Expert Answer · General

Do I need heart surgery?

Quick Answer

Whether you need heart surgery depends on your specific diagnosis, severity of disease, symptoms, and response to medical therapy. Common indications include: severe aortic stenosis with symptoms, severe mitral regurgitation with declining heart function, three-vessel or left main coronary artery disease, aortic aneurysm above 5.5 cm, and acute aortic dissection. A second opinion is recommended for any elective cardiac surgery to confirm both the indication and the optimal approach.

In Depth

The complete answer.

Studies show that 30-40% of cardiac surgery second opinions result in a change in treatment recommendation — either a different procedure, a different timing, or a recommendation against surgery altogether. The decision to proceed with surgery should be based on established guidelines (ACC/AHA, ESC), quantified risk assessment (STS score), and patient-specific factors. A Heart Team review provides the most comprehensive evaluation of surgical necessity. WhiteGloveMD offers this evaluation with a 48-hour turnaround.

Rahul R. Handa, MD
Answered By
Rahul R. Handa, MD
Cardiovascular & Thoracic Surgeon
Aortic StenosisCoronary Artery DiseaseMitral RegurgitationWatchful Waiting Vs Early Surgery

Have more questions? Our Heart Team has answers.

Get a personalized, expert second opinion for your specific situation. 48-hour turnaround starting at $495.

Start Your Review Questions for Your Surgeon