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well, the popular term that caught on many years ago is neuroplasticity.

I didn't. I know its possible some calcium would show up but essentially there would be nothing to do about any imaging findings.

awesome! get all healed up and enjoy life!

I wish you tremendously good luck in the rest of your life journey and no further complications with your heart. That is very rough hand you were dealt in a short time!

A few things after my first open heart. I was a great speller with something like a photographic memory. I would know exactly when I last saw a patient several years before. The date and time. I occasionally testified as an expert witness and would not need to refer to the notes. It was pretty...

Thank you so much, Paul. I think most of the surgeons are thoughtful and are making tricky calculations. It sounds like the first surgeon had his hands full as the plan he originally had was failing. Some of the surgeons do want to minimize lifetime warfarin risk and because of that will put a...

I'm certain other will jump in here, but I do not think this is the best path because surgeons don't yet have a lot of experience taking out the tavi's. Just my opinion I have a membership at this site but maybe you can see this, I hope. TAVI Explantation Remains a Risky Proposition, Two New...

is it possible the rising trend of bleeding risk is simply the number compounding over time? And I also wonder about elderly getting just a little more sloppy with their meds, and or that sloppiness being more likely to lead to events. Perhaps its just the vessels becoming stiffer or humans...

I found this on tavi. Now, I have a tavi and am on blood thinners anyway as I got clots evident on ct and mine is tavi in stented bioprosthesis. Nevertheless, this is the trend in the data on tavi durability. It may be they are as durable as bio valves we just can't know yet...

If I understand you correctly they said you didn't need a procedure for as much as 5 more years? If that so, I would personally move slow and get at least one more opinion. Tavr durability is unknown though it seems like the leading docs are growing more confident a tavi/tavr will be as durable...

Im sure non of them were on x because i know the hospitals they were at didnt use those back that long ago. Pretty likely St. Jude. A bit off topic but my opinion is that the approach to tissue valves and no anticoagulation has been an error. The medical community didnt think clots were forming...

did you not start the warfarin for 3 years?

In one case I believe this patient was non compliant with his warfarin monitoring. So that situation, his need for a redo, was probably on him. His redo was around 26 years. He had an arch replacement also. He chose a bio valve the second time and he was about 50 when he did that. I don't know...

I personally know of 3 people who had to get another open heart after mechanical valve replacement, all within 30 years, and all because of pannus formation and very elevated velocities. In 2 of the cases there was an aneurysm formed in the aortic arch also so it, the arch, had to replaced. When...

Although it's fair to think about the mechanical valves as not wearing out, scar tissue does get in the way and they may have to replaced and from everything I have looked at, it's sensible to imagine getting 25 years out of one, and hoping for the home run of living very long and not needing...

this is very good and provides a decent path to lower the lpa. Its the PCSK9 meds. I'll start with some natural ones and see if I can lower the little a that way. I will probably put this on another thread when I have time. But its nice to know someone has an answer on how to reliable lower...

I have a ton of studying to do. the fact that it appears that high lpa is associated with high hdl's but also aortic stenosis is brutal. Some experts worry most about getting lpb way down. And yeah some statins will, actually raise lpa because they raise hdl's. It's clear very high hdl like I...

Thanks for these great articles. My LPb was 67 and LPa 192 l when I took it about 3 weeks ago for the first time. Not on statins. HDL 84. These are good numbers except the little a. Yet my second valve wore out in just under 9 years. I was certain it was blood clots which they said wasn't...

You have gotten great input from everyone here. I felt like maybe I shouldn't say anything. But I want to add I think both choices are good ones. The odds are with a bio valve, a good one and a good surgeon, you would get 10-15 years out of it. Re-surgery would be at age 68-73 ODDS are. BUT you...

I hope you fly through the procedure and have a fast recovery. Best wishes!