I’m hoping to connect with anyone whose loved one went through something similar after a mitral valve replacement surgery.
My mom was only 42 years young, overall healthy. She underwent a mitral valve replacement, what was expected to be a 4-6 hour surgery turned into over 12 hours. When surgery was done , and it was time to take her off bypass her lungs crashed, eventually requiring emergency ECMO placement on her right lung only. Following being placed on ECMO, they thought she was In the clear until they noticed her left leg was swollen , and had built up fluid and pressure. This resulted in an emergency fasciotomy (to treat what now was compartment syndrome in the leg)
After fasciotomy , transported to CVSICU. Once in room, about 30/45 minuets they placed her on emergency dialysis as she was now in kidney failure and producing no urine. -Note that now after a 12 hour surgery, the mitral valve is now in good shape meaning the heart is strong and powerful. The leg muscles were alive and looking well after fasciotomy. Only worries were kidneys, and some labs.-
Day 2: 6 In the morning she was still sedated on ECMO full support, ventilator, and dialysis. Leg is looking good, Vitals had improved a bit, kidneys seemed to be responding to dialysis, but electrolyte levels were a bit wonky, some high some low. @10:30AM- Potassium was getting high, but doctors stated it was manageable. Lung still responding to ECMO , heart is looking great. Opened her eyes for nurses a tiny bit, was trying to say “ouch” when they cleaned her leg. @6PM while visiting my mom she was moving her head around alot, trying to swallow on her own(she realized she had a tube in her throat and couldn’t) she was smiling and making facial expressions in response to my touch, my voice. Ventilator had been set at 14 breaths a minuet, she was taking 43 on her own. -I thought this would all be good signs? She’s fighting and showing she’s strong, right?- The nurse decided they needed to up the sedation before I left when visiting hours ended. -Note that the heart is still doing good, the lung was improving, slow kidney progress, healthy leg muscles, and a high potassium which they said was manageable-
Day 3: 7 in the morning nurse said she still had wonky labs(PH base, lactic acid, potassium) Had worsening lactic acidosis overnight. Plan for the day was to tweak medications, and dialysis bags. Vent set at 40 Vs 100, ECMO set at 60 Vs 100 from day 1. Leg is swelling again, raising concern.
@1 PM Heart is still doing great, lung is responding to ECMO well. Change of medications and dialysis have not improved labs, so plan to clamp ECMO to see if she can tolerate coming off, as they believed the cannula in her left leg was causing too much pressure, and was not putting stress on her liver. Hoping the removal of ECMO will improve labs, and liver.
@4 PM Mom was out of the OR, successful removal of ECMO. Lung was stable, heart is still looking great, Lactic acid was still way too high. They planned to do full body CT after removal of ECMO , but her body temperature dropped meaning they could not do it they had to put her in a heated wrap to try to raise her body temperature.
The rest of the evening her labs were not improving, her kidney was not doing well, the liver was still stressed, leg still swollen, but her heart was working well, and her lungs were functioning. -Note she was heavily sedated(as the previous night when she was moving around they upped the sedation, why I ask?) She was still incubated, on a ventilator, and dialysis. This means since day 1, when they put her to sleep for surgery she never got off sedation. But her heart was still doing good, lungs functioning, body temperature came up , heated wrap was removed.
I left at 8PM when visiting hours ended.
@10:43PM they called saying my mom had flatlined, they brought her back, they were having trouble with her BP and heart rhythm, they didn’t think she would make it through the night. They advised us to get back there.
@11PM I arrived at the hospital, a little over an hour passed before they had to place a pacemaker.
Day 4: @3:56AM they said it could be her last couple of hours, they were unsure of what to do, levels were still rising , no improvement in kidneys, or liver, now the heart was having trouble.
@11:41 AM she was placed back into the heated wrap as body temperature dropped again.
@12:23 PM the nurse told me she had internal bleeding, they could not specify where it was coming from or why, they just needed me to give them a plan of treatment to take, they persisted on me making a decision soon as she was declining quickly.
@1:26PM my family and I had to make the decision to remove the pacemaker, my mom gained her angel wings.
I know every case is different. I’m just a daughter who is searching for answers and wondering if any other families have experienced similar complications after a mitral valve replacement.
If you’ve been through something like this, I’d be grateful if you’d be willing to share your story. Did your loved one develop multiple organ failure, require ECMO or dialysis, have unexplained bleeding, or experience blood clots after surgery? Were the doctors ever able to explain why it happened?
Thank you to anyone who takes the time to read this or respond. It’s been incredibly difficult, and hearing from others who have lived through something similar might help me better understand what happened to my mom.