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«Heart Surgery Education And Recovery Tips Phone Numbers Keep track of the names and numbers of the health care team involved in your care and ...»

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Heart Surgery

Education

And

Recovery

Tips

Phone Numbers

Keep track of the names and numbers of the health care team involved in your care and recovery.

Trillium Health Partners - Mississauga Hospital Site

100 Queensway West

Mississauga, ON L5B 1B8

(905) 848-7100

www.trilliumhealthpartners.ca

Trillium Health Partners - Mississauga Hospital Site

Day Surgery: (905) 848-7662

Cardiac Surgery Intensive Care Unit: (905) 848-7178

Cardiovascular Surgery CVU 2J: (905) 848-7168

Cardiac Care Coordinator If you have any symptoms or concerns before your surgery please call the Regional Cardiac Care Coordinator, Cardiac Surgery: (905) 848-7501 Integrated Care Coordinator (ICC) (905) 848-7100 extension: 1803 Cardiac Surgeons’ Office 89 Queensway West, Suite 608 Mississauga, ON L5B 2V2 (905) 848-2550 Dr. Charles Cutrara, Dr. Gopal Bhatnagar, Dr. Shaf Ahmed and Dr. Joseph Noora Cardiac Wellness and Rehabilitation Centre Trillium Health Partners -West Toronto Hospital Site 150 Sherway Drive, 5th floor Toronto, ON M9C 1A5 Information Line: 416-521-4068, Direct Line: 416-259-7580 ext. 5998 Cardiologist Number: ___________________________

Family Doctor Number: _________________________

Table of Contents Trillium Health Partners................................................... pg. 4 Preparing for Your Surgery................................................ pg. 8 Recovering after Your Heart Surgery........................................ pg. 18 Preparing to go Home.................................................... pg. 38 Recovering at Home....................................................... pg. 46 How to Use This Guide You and your doctors have decided that you need surgery on your heart. This booklet has been prepared by the Cardiac Surgery Team at Trillium Health Partners to help you and your family prepare for your heart surgery. It may seem like a lot of information, but all of the information in this booklet will be reviewed with you several times by members of our health care team. We look forward to helping you during your hospital stay. Please keep this booklet with you while in hospital.

The more serious the illness, the more important it is for you to fight back, mobilizing all your resources—spiritual, emotional, intellectual, physical.

Norman Cousins

DISCLAIMER

THE INFORMATION PROVIDED IN THIS GUIDE IS FOR INFORMATION PURPOSES ONLY. IT IS NOT INTENDED NOR IMPLIED TO BE

CONSIDERED, OR USED AS A SUBSTITUTE, FOR PROFESSIONAL HEALTH CARE ADVICE, MEDICAL DIAGNOSES OR TREATMENT.

IT IS MEANT TO BE A GENERAL GUIDE TO YOUR CARDIAC SURGICAL PROCEDURE AT TRILLIUM HEALTH PARTNERS.

IF YOU HAVE ANY ADDITIONAL QUESTIONS OR CONCERNS, YOU SHOULD DIRECT THEM TO A HEALTH CARE PROFESSIONAL.

NEVER DISREGARD, AVOID OR DELAY OBTAINING MEDICAL ADVICE FROM YOUR DOCTOR OR OTHER HEALTH CARE PROFESSIONAL BECAUSE OF SOMETHING YOU HAVE READ IN THIS GUIDE.

TRILLIUM HEALTH PARTNERS DOES NOT MAKE ANY EXPRESS OR IMPLIED WARRANTIES OR REPRESENTATIONS OF ANY KIND

WHATSOEVER (INCLUDING WITHOUT LIMITATION WARRANTIES OF TITLE OR NON-INFRINGEMENT OR ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR PARTICULAR PURPOSE) WITH RESPECT TO THIS GUIDE OR ANY INFORMATION CONTAINED IN

THIS GUIDE. WE DO NOT GUARANTEE OR WARRANT THE QUALITY, ACCURACY, COMPLETENESS, TIMELINESS, APPROPRIATENESS, USEFULNESS OR SUITABILITY OF THE INFORMATION PROVIDED.

