General Anaesthetic concerns with Mitral valve regurgitation -MVG and Microvascular Angina -MA

[AuntyEdna]

Can anyone help ?

I was due to have a bladder and bowel realignment with hysterectomy two weeks ago. ( All three prolapsed various degrees ). The week of the op it was cancelled and redirected to a larger hospital - waiting time 52 weeks I'm at the bottom of their list .

Reason given the anaesthetist didn't want to do it because of my heart conditions.

Question : Anyone out there had a general anaesthetic with MVG and MVA ? Should I not bother with the op at all, is it's too dangerous with these heart conditions ?

Feeling a bit fed up and confused - thank you for listening xx

[Hidden]

hello I’m sorry to hear that they cancelled your operation, so disappointing and then a long wait ahead of you. A discussion with your cardiologist is definitely required to help you decide on the operation and you would hope they all talk to each other and come up with the best plan for you? Seems like they need to get together and assess risks for you and give their recommendations. I guess only they can assess whether dangerous.

I hope you get the outcome you need, I’d be chasing up that cardiologist and hope they’d communicate with your op doctors to see what’s possible.

I’m guessing they transferred to bigger hospital as they may be more specialised/ e quipped for you as a complex patient. That’s a good thing albeit a very long wait. Usually the problem with more “advanced” hospitals.

I’m sure someone with knowledge of you particular heart issues and experience of having general anaesthetic will be along soon.

👍

[AuntyEdna in reply to Hidden]

Thank you for your kind words I will chase the cardiologist for sure - take care

[Milkfairy Heart Star]

Hello AuntyEdna,

I am sorry to hear you need surgery.

As Hidden has said it's important to have the operation in a larger hospital where they have the resources and experienced Anaethetists to care for you.

Some of the drugs they use during a general anaesthetic can cause vasoconstriction which is a problem if you have microvascular or vasospastic angina.

The other issue is that operating theatres and recovery rooms can become very cold. The theatre staff need to know to keep you warm and have GTN spray available, if the stress of the operation and cold triggers your angina.

As suggested you need to get a review from your Cardiologist.

Then I suggest you ask the Anaethetist to provide you with a careplan for your surgery too.

[AuntyEdna in reply to Milkfairy]

Many thanks for this. I hadn't thought about the cold and stress ( should have really) both have a negative affect and I have been hospitalised because of both in the past. I will make sure the nurses know too. I have an out patients appointment for June so armed with as much information as possible I will go through it with the gynaecologist.

Thank you for your wise words you are a mind of information. Take care☺️

[Silvertail]

I know it's not as bad as your heart problem, but my oral surgeon had to remove a top tooth of mine which had broken near the gum. He wanted me to have a GA in hospital, I think because of the possibility of piercing the sinus. Anyway the anaesthetist refused to do it because of my heart and also my sleep apnoea, and instead used deep sedation. (She said to me she wasn't going to take any risks for just a tooth, but of course I would have to have a GA if it was major surgery.) It was a breeze and I didn't have any pain afterwards. However that was not major surgery as yours would be.

[AuntyEdna]

Thank you for this information. I did suggest to them that I was happy to have an epidural for the procedure but that seems to be forgotten. I may try again when I see the consultant . Take care 😀

[Milkfairy Heart Star in reply to AuntyEdna]

Spinal anaesthesia is an option. If you are prescribed antiplatelets you'll need to check with your Cardiologist and surgeon when you need to stop taking them before the surgery.