Open heart surgery and post op with bronchiectasis?

I'm sorry you have to go through that. I've not had open heart surgery, though it was suggested to me for my aortic valve insufficiency. Instead I was able to get into a trial for a transcatheter aortic valve replacement (TAVR), though I had to pitch my case pretty strongly. I told the doctors that I had bronchiectasis and a current NTM infection , along with osteoporosis. I explained that I need to do deep breathing snd forceful coughing to get the mucus up. Anyway, I don't know how much that influenced their decision but in the end I didn't get the open heart surgery.

I'm wondering what condition you have that warrants the surgery? What did the surgeon say about recovery? Part of the reason I got a TAVR instead of open heart was my age (74). Open heart is still recommended for younger people who need valve replacements, since the valves they use for open hearts are permanent, whereas mine will have to be replaced in 10-15 years.

I've had no problems after a brief recovery of about 3 days and was able to resume AWC almost immediately. However, I don't use my percussion vest for fear of dislodging my new valve.

Please share more about your situation. Thanks!

@coffcoff thanks for your reply. I am 62 yo and the open heart surgery is for fixing an ascending aortic aneurysm. I let the surgeon know that I had bronchiectasis and get frequent lung infections; perform lung hygiene 2x daily. He did say pneumonia is a possibility post op; but they do have a pulmonary team afterward. I cancelled but will be rescheduling. I am going on brinsupri and hoping that helps alleviate mucous production.

Will your pulmonologist be involved or speak to your surgical team to make a plan? I’d make sure the pulmonary team that will treat you is alerted and has a plan in place to help you avoid issues.

@drewinsac As with any cardiothoracic surgery, they'll have you using an "incentive spirometer" afterwards and show you how to cough using a pillow to splint the surgical incision. That way you can minimize the chances of pneumonia. That's what I did after my right middle lobectomy 2 years ago and I did great, though the recovery was no picnic. But the way I look at it, we're lucky we're living in an age when they can fix this stuff. Good luck!

@pacathy yes, pulmonary team and my pulmonologist will be involved. Hoping the RTs know about bronchiectasis treatment,

@coffcoff thanks for the information. I am feeling a bit more confident about getting it fixed sooner rather than later

@drewinsac I’m glad to hear that. It think it would be find to take your Acapella or Aerobika if you use those.
I’m sending wishes for a great recovery. Please let us know how it went when you feel able.

Thanks! I will update once I get it done sometime in the spring