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Previous heart surgery with issues, will this be a problem?

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Hi guys, newbie here. I am a 28 year old In 2011 looking to get BA. I underwent heart surgery for a congenital coarctation of the arortic arch and, as a result, have a scar down my chest, an artificial graft in my aortic arch and screws in my sternum. I also suffered a TIA in 2013, have a collapsed vertebral and carotid artery in my right, low blood pressure and a history of migraines, and take a daily dose of 100mg aspirin.

I have contacted TCI via their website about this issue and they basically told me as they are a day facility they are limited to the people they can see and given my medical history i am not suitable for them. They said i should contact Dr. Dona and he may assist me better.

To me the reply kind of sounds like that they prefer not to deal with me which is a tad annoying, considering all there surgeons are trained by Dr. Dona anyway. Then again, i do not know how much of an issue my medical history presents if any, can anyone else provide any insight for me? Should i book in a consult with a surgeon personally for advice?

 

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I believe All the surgeons from TCI are cosmetic surgeons and not plastic surgeons so are only able to perform straight forward procedures which shouldn't present any complications. Dr Dona is a board certified plastic surgeon and gets a good review on here from plenty of girls. If you are just after advice you could create a profile on real self and ask the doctors on there. They are trained plastic surgeons.

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Also in regards to your aspirin if in relation to TIA you'll probably need to be on clexane injection or heparin infusion for your op given that ceasing aspirin for 2 weeks prior and post would be dangerous for you. Definitely only consult with plastic surgeons for all the above.

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I think TCI were right to be honest in telling you that they perform straightforward procedures in a day surgery. They obviously feel that given your history it is not a safe option to operate on you.

I know if I had any possible issues I would rather be operated on in a hospital by a plastic surgeon.

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Based on your history, if that were me I would be going to somebody who operates at a facility well equipped to deal with any issues that could pop up and who potentially might keep you in overnight to monitor. 
I had my surgery with a PS who keeps you in overnight but operates at a fully equipped 'day surgery' hospital. I was having ECG's overnight and those were being sent to the anaesthetist and surgeon and they kept an eye on my all night, I felt completely at ease with their care and relieved that I chose that method of care for my BA as it meant I wasn't at home dealing with tachycardia!

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The reason tci cant do anything risky is because they r a day surgery as they said, in well basically an office type environment. If anyone started to have any real life threatening attacks while in surgery they dont have the facilities, doctors or equipment to save somebodies life if they needed. In ur case I would def have the surgery done in a hospital where u would have everything u need to be safe. You should see ur specialist for their opinion

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