COPYRIGHT © 2016 TRILLIUM HEALTH PARTNERS

ALL INFORMATION CONTAINED WITHIN THIS GUIDE IS THE PROPERTY OF TRILLIUM HEALTH PARTNERS UNLESS OTHERWISE

NOTED. DUPLICATION OF ANY INFORMATION CONTAINED WITHIN THIS GUIDE FOR REASONS BESIDES PERSONAL USE REQUIRES THE EXPRESSED WRITTEN PERMISSION OF TRILLIUM HEALTH PARTNERS.

Trillium Health Partners Trillium Health Partners Trillium Health Partners Advanced Cardiac Care Centre

About heart surgery at Trillium Health Partners:

Trillium Health Partners is an advanced cardiac care centre in Mississauga. We offer a full range of cardiac surgical interventions. For people who need heart surgery everything they could want is available at Trillium.

We have improved the results in many of our patients by using a technique called Beating Heart Surgery. Although this is not for everyone, the majority of our bypass patients who receive beating heart surgery may benefit from a shorter stay in hospital and less complications.

A full range of heart valve surgeries are performed. We have regional expertise in surgery on the aorta.

We also have a keen interest in surgical procedures that may be helpful in improving the lives of patients with heart failure. We continue to be world leaders in the development of expertise with new state-of-the-art heart-lung machines and minimal access surgery.





We continue to offer high-level heart surgery to more than a thousand patients a year on an elective, urgent and emergency basis we continue to strive for the safest and best heart surgery for everyone.

Trillium Health Partners At Trillium Health Partners, you will meet many different people from the health care team. Each person plays a role in helping you and your family through the stages of heart surgery.

Cardiac Surgeon along with the surgery team will perform your operation and oversee your recovery.

Cardiac Anaesthesiologist is a doctor that puts you to sleep in the operating room and looks after your care in the Cardiac Surgery Intensive Care Unit.

Cardiac Surgery Triage Coordinator is a nurse who is the link between you and your doctors during the waiting period before your surgery. The coordinator can answer any questions you may have as you prepare for your surgery. It is important for you to inform the coordinator of any changes in your symptoms or your treatment.

Integrated Care Coordinator (ICC) is a experienced cardiac health professional who will help you to prepare and plan for your recovery at home. The coordinator will work with the team at

Trillium Hospital and Saint Elizabeth Health Care in the community to:

 prepare you for surgery,  ensure you have a smooth transition from hospital to home, and  support you during your recovery.

Nurse Practitioner (NP) is a nurse with advanced education and skills in caring for patients after cardiac surgery. The NP works closely with the surgeon and the health care team to manage your care.

Registered Nurses (RNs) and Registered Practical Nurses (RPNs) will care for you 24 hours a day while you are in the hospital.

 Nurses in the Cardiac Surgery Intensive Care Unit will take care of you after surgery until you are ready to go to the Cardiovascular Unit.

 Nurses in the Cardiovascular Unit will take care of you and get you ready to go home.

Respiratory Therapist (RT) manages the breathing machines in the Intensive Care Unit and monitors your breathing when the breathing tube comes out.

Trillium Health Partners Dietitian is available to assess your nutrition needs and provide information you may require.

Physiotherapist (PT) will help with breathing exercises and physical activity to build up your strength after surgery. The PT will work with you to design your exercise program for when you go home.

Occupational Therapist (OT) will provide information to patients who have difficulty in performing self-care and home management activities. The OT will advise regarding specific equipment for home and teaching tips to increase independence.

Occupational Therapist Assistants/Physiotherapist Assistants (OTA/PTA) who work under the direction of the OT and PT to help with your daily activities on the patient unit.

Social Worker can assist in your discharge planning, provide information on community help and provide counseling and guidance depending on your needs.

Pharmacist is available to give you information about your medicine.

Cardiac Rehabilitation Therapist works with you through your recovery and teaches you how to reduce the risk of having another heart event.

Technicians will help in completing the variety of tests that you may have during your hospital stay.

Chaplain is available to offer spiritual and mental support to you and your family.

Volunteers have a variety of roles and can be seen throughout Trillium Health Partners.

Healing Hearts Volunteers are former heart patients who have had cardiac surrey themselves. These volunteers can answer your questions and provide comfort during your stay from the patient’s perspective.

