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I don't have issues with greens and vitamin k. I do take large amounts of fish oil (Carlsons) and for me, that does affect Warfarin metabolism (lowering my INR).

I've read several reports about severly stenotic and/or regurgitant tissue valves at the end of their life cycle (sometimes less than 5 years), causing left ventricular dilation and/or hypertrophy.

Tissue valves become MORE problematic because of their short 'lifespan', and relatively rapid deterioration. If you're under 30 and choose tissue, the odds of acquiring AFib are increased. Warfarin is kind of like the oil which keeps the machine running. Mismanagement is the main risk factor...

No problem, man. -What kind of impact activity do you engage in ? Drumming (drum set). I like to hit hard. No issues. -What INR are you aiming at with your Onyx Valve ? I shoot for around 2. But I'm ok with a range (around 1.8 to 2.8). -How old are you ? 44. Was 43 at the time of surgery.

All the best for tomorrow harrietW xoxoxo

Some inaccuracies here, or parts that do not reflect my experience. Any valve type can fail from infection. Tissue Valve It works just like your own valve. No medication needed. No noise. No thumping. It's dead tissue. It doesn't work as well as a well functioning native valve. It has a very...

Multiple (potentially superfluous) open heart surgeries are not reasonable to me. I would also be concerned about the years of declining valve performance. Warfarin has been a pretty small factor in the scheme of things (as it should be).

Last year at the age of 43, my surgeon replaced my bicuspid aortic valve and ascending aorta with this prosthesis: With consistency of diet and dose, Warfarin has not been difficult to manage. Once you get in the groove, it can be effortless. Without consistency, I could see it definitely...

According to this link, the Pannus 'mostly involve the suture line'? With the On-X ascending aortic valve prosthesis, the suture line is away from the valve. Would this reduce the incidence of Pannus on the mechanical valve?

Keep up the positive spirit. Your health is really going to benefit from the repair.

In my case, the bicuspid aortic valve was the weakest link (not the ascending aorta). The answer is certainly not black and white.

The label is fitting in this context -- as we know, the bicuspid valve is defective and can degrade a lot faster. My bicuspid valve had mild stenosis. Replacing just the ascending aorta could change the way forces are distributed in the area. It's the weak link in a chain that breaks. That...

The cardiologist also noted the relationship between heavy weightlifting and the bicuspid aortic leaflet tear. It makes sense -- the valve by medical definition is 'diseased' and prone to premature wear and tear. Furthermore, if the ascending aorta is replaced (and the bicuspid valve spared)...

I personally would be cautious about doing heavy deadlifts or squats with a bicuspid aortic valve. It is not able to withstand the same forces as a tricuspid. Mine had developed an acute tear on one of the leaflets and severe regurgitation followed.

That is excellent progress. Did they also replace your bicuspid aortic valve? Yes, I have recently started lifting heavy again. In terms of potential risk factors, the bicuspid valve and ascending aorta were replaced with this prosthesis...

I did heavy powerlifting for decades using Valsalva, my ascending aorta was measured at 4.4cm with an echo prior to surgery (6'1, weight between 200-220lbs) at age 43. Clearly there are a lot of other factors coming into play (that are probably somewhat ill understood). Most of the cases I've...

Good call honeybunny. My dental hygienist just recommended that very thing.

I discussed this with my dentist the other day as I had a filling and first dental cleaning post surgery. He mentioned the importance of keeping the gum epithelium in good shape, for the reasons you mentioned. if it's not intact, there is the risk of 'splashes' of bacteria getting in as he put...

Thanks for the information, pellicle.

Never had blood in my urine, harrietW.