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Beating a silent killerMontana woman's aneurysm caught and repaired
“When Sharon’s heart relaxed, blood would leak back into the heart,” Dr. Russell said. “People with aortic valve problems typically have symptoms of being tired or out of breath.”
What proved to be a more critical issue was an abnormality that had caused no symptoms.Her echocardiogram in July 2009 revealed she had an aneurysm on her aorta, the main artery carrying blood from the heart to the rest of the body.
“Mrs. Smelser continued to have a severely leaking valve, and in combination with the aneurysm, it was felt surgery was needed sooner rather than continued monitoring,” he said.
Aortic valve replacement is a common heart procedure in the older population and is performed for leaky valves, as in Smelser’s case, or, more commonly, for stenotic valves where the valve narrows, restricting blood flow.
Artificial valves are made of metal or tissue. Tissue valves do not require patients to be on the blood thinner Coumadin, making it the preferred choice for Smelser because she has a history of anemia and bleeding ulcers.
A tissue valve is made of cow pericardium, the sack around the heart. The pericardium tissue is placed on a valve-like scaffold and sewn into place.
“Growing up on a dairy farm with beef cows, I told Dr. Russell it had to be either a Holstein or a Black Angus valve, but he said there was no guarantee,” Smelser said with a smile.
Dr. Russell also removed the damaged area of her aorta and replaced it with an artificial artery made of Dacron, a synthetic material used to replace human tissue.
“Sharon’s case was more complicated because we were doing two operations at the same time, but we are experienced in performing these procedures and have excellent outcomes,” Dr. Russell said.
Smelser underwent open heart surgery March 23 and returned to Sidney six days later.
“My recovery hasn’t been bad at all,” she said. “People comment they can’t believe I’ve had surgery. They tell me I have more color in my face now because I had been very pale.”
She continues hour-long cardiac rehab sessions three times a week in Sidney and has progressed to walking a mile on the treadmill.
At her two-month check-up, Dr. Russell described her progress as “awesome,” and noted she will continue to see gradual improvement.
“When I met Dr. Russell, I immediately felt he would care for me very well,” Smelser said.
Dr. Russell advises anyone experiencing fatigue and shortness of breath to check with his or her family doctor and ask questions about the heart. “Heart disease is the leading cause of death,” Dr. Russell said. “Your family doctor can conduct a stress test or echocardiogram to determine if you have any potential issues with your heart.”
Click here for more information about Sanford Health cardiology or call 701.323.5202.