Refused surgery!!

[UPUP2009]

My father complained of muscle weakness of the heart, the weakness of
the valve Aorta, lung fibrosis.
It was scheduled for surgery to replace the valve.
However, after the medical committee meeting, they decided not to carry
out the operation, because of the weakness of the heart muscle!!
Question:
Is the weakness of the heart muscle to prevent a surgery?
What is the alternative?

[UPUP2009]

Thank you for your presence.

I consulted a cardiologist and told me the following:

- When the heart's ability to pump 35% or less, the doctor refuses to undergo surgery.

- Advised me to treat ( Aldactone ) to help the heart muscle, ( Of course, after seeing the medical report and medicines )

I repeat my thanks to you,
I wish you good health and happy life.

[kenkeith]

If the heart's capacity to pump, measured by volume pumped with each heart beat, termed ejection fraction or EF, is 30% or less (heart failure range), a surgeon will not operate unless it is a matter of life or death.  A weak heart is an EF below 55% and usually there is an attempt to raise the EF into the normal range and reverse remodeling before surgery...also general health, medical history, age, etc. is a consideration.

Five years ago, I had had a heart attack and an EF 13-29% with a completely occluded LAD, and an enlarged (remodeled) left ventricle (that alone will disqualify) and the surgeon did not want to operate.  Currently, my EF is in the normal range and heart size is normal.  I have moderate to severe mitral valve regurgitation, and the doctor and I agree we will wait and watch as I don't have any symptoms.

As stated in your prior post, there are less invasive procedures that does not involve open heart surgery.  You will need to discuss with a doctor if that option is availble.  My dear, no one but a doctor familiar with your father's medical history and current condtion can answer your question regarding alternatives for your father.  All that can be told to you is there are alternatives.

[MamaBush]

Has the "medical committee" determined to what extent your father's heart weakness is?  This would have been given as a percentage of the heart working.

Depending on the individual patient (your father), his medical history, and just how weak his heart is, yes, they can deny aorta valve surgery.  If his heart is too weak, aorta valve surgery can cause cardiac arrest during the surgery, and they may not be able to save  him.

By the time my father passed away, his heart was only working at 13% capacity, and he was denied any further stent implantations approximately 2 years ago when they found further blockage, due to the high possibility of cardiac arrest and death due to the surgery and how weak his heart was.

I wish you and your father the best.