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Author: Richard Westland April 1, 2024 | 5 minutes.read |
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- Esther Pineda became the first transcatheter aortic valve replacement patient in South Florida to be discharged from the hospital on the same day of surgery.
- Pineda physician Dr. Nikolaos Spilias said it was important for patients to be discharged quickly because they were in better condition after a shorter hospital stay.
- Before the surgery, Pineda tired easily, but after being discharged from the hospital, he feels more stamina and more energy.
When Esther Pineda was diagnosed with severe aortic stenosis, a serious condition in which the aortic valve doesn’t open properly, she turned to UHealth’s cutting-edge heart care team at the University of Miami Health System for valve replacement surgery. Did.
“I was a little nervous because I’ve never needed surgery in my life,” said the 89-year-old Cuban-born Orlando resident. “My brother-in-law had to stay in the hospital for a week after having open heart surgery many years ago.”
But Pineda was able to go home just hours after undergoing minimally invasive transcatheter aortic valve replacement (TAVR) surgery last January, becoming the first person in South Florida to be discharged from the hospital on the same day.
“Our experience with TAVR surgery has grown exponentially over the past 20 years, and the technique and outcomes have improved significantly,” said Nikolaos Spilias, MD, assistant professor of cardiology at the University of Miami Miller School of Medicine. “We know that minimizing the length of hospital stay after surgery is good for patients and their families.”
“This milestone exemplifies how our advanced TAVR program delivers the best clinical outcomes,” said Yanis Chatzisis, MD, professor and chair of cardiology at the Miller School. “Our goal is to ultimately allow 20 to 40 percent of TAVR patients to be discharged home the same day after surgery.”
Comprehensive heart valve care
Pedro Cox Alomar, M.D., associate professor of cardiovascular medicine and medical director of the UHealth Structural Heart and Valve Program, said UHealth is a single-purpose facility for the comprehensive evaluation and treatment of all heart valve conditions. He says he will provide land.
“Our multidisciplinary team approach focuses on providing individualized, patient-centered care through shared decision-making,” he said. “We know that in complex cases, different perspectives produce better results.”
Before her heart valve replacement surgery, Pineda felt tired and short of breath while working as a seamstress for an industrial clientele.
“I couldn’t really do anything because I got tired so quickly,” she said.
On the day of the surgery, Pineda arrived at the University Health Tower in the morning with her daughter, Doris Rodriguez. Dr. Spilias led the team that replaced her aortic valve through a catheter inserted into her groin.
“I was given ‘twilight’ sedation and local anesthesia and was able to speak to the doctor,” Pineda said. “There was no pain at any time.”
After about six hours of observation, Pineda was able to be discharged from the hospital that evening.
“Esther is able to walk without any problems, her vital signs are normal, and an echocardiogram showed that her new valve is working well,” Dr. Spilias said. “She had a strong support system in her home, which is one of the key criteria for her same-day discharge.”
“Angel from Heaven”
Pineda said she trusted Dr. Spilias because of his kindness and attention to detail.
“He is an angel from heaven,” she said. “He called his daughter every day and always made sure she had everything she needed.”
In fact, everyone on the cardiology team treated Pineda as if she were their own mother, Rodriguez added.
When Pineda and Rodriguez saw Dr. Spilias for a one-month follow-up in February, all tests showed the new aortic valve was functioning well. Now, Pineda is once again altering clothes for clients without limit.
“I don’t get tired of sewing all day long,” she said. “Friends and acquaintances say I look more vibrant and stronger, and I feel a little better every day. I’m grateful to Dr. Spilias every day because he has treated me so well .”
“At the University of Miami, we employ cutting-edge, cutting-edge technology during TAVR and other valve surgeries, which is the key to a successful surgery and speedy recovery,” said Dr. Spilias. “If appropriate safety standards are met, patients can be discharged from the hospital the same day after valve replacement, something that was thought impossible a few years ago. We are so happy to see them back home with us and starting a new life.”
tag: Aortic Valve Replacement, Cardiology; Dr. Nicholas Spilias. Dr. Peter Cox Alomar. Yanis Chatzizis, Cardiac Care, Heart Disease, TAVR
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