Mitral Valve Replacement Surgery: What to Expect at Home

Rest when you feel tired. Getting enough sleep will help you recover. Try to sleep on your back while you heal. If your breastbone (sternum) was cut, healing usually takes about 4 to 6 weeks.

Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.

Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or heavy aerobic exercise, until your doctor says it is okay.

For 3 months, avoid activities that strain your chest or upper arm muscles. This includes pushing a lawn mower or vacuum, mopping floors, or swinging a golf club or tennis racquet.

For at least 6 weeks, avoid lifting anything that would make you strain. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, or cat litter or dog food bags.

For at least 6 weeks, avoid pushing yourself up out of a bed or chair using your arms. Do not use your arms to pull yourself into or out of a vehicle.

Hold a pillow firmly over your chest incision when you cough or take deep breaths. This will support your chest and reduce your pain.

Do breathing exercises at home as instructed by your doctor. This will help prevent pneumonia.

Ask your doctor when you can drive again.

You may need to take 4 to 12 weeks off from work. It depends on the type of work you do and how you feel.

Ask your doctor when it is okay for you to have sex.

Eat a heart-healthy diet. If you have not been eating this way, talk to your doctor. You also may want to talk to a dietitian. A dietitian can help you plan meals and learn about healthy foods.

Drink plenty of fluids (unless your doctor tells you not to).

You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fiber supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.

Your doctor will tell you if and when you can restart your medicines. You will also get instructions about taking any new medicines.

If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.

Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.

Take pain medicines exactly as directed.

• If the doctor gave you a prescription medicine for pain, take it as prescribed.

• If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

• Do not take aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), or other nonsteroidal anti-inflammatory drugs (NSAIDs) unless your doctor says it is okay.

If you think your pain medicine is making you sick to your stomach:

• Take your medicine after meals (unless your doctor has told you not to).

• Ask your doctor for a different pain medicine.

If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Your doctor may give you a blood thinner to prevent blood clots. If you take a blood thinner, be sure you get instructions about how to take your medicine safely. Blood thinners can cause serious bleeding problems.

If you have strips of tape on the incision the doctor made, leave the tape on for a week or until it falls off.

Wash the area daily with warm, soapy water and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.

You can take showers with your back to the showerhead. Allow the warm and soapy water to run across your shoulders and down over the incision. Pat the incision dry with a clean towel.

Do not take a bath for the first 3 weeks, or until your doctor tells you it is okay.

Do not swim or use a hot tub for at least 1 month, or until your doctor says it is okay.

Do not use any creams, lotions, powders, ointments, or oils unless your doctor tells you it is okay.

Keep track of your weight. Weigh yourself every day at the same time of day, on the same scale, in the same amount of clothing. A sudden increase in weight can be a sign of a problem with your heart. Tell your doctor if you suddenly gain weight, such as 3 pounds or more in 2 to 3 days.

Be sure to tell all your doctors and your dentist that you have a replacement heart valve. This is important, because you may need to take antibiotics before certain procedures to prevent infection.

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.

• Lightheadedness or sudden weakness.

• A fast or irregular heartbeat.

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 2 to 3 pounds in a day or 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.

You do not get better as expected.