I am a 42 year old female who recently lost 100+ pounds through diet and exercise. I I have a history of high blood pressure and diabetes but both have been resolved through weight loss. My fear is that I currently have a-fib as well as sleep apnea. I know that I have to have cardiac clearance but I would like to know is it safe for a AFib patient to have a tummy tuck and what are the risk of developing a blood clot if I do not have a history of blood clots. Over health is currently good.
Answer: A FIb and surgery Thanks for your inquiry, I suggest you discuss your goals with your cardiologist and make sure he/she is comfortable with proceeding to have elective surgery, best of luck.
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Answer: A FIb and surgery Thanks for your inquiry, I suggest you discuss your goals with your cardiologist and make sure he/she is comfortable with proceeding to have elective surgery, best of luck.
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April 12, 2018
Answer: Tummy tuck candidate Dear chanteeh,as long as your condition is under control, you should be safe. You would need a clearance from your cardiologist prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
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April 12, 2018
Answer: Tummy tuck candidate Dear chanteeh,as long as your condition is under control, you should be safe. You would need a clearance from your cardiologist prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
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Answer: Is a tummy tuck with lipo safe for a patient with atrial fibrillation? Age 42 5'11 and 215 pounds. I have sleep apnea also. As with all elective surgery, the risk of potential complications needs to be weighed. The risk of developing a blood clot during a tummy tuck is about 0.34% (1/300). Adding liposuction likely increases this risk partly because it increases the time under anesthesia.( I am assuming that you are on medication to keep you in sinus rhythm and that you have permission from your cardiologist). If you decide to do the surgery, you and your surgeon should at least try to minimize your risks by an expedited operation (standard abdominoplasty should only take about 120min) medications to keep the blood from clotting (lovenox), sequential compression devices before and during surgery and early ambulation after surgery. Of course, by using lovenox, you are at an increased risk for perioperative bleeding so observation and meticulous hemostasis would be necessary too.
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Answer: Is a tummy tuck with lipo safe for a patient with atrial fibrillation? Age 42 5'11 and 215 pounds. I have sleep apnea also. As with all elective surgery, the risk of potential complications needs to be weighed. The risk of developing a blood clot during a tummy tuck is about 0.34% (1/300). Adding liposuction likely increases this risk partly because it increases the time under anesthesia.( I am assuming that you are on medication to keep you in sinus rhythm and that you have permission from your cardiologist). If you decide to do the surgery, you and your surgeon should at least try to minimize your risks by an expedited operation (standard abdominoplasty should only take about 120min) medications to keep the blood from clotting (lovenox), sequential compression devices before and during surgery and early ambulation after surgery. Of course, by using lovenox, you are at an increased risk for perioperative bleeding so observation and meticulous hemostasis would be necessary too.
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April 16, 2018
Answer: Tummy tuck with a fib and sleep apnea You are a candidate from the weight loss standpoint but are certainly high risk, for the a fib and the sleep apnea. You will need a team working together to determine the answer to this question. Start with your sleep apnea doctor to see if your treatment is optimized and if there is anything else you can do to improve it. See you cardiologist and discuss your desire for major elective surgery. Will they agree to let you move forward and stop blood thinners if needed? Also see your primary care to discuss the possibility. See a BC plastic surgeon to determine the # hours of anesthesia and that you will likely be safest paying to spend a night in the hospital.
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April 16, 2018
Answer: Tummy tuck with a fib and sleep apnea You are a candidate from the weight loss standpoint but are certainly high risk, for the a fib and the sleep apnea. You will need a team working together to determine the answer to this question. Start with your sleep apnea doctor to see if your treatment is optimized and if there is anything else you can do to improve it. See you cardiologist and discuss your desire for major elective surgery. Will they agree to let you move forward and stop blood thinners if needed? Also see your primary care to discuss the possibility. See a BC plastic surgeon to determine the # hours of anesthesia and that you will likely be safest paying to spend a night in the hospital.
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April 13, 2018
Answer: Atrial fibrillation and abdominoplasty Many patients with atrial fibrillation require surgery and do very well. The greatest concern is the anti coagulant or blood thinner that is usually recommended for patients that have atrial fibrillation. It is generally not recommended to have major elective surgery while taking blood thinners. It would be best to see if you are a candidate for cardioversion so that you can get off your blood thinner prior to your elective surgery. I would discuss your options with your cardiologist first and gain clearance prior to considering elective surgery.
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April 13, 2018
Answer: Atrial fibrillation and abdominoplasty Many patients with atrial fibrillation require surgery and do very well. The greatest concern is the anti coagulant or blood thinner that is usually recommended for patients that have atrial fibrillation. It is generally not recommended to have major elective surgery while taking blood thinners. It would be best to see if you are a candidate for cardioversion so that you can get off your blood thinner prior to your elective surgery. I would discuss your options with your cardiologist first and gain clearance prior to considering elective surgery.
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