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An LVAD (left ventricular assist device) implant is a life-changing surgery for people with advanced heart failure. While the prospect of an LVAD offers renewed hope and improved quality of life, adjusting to life with this mechanical heart assistant requires preparation and understanding. This blog explores what to expect after LVAD surgery, equipping you with the knowledge for a smooth and successful recovery.
Synopsis
When is the LVAD Procedure Performed?
Here are some factors considered by the best cardiologists in Delhi when deciding if an LVAD is the right course of action:
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Severity of Heart Failure: The LVAD is typically recommended for people with advanced heart failure who experience significant limitations in daily activities due to symptoms like fatigue and shortness of breath.
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Overall Health: The patient's overall health and ability to tolerate surgery are crucial considerations.
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Other Treatment Options: If medications, lifestyle changes, or other therapies haven't been successful in managing heart failure, an LVAD might be considered.
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Eligibility for Transplant: If a heart transplant is a possibility, the patient's candidacy for receiving a donor's heart is also evaluated.
How is LVAD Performed?
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General Anaesthesia: You'll be under general anaesthesia, rendering you unconscious and pain-free throughout the surgery.
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Incision: The surgeon typically makes a midline incision down the centre of your chest to access the heart.
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Heart-lung Bypass (may be used): In some cases, a heart-lung bypass machine might be used to temporarily take over the functions of your heart and lungs while the LVAD is implanted.
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LVAD Placement:
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The surgeon positions the LVAD pump within the left ventricle of your heart. The pump has an inflow cannula that draws blood from the ventricle and an outflow graft that channels the blood to the aorta, the main artery of the body.
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A power cable from the pump exits through the chest wall and connects to a controller and battery pack worn externally.
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Closure and Monitoring: Once the LVAD is securely placed and functioning, the surgeon closes the chest incision with stitches.
The Initial Days: Healing in the ICU
Following LVAD surgery, you'll likely spend several days in the intensive care unit (ICU). Here's what to expect during this initial phase:
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Pain Management: Pain medication will be administered to manage post-surgical discomfort.
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Monitoring and Recovery: Your heart function, vitals, and overall condition will be closely monitored by the ICU team.
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Learning About Your LVAD: You'll receive training on how to care for your LVAD system, including dressing changes, battery management, and potential alarms.
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Physical Therapy: Early physical therapy sessions will begin to improve strength, mobility, and confidence in moving with your LVAD.
Transitioning to Home Recovery
As your condition stabilises, you'll gradually transition to home recovery. Here's a glimpse into what to prepare for:
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Home Modifications: Minor modifications like installing grab bars in the bathroom and removing throw rugs might be recommended to ensure a safe environment.
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Wound Care: You'll learn proper wound care techniques to prevent infection at the incision site.
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Dietary Changes: Your doctor might recommend dietary adjustments to manage fluid intake and support overall health.
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Medication Management: Taking prescribed medications consistently is crucial for managing your heart health and preventing complications.
Living with Your LVAD: A New Normal
Life with a heart pump machine empowers you to live a more active and fulfilling life. Here are some key aspects to remember:
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LVAD Care: Regular dressing changes, battery management, and following proper hygiene practices are essential for maintaining your LVAD system.
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Activity and Exercise: While strenuous activity is discouraged, physical therapy exercises and light cardio can be encouraged to improve strength and well-being. Discuss an appropriate exercise plan with your doctor.
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Diet and Nutrition: Maintaining a healthy diet that is low in sodium and supports your heart health is important. Consult a nutritionist for personalised guidance.
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Follow-up Appointments: Regular follow-up appointments with your doctor are crucial for monitoring your LVAD function, and overall health, and addressing any concerns.
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Emotional Wellbeing: Adjusting to life with an LVAD can be emotionally challenging. Support groups, therapy, or connecting with other LVAD recipients can be helpful.
Important Considerations
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Travel: Traveling with an LVAD is possible but requires planning. Discuss travel plans with your doctor beforehand and ensure you have the necessary supplies and access to medical care at your destination.
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Infection Prevention: People with LVADs are more susceptible to infections. Practice good hygiene, avoid crowds during flu season, and get recommended vaccinations.
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Sexual Activity: LVADs generally don't restrict sexual activity. However, communication with the heart specialist in Delhi and the partner is essential.
Living a Fulfilling Life with Your LVAD
An LVAD is a tool to enhance your life, not limit it. By adhering to our heart specialists' instructions, caring for your LVAD system diligently, and maintaining a healthy lifestyle, you can embrace a vibrant and active future. Remember, you're not alone on this journey. To know more you can book a consultation with our highly experienced heart specialist doctors in Delhi. You may also bookmark our blog page to access medically accurate information on various trending healthcare topics.
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