Navigation Links
Barbara Walters' Prognosis Is Excellent, Doctors Say
Date:5/11/2010

Increasingly common surgery will replace aortic valve to improve blood flow

TUESDAY, May 11 (HealthDay News) -- TV broadcaster Barbara Walters surprised fans of her weekday show "The View" Monday when she announced she was preparing to undergo a heart valve replacement, a procedure that will keep her off the air until the fall.

But doctors say her prognosis is excellent, with heart-valve replacement surgery now considered a routine procedure that typically leads to a full recovery.

"Having an isolated aortic valve replacement nowadays is associated with maybe a 1 or 2 percent mortality," said Dr. Daniel Goldstein, surgical director of the Center for Advanced Cardiac Therapy at Montefiore-Einstein Heart Center in New York City.

Walters, who is 80, told viewers that the faulty valve was discovered during an echocardiogram.

Other high-profile recent recipients of heart valve replacements include former First Lady Barbara Bush and comedian Robin Williams.

Dr. Paul Stelzer, a professor in the department of cardiothoracic surgery at Mount Sinai Medical Center in New York City, said the most likely reason for "someone to have a valve replaced these days is aortic stenosis."

This condition involves the aortic valve, which is located between the left lower chamber of the heart -- the left ventricle -- and the aorta, the largest artery in the body. As the left ventricle contracts, the valve opens, forcing oxygenated blood into the aorta where it is then distributed throughout the body.

"The valve is supposed to be a one-way door that opens completely and doesn't cause any obstruction of blood flow, and then closes completely so the blood only flows in one direction," Stelzer explained.

But as a heart ages, the valve can sometimes stiffen and not open all the way, which forces the heart muscle to do all the work, potentially leading to shortness of breath, fainting, chest pain and heart failure, he said.

The problem is more common than one would expect, Stelzer said. "Probably 5 to 10 percent of the population when they get into their mid-80s will have some degree of aortic stenosis. Women get this about twice as often as men, but we are not sure why that is."

The surgery to correct the problem typically involves replacing the defective valve with a heart valve from a pig or cow, but sometimes a human donor valve or a mechanical valve is used, Stelzer said.

"For someone who is over the age of 70, we almost always use a tissue valve [either pig or cow]," Stelzer said. "In an octogenarian I almost never use a mechanical valve."

"We are pretty sure these are going to last 15 to 20 years," he said. "It's going to exceed the life expectancy of the majority of people we put them into. If you live another 20 years, there's about a 50 percent chance you are going to have to have it done over."

The operation takes about three hours and most patients remain hospitalized for five days, Goldstein said.

However, full recovery takes some time. "Usually what I tell my patients is it's a good six to eight weeks until you are fully back to normal and able to do as much as you like, and the older you are the slower that might be," he said.

Dr. Suzanne Steinbaum, director of women and heart disease at Lenox Hill Hospital in New York City, said that "women tend to ignore their symptoms" associated with a faulty valve.

"What women need to understand and pay attention to is if there is any change in how they feel in terms of their exercise capacity, they should call their doctor," she said.

Ignoring these problems is never a good idea, Steinbaum said. "You want to take care of it before heart function suffers or you get sick with chest pain, syncope [fainting] and heart failure," she said.

More information

To learn more about heart valve surgery, visit the American Heart Association.



SOURCES: Paul Stelzer, M.D., professor, department of cardiothoracic surgery, Mount Sinai Medical Center, New York City; Daniel Goldstein, M.D., surgical director, Center for Advanced Cardiac Therapy, Montefiore-Einstein Heart Center, New York City; Suzanne Steinbaum, M.D., director, women and heart disease, Lenox Hill Hospital, New York City


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Foundation Radiology Group Adds Barbara Beaudin, Chief Financial Officer, to Executive Management Staff
2. Sen. Barbara Boxer Commends California Poultry Companies and Cites Foster Farms Campaign for Raising Consumer Awareness About Sodium
3. Mika Brzezinski, Anna Quindlen, Barbara Corcoran, Jean Chatzky And Lee Woodruff Visit DC For More Magazine's Reinvention Convention
4. Hayes, Inc. Technology Prognosis Team Tracks First-of-a-Kind Technologies
5. "IPGDx, LLC Announces The Continued Validation Of Its Patented Technology For The Assessment Of Prognosis; PrognostiCheck" Getting the New Information to Patients and Do
6. UAB researchers find 4 biomarkers important in colorectal cancer treatment prognosis
7. UAB researchers find 4 biomarkers important in colerectal cancer treatment prognosis
8. M. D. Anderson zeroes in on better way to predict prognosis in pediatric leukemia patients
9. Obesity linked to poor colon cancer prognosis
10. Obese Colon Cancer Survivors Face Poorer Prognosis
11. A new indicator of poor prognosis in node-negative colorectal cancer patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/22/2017)... (PRWEB) , ... February 22, 2017 , ... ... solutions for supply chain management (SCM) and spend management, today announced that Keppel ... save time, and simplify expense tracking. , “We are excited to announce ...
(Date:2/21/2017)... ... ... Author Michèle Wolff has a passion for using food as medicine ... about it for optimal health. Wanting to share her knowledge to the world, she ... Solutions ” (published by Balboa Press AU). , This book inspires readers to ...
(Date:2/21/2017)... ... 2017 , ... Tripp Lite, a world-leading manufacturer of power ... meet the most current standards. , The adoption by the Centers for Medicare ... Association (NFPA) 101 – Life Safety Code (LSC) and NFPA 99 – Health ...
(Date:2/21/2017)... Visalia, CA (PRWEB) , ... February 21, 2017 , ... ... Tulare , CA, directed by Dr. Kendell Mendonca , to its growing network ... worker’s compensation injuries including injuries stemming from car accidents such as whiplash, back pain, ...
(Date:2/21/2017)... ... 2017 , ... Individuals who have been diagnosed with cancer ... therapy and management. Regular exercise in proper environments has been shown to benefit ... On February 23, 2017, 1:00-2:00 p.m. E.S.T., a dynamic HydroWorx webinar ...
Breaking Medicine News(10 mins):
(Date:2/21/2017)... 2017 Mass Spectrometer Market: Overview ... This report on mass spectrometer market ... of the market globally. The stakeholders of this ... manufacture and commercialization of various mass spectrometer instrument ... to enter this market. This report comprises an ...
(Date:2/21/2017)... YORK , Feb. 21, 2017 The ... a CAGR of 6.0% from 2016 to 2021, to ... billion in 2016. Increasing prevalence of chronic diseases along ... pumps to reduce hospital expenditure, steady increase in surgical ... pain management are some of the key factors driving ...
(Date:2/21/2017)... 2017 Auburn University College of Veterinary Medicine has ... Hyperbaric Veterinary Medicine (HVM) Chamber.  The University of Florida has ... small animal hospital, and now Auburn University will enable its ... that is engineered exclusively for the treatment of animals. ... such highly revered universities like Auburn ...
Breaking Medicine Technology: