Arizona Heart and Lung Surgery PhoenixScottsdaleHeart and Lung Surgery in Phoenix and Scottsdale, Arizona West Valley

Heart Surgery

It is our sincere commitment to both preserve and enhance your quality of life. Before discussing any specific procedure, we will provide detailed information on your overall medical condition. It may surprise you to learn that approximately one in every four patients seen in our office is advised NOT to have surgery for a variety of reasons. Should surgery be recommended as the best treatment option, we will discuss in detail how to prepare for your procedure and what to expect during your recovery.

When you leave the office you should have a clear understanding of our recommendation and plan. If you do not, please ask questions until you are satisfied. To ask specific questions now or to schedule an appointment at our Scottsdale, West Valley or Phoenix locations, please contact us.


Heart conditions and treatments:

Aortic Valve Replacement for Aortic Stenosis

Surgery for replacement of the aortic valve and repair or replacement of the mitral valve is indicated for a variety of conditions. Timing of the procedure and decisions about the exact surgical approach and plan should be highly individualized. If you are a candidate for valve surgery, you can expect a detailed discussion about the options as well as the pros and cons of the many choices available to you.

About Aortic Aneurysm: An aneurysm is an abnormal widening of a blood vessel beyond its normal size which can be caused by longstanding hypertension (high blood pressure) as well as by certain diseases that affect the strength of the vessel wall. As an aneurysm enlarges, the risk of sudden rupture increases. In a large and important blood vessel, such as the aorta, acute rupture is often rapidly fatal.

The ‘ascending’ aorta is the portion of the aorta which comes directly out of the heart and is normally 2 to 3 centimeters (about 1 inch) in diameter. An ascending aortic aneurysm approaching 5 cm or greater is very concerning and may be best served by elective repair to avoid the risk of sudden rupture.

The decision on whether or not to undergo surgery depends on many considerations including the rate at which the aneurysm is enlarging (if known from prior studies) and the patient’s overall medical condition. The operation involves replacement of the aneurysmal portion of the aorta with a durable fabric tube.

Ascending aortic aneurysms may also dilate to the point that the aortic valve, which sits directly below the aorta, is adversely affected requiring repair or replacement of this valve. Coronary artery bypass grafting may also be required if there is co-existing coronary artery disease. Average hospital stay for elective repair of ascending aortic aneurysms can be as brief as four days, but may be longer depending on these and other pre-existing medical conditions.

Mitral Valve Repair and Replacement

Coming soon.

Coronary Artery Bypass

Coronary artery bypass grafting (CABG) is one of the most commonly performed operations in the United States. Although the basic principles have remained largely unchanged for the past 30 years, technical advances and surgical training have advanced to the degree that this complex procedure can be performed with a high degree of anticipated success. A truly successful CABG procedure means far more than simply surviving the operation. Ultimately, the patient should have an improved quality and duration of life in most cases. Anticipated recovery and outcomes are greatly influenced by the relative health of the patient prior to surgery. Dr. Goldstein has been a participant in the The Society of Thoracic Surgeons Adult Cardiac Surgery Database and has consistently produced outstanding results relative to his peers locally and nationally.

Testimony

“You came into my husband’s room- business-like with straight talk! For me, his wife of 56 years, a Calm came – same for our five children….we say our thanks every day that you were, and are, there, for all your patients and their families. You are blessed with a very unique gift, and caring beyond belief.”
 
Phoenix Top Doctor and Castle Connolly Top Doctor