type and screen blood test is always completed prior to surgery so that the hospital’s blood bank has your blood type available should it be required.
You do have the option of donating your own blood (Autologous Blood Donation) prior to the heart surgery if it is a planned procedure. Please inform our office of your request so that we can help facilitate your wishes with the proper agency. (Note: Most insurance providers do not provide coverage for Autologous Blood Donation, so please check with your provider for coverage details.)
What activities am I allowed to do after heart surgery?
Daily Routine: After discharge from the hospital following heart surgery, it is important that you do as much for yourself as possible. This includes getting out of bed, bathing/showering, dressing, light meal preparation, medication administration, and walking around the house.
Exercise: Walking is the best activity following heart surgery. Begin a walking program after discharge. Start by walking 5–10 minute intervals 2–3 times daily, then gradually increase these intervals by 5 minutes every week until you are walking 30–40 minutes without stopping on flat surfaces. Do not walk when it is excessively warm or cold, and avoid hills for 6 weeks.
Driving: Since the breastbone (sternum) is broken during surgery, it takes at least 6 weeks for the bone to heal. You may resume driving 6 weeks after the surgery.
Sex: Avoid putting pressure on your chest for 6 weeks. When you are ready, you may resume sexual activity.
Are there dietary restrictions following heart surgery?
Diet: Your diet following heart surgery—especially bypass surgery—should include low-fat, low-glycemic, and high-fiber foods. A plant-based diet is best following bypass surgery, although this might be challenging if you are not a vegetarian. Please click on the Resource toolbar for additional information.
How should I take care of my incision when I go home?
Incision Care: You may shower immediately after surgery. Use warm water and pat dry with a soft towel. Do not apply ointments, salves, or lotions to the incision area; simply keep the area clean and dry.
How do I manage the pain after surgery?
Pain Management: You will be given a prescription for pain management at the time of discharge. Sometimes it may help to alternate extra-strength Tylenol with your prescription pain medication. Follow your prescription directions carefully and do not take over‑the‑counter pain relievers like Tylenol or Advil along with your prescribed medication.
To minimize pain during coughing or sneezing, it is helpful to splint yourself with a pillow. The nurses will teach you how to do this before you go home. Women should always wear a supportive bra to alleviate excess weight on the chest and back. Remember not to lift anything over 10 pounds for 6 weeks.
When am I able to travel?
Travel: Air travel is not recommended for 6 weeks. Travel to elevations greater than 5,000–6,000 feet is not recommended until your physician gives permission. When traveling long distances, be sure to stop, stretch, and move around every hour.
What are some important reasons to call my Surgeon after I go home?
Notify the Surgeon:
- Sudden or severe pain not controlled by prescription medication
- Irregular or fast heartbeat
- Increased swelling of the legs, hands, or feet
- Fever, swelling, tenderness, oozing, or redness around the incision
- Weight gain of over 2 pounds in 24 hours
- Shortness of breath at rest or with minimal activity
- Increased dizziness or lightheadedness
