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Ultimately the decision on repair vs replacement often is made when the valve is visualized. So usually one should be thinking of replacement also as a possibility. Find a surgeon who is experienced at both. Good luck.

https://ashpublications.org/blood/article/132/Supplement%201/424/275575/Double-Blind-Randomized-Control-Trial-of The study looked at bridging for surgery patients on warfarin with A Fib and mechanical valves. Moderately well powered showing little difference in thromboembolic complications with...

I have had multiple cardioversions. Usually talk with the cardiologist and get it done promptly. One of the advantages of the US system if you have good insurance. In national health systems you get it done but not expeditiously if the problem is not medically critical. If the A Fib...

Good luck with healing up. I went through the same thing 15 years ago. I had complete block so that the atrial signals were not getting to the ventricles. In some people the ventricles have their own intrinsic rhythm usually rather slow like 20+ and sometimes the ventricles have no intrinsic...

I really didn’t want to do surgery 2 1/2 weeks after my own #3 open heart. But at the time I had a two person practice and my partner decided to move elsewhere. He stayed a few weeks longer than he wanted to so I could recover. For reasons I can’t remember this emergency came in and I was the...

The first week or so after a heart surgery kind of sucks. Then things start to normalize by two weeks. With knees you are hobbling around and have a long rehab. After a redo valve and new aorta I performed surgery myself 2 1/2 weeks after my own surgery. The patient did fine. Emergency...

Good luck with the surgery. Just curious why the mitral surgery. Your listing says you had a ON-X mitral placed in 2009. I assume this is mechanical.

When I was 29 and asymptomatic but had changes in my heart wall thickness and EKG I was scheduled for surgery in about 3 months. I was in post graduate medical training at UCLA at the time and I was to have surgery on the biscuspid aortic valve at Stanford with Norm Shumway who at that time...

When we are talking about potentially life and death issues and we hear nonsense that contributes to these issues that is being rehashed by individuals that have limited understanding and poor critical thinking skills which ultimately leads to more sickness and death it is difficult not to come...

Sometimes the first symptom is sudden death with aortic stenosis due to ventricular tachycardia. But if your numbers are as stated particularly without wall thickening then the stenosis is not causing much of a gradient. The ejection fraction is excellent. So when the valve narrows the...

Where do you get your information? Fox? Is 1% almost zero? 5%? And we are not talking about death rates. Heard of “Long COVID”? Do you have a test for a “healthy immune system “ More Fox talking points. Did you know that the COVID virus inserts it’s genetic material into your cells? And...

There are at least two reasons to be vaccinated for COVID. First to protect yourself and the other is to reach herd immunity and have the virus die out. So those who don’t get vaccinated because of some non viable conspiracy theory about the vaccines are basically being rather selfish. Also 40...

Aortic valve replacement x3 current valve St Jude,aortic aneurysm repair,mitral clips,pacemakerx4,3 ablations for A. fib, 8 stents for scarred R coronary extension graft.38 years warfarin. Got vaccinated in December with Pfizerx2. NO BRAINER. Just sore arm. Anyone “On the fence” should meet...

Hospitalists are physicians generally trained in Internal Medicine and have an extra interest or training in critical care. They have replaced physicians making call on their patients in hospitals. Depending on their training they are usually very aware of the issues with many of the drugs...

You had endocarditis which motivated the first valve surgery. So the valve may have been an abnormal valve such as a bicuspid aortic valve or it may have not. It is well know that there is an association with progressive dilatation of the ascending aorta with bicuspid valves. So if you did...

Personally I don't think this discussion has anything to do with this forum. From a perspective of an atheist I found religion to be a relatively harmless mass delusion that made some people happy and content. Unfortunately as the years have gone by I have realized that religion is not so...

I had a mitral clip nearly 5 years ago for a sudden decompensation of mitral insufficiency which had been followed for years. Also status post aortic valve replacement x 3 last with aortic graft. Nobody was too keen on going in on me a forth time with an open heart hence the clip. Has worked...

I had a tissue valve first which lasted 5 1/2 years then the St. Jude. It was fine when I had my aneurysm repair but as we have talked about it is easier and safer to put in a combined valve and aortic conduit since they come connected then trying to hook a conduit to an already in place valve...

First mechanical St Jude 23 yrs. Second St Jude 15 years s/p aorta. So total of 38 years on warfarin. Had one weird event where unusual vessels in colon bled requiring anticoagulation reversal with Fresh Frozen Plasma to help stop the bleeding. Surgery did the rest. Otherwise no major warfarin...

Almost exact same story. 1977 age 29 tissue valve failed by 1983 replaced with St. Jude and warfarin forward 2006 aortic aneurysm 6.5 cm third surgery with new St.Jude and ascending aorta. Yes the surgeries get tougher. Developed 3 rd degree heart block and became pacemaker dependent. Still...