How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Phil, MD Your Own Question

Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 53103
Experience:  Cardiology Expert
55099014
Type Your Cardiology Question Here...
Dr. Phil, MD is online now

My wife had a new aorta valve replacement 21st January 2015,

Resolved Question:

My wife had a new aorta valve replacement 21st January 2015, but the surgeon reported after the operation that they had cut into the left brachiocephalic vein, he said he had repaired the vein and that the swelling in her left arm may go down after six months, she was discharged after five days, then a few days later she started getting severe headaches and a swelling in her left throat area.
( they discharged her with a CRP level of 200) I tried to get the surgeon to examine her but there was no reply from him, in the end I arranged to pay for a private consultation, the consultant stated that it was more then likely the repaired vein that was causing the blood not to return to the heart , after a couple of weeks the CRP level went down to 5 (presumed it was inflammatory problems at the vein repair spot) I then sent a complaint letter about the surgeons lack of response to my concerns to the Hospital.
We then had a meeting with the surgeons consultant who apologised for the lack of attention and stated that he would organise a Venogram to check the repaired vein. The outcome was that the area of the repaired vein was very narrow approx 5mm compared to two centremeters for a normal vein, the consultant who carried out the venogram stated that a stent or a balloon would normally be used to eradicate the problem but he was concerned the narrow vein could cause a problem because the wire they use to insert a stent or balloon could be be difficult to perform due the narrow vein, he recommended that nothing be done because my wife is not suffering any swollen face, neck etc ( no symptoms) except veins on her left chest area are pronounced, presume drainage of blood is going through tributaries as well as the brachiocephalic vein back to the heart.
My questions are.
1- is this problem best left alone as the consultant is stating ?
2- Could there be problems in the future if nothing is done now ?
3- Could a bypass be performed if a stent is not recommended.?
4- Could a claim be made against the hospital for negligence for the mistake they made, and also the lack of backup when severe headaches were experienced after hospital stay ?
Submitted: 1 year ago.
Category: Cardiology
Expert:  Dr. Phil, MD replied 1 year ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
I'm sorry this happened
1- is this problem best left alone as the consultant is stating ?
Yes, absolutely. It is better not to go in and mess around if there are minimal symtpoms
2- Could there be problems in the future if nothing is done now ?
No, the damage is done. The accessory veins are taking over as they should. This is a good outcome actually
3- Could a bypass be performed if a stent is not recommended.?
I wouldn't recommend this at all. Either one.
4- Could a claim be made against the hospital for negligence for the mistake they made, and also the lack of backup when severe headaches were experienced after hospital stay ?
Not likely. You would have to prove irreparable harm like permanent disability. While the situation was unfortunate, she seems to be doing fine
Customer: replied 1 year ago.

Thanks for reply, obviously our main concern is the very unusual small width of the vein 5mm, can the accessory veins take over from the great vein and do you think in the long term that it should be OK,because if anything is going to happen it would be better to have any remedial work done soon before she gets older. The enlarged veins (accessory veins) are showing up very pronounced, is that OK

Expert:  Dr. Phil, MD replied 1 year ago.
Yes, I do think they can take over and I think they will be fine in the long term.
The accessory veins are very pronounced but that is fine
I feel that this is a good outcome
I'm sorry about the late reply
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 53103
Experience: Cardiology Expert
Dr. Phil, MD and other Cardiology Specialists are ready to help you
Customer: replied 1 year ago.

thank you fr your advice

Expert:  Dr. Phil, MD replied 1 year ago.
you're welcome :)
please don't forget a positive rating. I appreciate it and that is how we are credited for our work. thank you
Expert:  Dr. Phil, MD replied 1 year ago.
I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • NorthernHeart

    NorthernHeart

    Board Certified MD

    Satisfied Customers:

    37
    Internal Medicine, Gen Cardiology, Nuclear Card, Echocard
< Previous | Next >
  • http://ww2.justanswer.com/uploads/NO/NorthernHeart/2012-9-12_0228_NorthernHeart3.64x64.jpg NorthernHeart's Avatar

    NorthernHeart

    Board Certified MD

    Satisfied Customers:

    37
    Internal Medicine, Gen Cardiology, Nuclear Card, Echocard
  • http://ww2.justanswer.com/uploads/DrSaeedahmed/2010-06-02_195543_88331_2.JPG Dr .Saeed ahmed's Avatar

    Dr .Saeed ahmed

    Doctor

    Satisfied Customers:

    347
    MBBS/FCPS(R)/MRCP U.K(R), Senior Registrar Cardiology
  • http://ww2.justanswer.com/uploads/DU/durranih/2012-7-6_15624_SKMBTC25012070404361.64x64.jpg The Cardiologist's Avatar

    The Cardiologist

    MB MCPS

    Satisfied Customers:

    124
    Staff Cardiologist
  • http://ww2.justanswer.com/uploads/DO/DocPhilMD/2013-8-22_54848_2011122703212phil2.64x64.jpg Dr. Phil, MD's Avatar

    Dr. Phil, MD

    Medical Doctor

    Satisfied Customers:

    255
    Cardiology Expert
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    276
    Board certified with experience in primary care.
 
 
 

Related Cardiology Questions