Ask a Surgeon - Breast Reduction - I have idiopathic heart arrhythmia; however, after several cardiac tests I am...

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I have idiopathic heart arrhythmia; however, after several cardiac tests I am told...

Q:

I have idiopathic heart arrhythmia; however, after several cardiac tests I am told that my heart is healthy. I have extremely large breasts and would like a breast reduction. Would my heart arrhythmia be an issue with this procedure?

A:

Your heart arrhythmia would likely not preclude you from having your surgery. After a thorough evaluation by your cardiologist, you may be cleared for surgery. Of course, each individual case varies and you would want to discuss the risks versus benefits of this procedure with your board certified plastic surgeon as well as your cardiologist. You should also discuss the location of the surgery - whether it is to be performed in a stand-alone office or surgi-center versus a hospital. Included in the discussion should be the type of anesthesia that will be administered, such as general anesthesia or twilight - each type has its advantages and drawbacks. In short, with proper pre-operative evaluation and assessment, appropriate understanding of the goals and risks, and choosing the right setting, you may be able to proceed safely. Both your cardiologist and your plastic surgeon will want to make sure that your safety is paramount.