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Enlarged heart following CABGx3
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bellefolly3 posted:
Seven months ago I had CABGx3 after which complications occurred...acute respiratory failure, cardiogenic shock, etc. Now I have an enlarged heart. Does anyone know how common an enlarged heart is after open heart surgery? Can the heart return to normal size?
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CardiostarUSA1 responded:
Hi:

One would tend to think it's uncommon, or we'd hear a lot about that happening, and sometimes the heart can return to normal/near-normal size, mainly dependedent on the specific cause and the degree of enlargement.

In general-only here, various problems or complications during (on or off-pump) or after open-heart surgery may/can occur from time-to-time, which includes, but is not limited to, infection, inflammation, fever, pneumonia, pulmonary edema, pleural effusion, phlebitis, thrombophlebitis, deep vein thrombosis, plaque and/or calcium deposit disruption in the aorta causing dislodgement, high blood pressure, low blood pressure, heart attack, heart failure, pericarditis, pericardial effusion, cardiac tamponade, excessive bleeding, neurological/neurocognitive deficits (can be due from being on cardiopulmonary bypass, anesthesia effects or drugs administered during and post-procedure), vessel spasm, bypass graft occlusion or failure (one or more), phrenic nerve dysfunction or damage (dependent on the technique used to access the heart), which affects the diaphragm and breathing, stupor, coma, decreased intellectual function, brain attack (stroke), lung/respiratory problems, kidney dysfunction/failure, acute mesenteric ischemia/mesenteric ischemia, irregular heart/pulse rate (arrhythmia), heart block, metabolic disturbance, electrolyte imbalance, depression, and absolute worst case scenario, sudden cardiac death.

Additionally CABG is just a clever way of temporarily circumventing the problem (atherosclerosis), as it does not address the underlying disease process and what drives the progression.

Most important, CAD is a life-long unpredictable (which can exhibit periods of stabilization, acceleration and even some regression) condition, requiring a continuum of care, as well as good doctor/patient-patient/doctor communication and understanding at ALL times.

Best of luck down the road of life.

Take care,

CardioStar*

WebMD member (since 8/99)



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Health Central

Cardiac Enlargement: A Patient Guide

There are two types of cardiac enlargement: hypertrophy and dilation...

With the exception of exercise-induced enlargement,...

http://www.healthcentral.com/heart-disease/patient-guide-44614-6.html

Enlarged Heart

Dear Doctor:

Once you have been diagnosed with an enlarged heart is it possible for it to go back to near normal size if...

http://my.clevelandclinic.org/heart/askdoctor/enlargedheart.aspx

Enlarged Heart

SEE: Causes - Risk Factors - Compications

http://www.mayoclinic.com/health/enlarged-heart/DS01129
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