Your Recovery

You have had surgery to replace your heart's mitral valve. Your doctor did the surgery through a cut, called an incision, in your chest.

You will feel tired and sore for the first few weeks after surgery. You may have some brief, sharp pains on either side of your chest. Your chest, shoulders, and upper back may ache. The incision in your chest may be sore or swollen. These symptoms usually get better after 4 to 6 weeks.

You will probably be able to do many of your usual activities after 4 to 6 weeks. But for at least 6 weeks, you will not be able to lift heavy objects or do activities that strain your chest or upper arm muscles. At first you may notice that you get tired easily and need to rest often. It may take 1 to 2 months to get your energy back.

Some people find that they are more emotional after this surgery. You may cry easily or show emotion in ways that are unusual for you. This is common and may last for up to a year. Some people get depressed after this surgery. Talk with your doctor if you have sadness that continues or you are concerned about how you are feeling. Treatment and other support can help you feel better.

Even though the surgery replaced your mitral valve, it is still important to eat a heart-healthy diet, get regular exercise, stay at a healthy weight, take your medicine, and not smoke. Your doctor may suggest that you attend a cardiac rehab program. In cardiac rehab, a team of health professionals provides education and support to help you recover and prevent problems with your heart. Ask your doctor if rehab is right for you.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

• You passed out (lost consciousness).
• You have severe trouble breathing.
• You have severe pain in your chest.
• You have sudden chest pain and shortness of breath, or you cough up blood.
• You have symptoms of a stroke. These may include:
  • Sudden numbness, tingling, weakness, or loss of movement in your face, arm, or leg, especially on only one side of your body.
  • Sudden vision changes.
  • Sudden trouble speaking.
  • Sudden confusion or trouble understanding simple statements.
  • Sudden problems with walking or balance.
  • A sudden, severe headache that is different from past headaches.
• You have symptoms of a heart attack. These may include:
  • Chest pain or pressure, or a strange feeling in the chest.
  • Sweating.
  • Shortness of breath.
  • Nausea or vomiting.
  • Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly or in one or both shoulders or arms.
  • Light-headedness or sudden weakness.
  • A fast or irregular heartbeat.

Call your doctor or nurse advice line now or seek immediate medical care if:

• You have pain that does not get better after you take pain medicine.
• You have loose stitches, or your incision comes open.
• You are bleeding a lot from the incision.
• You have signs of infection, such as:
  • Increased pain, swelling, warmth, or redness.
  • Red streaks leading from the incision.
  • Pus draining from the incision.
  • A fever.
• Your heartbeat feels very fast, skips beats, or flutters.
• You have signs of a blood clot, such as:
  • Pain in your calf, back of the knee, thigh, or groin.
  • Redness and swelling in your leg or groin.
• You have symptoms of heart failure, such as:
  • Swelling in your legs, ankles, or feet.
  • Sudden weight gain, such as more than 1 to 1.3 kilograms (1 to 3 pounds) in a day or 2.5 kilograms (5 pounds) in a week. (Your doctor may suggest a different range of weight gain.)
• You are sick to your stomach or cannot keep fluids down.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

• You do not get better as expected.