In most cases, yes. Pre-admission testing typically includes blood work, an electrocardiogram and a chest x-ray, and should be performed three to ten days before the procedure. Your surgeon will tell you which tests you need and help you schedule them. If you have any questions, you can also call the Mitral Valve Repair Center at 212-268-6200

If you develop a cold, virus, sore throat, or other illness during the week before your surgery is scheduled, contact your surgeon immediately to discuss whether your surgery should proceed.

Be sure to bring a list of medications (including herbal remedies and over-the-counter drugs) that you take on a regular basis and a list of any known allergies, as well as your insurance cards and any correspondence with your insurance company regarding your admission. If you have been asked to make a deposit, please bring the deposit with you, too.

Also bring personal items that you rely on, such as eyeglasses, hearing aids, or dentures, and any documents you may have regarding advance medical directives. We encourage you not to bring jewelry, large amounts of cash, or other valuables.

Friends and family members are welcome to accompany you to the registration area on the day of surgery, but, for the safety of the patient, visitors are not permitted in the pre-operative assessment, holding, or PACU areas. The latest Mount Sinai Hospital policy can be viewed here: Current Mount Sinai Hospital Visitor Policy – please note, the policy below is subject to change and you should defer to the Mount Sinai Hospital Visitor Policy before you arrive at the hospital.

There is a Surgical Family Waiting Area, located on the second floor of the Guggenheim Pavilion, where your family/escort can stay while you are in surgery. Your surgeon will contact them when the procedure is done. Please do not bring children with you on the day of your surgery, since the wait can be very difficult for them and they will not be allowed to see you after the procedure.

The waiting area is staffed Monday through Friday from 9:00 am to 5:00 pm in case questions arise. The number is 212-241-7778.

If you need to cancel your surgery, please notify your surgeon as soon as possible. Please note: If you need to cancel your surgery due to illness or an emergency and it is after business hours, 9am to 5pm, Monday thru Friday, or it is a weekend or holiday, you must contact 212-659-6800 and speak to a Nurse Practitioner/ Physician Assistant or Cardiac fellow on-call. Please state your name, surgeon and reason for cancellation of surgery and they will notify the cardiac surgeon.

Making sure that you are as comfortable as possible after surgery is a priority at Mount Sinai. We offer many different methods of alleviating pain, and you should discuss them with your surgeon or anesthesiologist. They will help you understand the options and select the best solution for you.

While you are on the ICU we do not recommend children visit and adults should be limited to immediate family only. You will only be there for a day or two and when you are ready you transfer to a step down unit which is suitable for children.

You can shower the day before discharge, once wires and sutures are removed.

Usually 5-7 days post operatively barring complications.

Before your surgery, a member of the Finance Department will call to verify your insurance information. Depending on your coverage, you may have to pay a deposit prior to your procedure. Please be aware that you will receive bills from all attending physicians/specialists involved in your care, in addition to the hospital bill.

If you have any financial questions or concerns, please feel free to call 212-241-8060 (Financial Counseling) any week day between 8:00 am and 5:00 pm.

This is very individual and of course depends how well you are before surgery. You will probably go home 5-7 days after surgery but recovery can take up to three months. Some patients recover quickly and are back to work in 6 weeks. If you feel ready to go back to work early we recommend part time to start.

Two to three months recovery is expected after surgery. Many patients go back to work 4-6 weeks after surgery, but we recommend a part time basis.

Driving is restricted for 4 weeks after surgery. This is a safety issue. The sternum is healing and the bone is knitting, where you to get into a car accident and the steering wheel to hit the sternum, it would interfere with this healing. Also, certain movements of driving may cause pain hindering your normal reflexes.

You should take only medication we discharge you on. When you see your Cardiologist he may change or add medications.

The surgical follow up apt. is typically 4-6 weeks after discharge. A date will be given to you before discharge.

Follow up appointments:

Cardiologist	7-10 days after discharge
Surgeon	2 weeks after discharge
Cardiac Rehab	6-8 weeks after discharge

You should see your Cardiologist 1-2 weeks after discharge.

Follow up appointments:

Cardiologist	7-10 days after discharge
Surgeon	2 weeks after discharge
Cardiac Rehab	6-8 weeks after discharge

 

This varies, if you have had previous surgery, you will have a larger scar. If this is your first surgery, the scar could be as small as 6cm. The surgeons will not compromise safety for cosmesis.

No heavy lifting, pulling or pushing for 12 weeks after surgery.

Walking daily until follow up with your surgeon at that point cardiac rehab is recommended. You can resume normal activities of daily living but no heavy lifting pulling or pushing, prevent strain on your chest.

As soon as you feel ready. Avoid positions which put extra strain on your chest.

You can expect to feel tired. Recovery is progressive and each day you will feel a little better. It is not unusual for pain medication to be necessary for a few weeks after discharge, especially at night. Be patient with your recovery.

• If you experience drainage, redness or excessive pain at the sternal incision site.
• If you have temperature greater than 101, or greater than 100 for over 24 hours.
• If you experience weight gain or loss of 3-4 lbs in one day.
• If swelling in hands or feet does not improve.
• If you feel palpitations and suddenly develop shortness of breath or fatigue with your daily activities.

 

Do not hesitate to Cardiovascular Surgery at 212-659-6800  and ask to speak to one of our Nurse Practitioners.

If your problem occurs at night or during the weekend and you feel that you cannot wait until the morning, call Mount Sinai Hospital at (212) 659-6800 and ask to speak with the Cardiothoracic Surgical Nurse Practitioner or Physician Assistant or Resident on call.