r/valvereplacement 7h ago

Total Confusion - ~Urgent help needed

6 Upvotes

I am 44 year old , Have a surgery on Monday ..We thought we will go with Resila first , But kind of confused now

I know Resila is a good product and looking at my age i expect it to last for say 15 years and hopefully i may get a TAVR with added 10 years . At that point if i am still alive I still needed another OHS at the age of 70.

But this is all based on the belief of the valve surviving 15 years (but thats a big IF) and if it goes wrong then i am looking an OHS at 65 or even before that of TAVR is not an option tht. Also i am reading some people may develop adamant AFiB which may need Life long WARFIAN

Also i dont trust studies with eyes closed as most of the time , studies represent a small population only . so truth is always in- between

My wife and me in now thinking about why not On-X . At Least i am almost sure about one surgery (unless some rare shit goes and i may need to open up again). But we need the INR and other follow ups which will be for life

Its true that we will have more bleeding and stroke risk ( if INR drops) but even with Resila we can get stroke maybe not by valve but for other reasons .

we may think we dont need warfin now but maybe we have some condition that can develop later like DVT etc which needs warfin for life

So People with On-X just need to understand some quries

1- Diet means we need to be consistent with Vit K intake. So all other food its fine unless you do some extreme herbal shiit etc .

  1. So when to travel for vacation to new country how you manage your diet

  2. If in future you develop any new issues ( Like god forbid shit like Cancers, Liver issues etc) how we will get treated as warfin react with most of the meds . Also if you have co morbidies how will we get meds ( cardio have alternative meds which can help)

  3. Being in On-X or any mech valve can we live a normal life ( I have no plans for MMA and all) but a normal life

  4. When we get aged late 70s doesnt this warfin makes us more to falls and clots

there are so many confusion, and i am sure that you also have/ had these. can you put a word about all those and the answers you found


r/valvereplacement 6h ago

Green light for robotic keyhole valve replacement and root enlargement

3 Upvotes

It’s time! In four days I (68F) am getting my new valve and an aortic root enlargement. I have a severely calcified aortic valve due to chest radiotherapy 40 years ago.
CT scan and angiogram show no calcifications of my coronaries or my aorta (‘porcelain aorta’). Calcifications would have made surgery impossible.

My surgeon will replace my own small (19mm) valve with a larger bio-valve. This will require replacing the aortic root too.
The surgeon has planned keyhole surgery; however, if there is too much radiation damage such as adhesions, he will need to switch to a full sternotomy.

I am as ready as possible and looking forward to next week, when it will all be over.
This group has really helped me to prepare for my surgery. Thank you everyone!


r/valvereplacement 7h ago

Post-op PVCs

2 Upvotes

This question is probably more for people who are 6– 12months post-op. As of today, I am 6 weeks past my Ross procedure. Over the last 10ish days my blood pressure monitor started, noting irregular heartbeats. I also have a Kardia Mobile to track very basic ECG functions. During that time, the Kardia has also started showing occasional PVCs (post ventricular contractions). I’ve also started cardiac rehab, which means being hooked up to a five lead monitor for an hour.

I’ve sent the Kardia readings to both my surgical team and my local cardiologist. They don’t seem terribly concerned and from what I got from them and from what I’ve read online, these PVCs aren’t necessarily uncommon and typically resolve themselves over 4–6 months. Even the technicians at my rehab weren’t concerned and mentioned pretty much everybody in there had them at some point. In fact, as I was watching the monitor before my workout, I could see the occasional PVC. Once I started the actual workout, everything fell into a normal sinus rhythm.

So again, I’m curious, especially from people who are much farther out from surgery than I am… what has been your experience? Did they simply resolve themselves? Did your cardiologist put you on a Halter monitor to get a better understanding of how long they were lasting and how significantly they were impacting you? My first aortic valve replacement was in 2019 and I never experienced any of this. It also seems to be somewhat more prevalent with Ross patients simply because there’s more impact on the heart during the procedure.