TALK to US It is very important to us to make sure that your questions and concerns are dealt with while you are in the hospital, so please feel free to talk to any member of the health care team.

Preparing for Your Surgery

–  –  –

Your Heart and How It Works Your heart is a muscular organ about the size of your fist. It lies in your chest, behind your breastbone. The heart has four chambers. The top two chambers are called the atria, and the bottom two chambers are the ventricles. The heart also has four heart valves. They control the flow of blood through the heart. The right atrium and ventricle are separated from the left side by a muscular wall called the septum.

The heart’s purpose is to pump blood and oxygen to the organs and tissues in our body. The right side pumps blood to the lungs, where it picks up oxygen. The left side of the heart collects the blood with oxygen from the lungs and pumps it to the rest of the body.

The valves allow blood flow from the atria to the ventricles, stopping backflow and help balance the pressures in the heart.

–  –  –

Resource:

Heart and Stroke Foundation: www.heartandstroke.ca Preparing for Your Surgery Coronary Artery Disease (CAD) Coronary Artery Disease is a general term that refers to the build up of fatty material inside the walls of the coronary arteries. This build up can cause a narrowing, or “blockage”, which can reduce the flow of blood and oxygen through the coronary arteries to the heart.

When a blockage is severe in one of the coronary arteries, it becomes difficult to supply the heart muscle with enough blood and oxygen. When this happens, it can cause a person to have angina and this may feel different for everyone.

Some people may feel:

pain or pressure in their chest shortness of breath loss of feeling, pain or tingling in their arm or jaw faint burning or indigestion dull or constant chest pain an upset stomach no symptoms at all.

To relieve angina symptoms you may need medicines.

Heart surgery may be required:

 when medicine or other methods such as angioplasty are not able to improve your symptoms OR  when the blockage is more complicated and involves more than one artery.

Preparing for Your Surgery Types of Heart Surgery Coronary artery bypass graft surgery (CABG or “Bypass” surgery) You may need surgery to help improve blood flow to your heart and help control symptoms of angina.

Bypass Surgery is the most common type. It is performed when the arteries are too narrow or blocked. It is called “bypass” surgery because a new path is created around the narrow or blocked part of the artery using a piece of a blood vessel from your leg, chest or arm.

At Trillium Health Partners, we perform two types of “bypass” surgeries.

On pump surgery The cardiac surgeon opens the chest at the breastbone. They stop your heart and attach it to a bypass machine, sometimes called a “heart-lung machine”, so that they can operate on a still heart.

Off pump surgery or Beating heart surgery At Trillium Health Partners, most of our surgeries are done “off pump”, without the use of the bypass machine. The surgeon operates while the heart is still beating. This technique decreases the chance of side effects and improves recovery time.

Heart valve surgeries Heart valves can become damaged over time as we age, or from infection, rheumatic fever and birth defects. Over time, this damage may prevent the valve from closing properly causing a back flow of blood.

Also, the valve may become narrow, and difficult to open and close properly, preventing the blood from flowing from one chamber to another. This is called stenosis.

Damaged heart valves can be repaired or replaced. In most cases they are replaced with either a mechanical or tissue valve. Your surgeon will discuss which valve is best for you.

Tissue Valves Are animal valves that are very similar to natural heart valves and have been re-designed and chemically treated.

Mechanical Valves Are man made valves designed from durable metals and plastic that last longer than tissue valves.

Patients who have mechanical valves will require “blood thinners”, pills to thin the blood for the rest of their life.

Preparing for Your Surgery Other Types of Heart Surgery Aortic aneurysm repair An aortic aneurysm is a problem in the wall of the main blood vessel (aorta) that carries blood from the heart to the rest of the body. The aorta wall may weaken and bulge, eventually causing a tear in the inner layers, and rupturing. Surgical repair involves patching the aorta with man made materials.

Ventricular aneurysm repair After a heart attack, a part of the heart muscle may become weak and develop an aneurysm (bulging or ballooning out). This may lead to symptoms of shortness of breath, pain or irregular heart beats. Ventricular aneurysms are fixed by removing the damaged tissue or by patching it.



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