Fleur De Lis Abdominoplasty for Patient with Atrial Fibrillation History?

Can a person have a Fleur de lis Abdominoplasty if she has a history of atrial fibrillation?

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6 Doctor Answers | Asked by fleur de lis in canada

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Fleur de Lis

Yes you can have any kind of abdominoplasty but the risks and benefits need to be outweighed. You would need to discuss this with your plastic surgeon as well as your cardiologist. Likely, you will be medium to high risk and would have to get your plastic surgeon involved with your cardiologist. I dont know if you are on coumadin or blood thinners and that may be a problem as well. Good luck, and remember this is elective, cosmetic surgery....you need to look at the risks very carefully. Like more

Fleur de lis abdominoplasty for patient with atrial fibrillation history

Interesting question. The decision of having ANY elective surgery (vs. emergent sugery for a life threatening situation) should involve a careful weighing of risk and benefits. Atrial fibrillation involves an ineffective pumping o the upper chambers of the heart with relative stagnation of the blood in them, promoting clotting. It is caused by suddenly having multiple areas in the upper chambers (atriae) which pulse the heart instead of one (sinus node). The result is a faster and very... more

Yes but...

You must get clearance by a cardiologist or internist frist. You will be at risk if you develop afib again, for reasons that a blood clot can form in the heart, flip off, and cause tissue injury down stream. This could cause serious injury, stroke, and even death. So careful medical management and coordination will be a must for you. Personally, I don't care for this abdominoplasty technique due to the vertical scar, but it this is the only way to get the job done, so be it. sek... more

Abdominoplasty with concurrent medical problems

This is a great question, and as long as the atrial fibrillation is well controlled on medication you should be okay. If you're taking blood thinners, you will most likely need to stop these at least 2 weeks before surgery. So, check with your cardiologist first before you do anything. Also, you may want to consider meeting with the anesthesiologist before surgery so the he/she is comfortable with giving you anesthesia. With your history, I would also recommend performing the surgery in... more

Atrial fibrillation requires medical evaluation prior to surgery

Dr. Jejurikar has succinctly summarized some of the key issues. Atrial fibrillation if stable and well controlled is less of a concern than somone who goes in and out. However, it is best to discuss this with your internist or cardiologist prior to considering elective surgery. There are some medications which may trigger the fibrillation and may need to be avoided during surgery.

Otto Joseph Placik, MD

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Chicago Plastic Surgeon

Body contouring surgery with atrial fibrillation

Yes. If the atrial fibrillation is of a long-standing nature, and the patient is not taking blood thinners, atrial fibrillation is not a contraindication to abdominoplasty. If the atrial fibrillation just started, a work-up by an internist or cardiologist will be needed first to investigate the possible cause. Hope this helps. Best of luck.