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I am sorry that this happening to you. Your previous decisions were perfectly rational. It is normally very unlikely to get through tissue valves so quickly at your age. You need to look around your family, if they are living into their 90s and you are fit at 76, then you could reasonably...

In the UK, in the early 2000s they changed the guidelines to stop requiring antibiotics ahead of dental treatment. My cardiologist told me that there was a large rise in endo cases in his practice. This suggests that antibiotics do have a protective effect

Hi Jeff, it all depends on valve. But as your heart remodels these values can still improve. I suspect as your heart thickening unwinds, these gradients may fall because your heart learns that it can push less hard and then gradiemts go down. I was very fortunate that my heart normalised...

Thanks for all the advice @dick0236 and @pellicle. @pellicle priceles advice and picture as usual :)

Hi Team, Does anyone have experience how Green Tea and Matcha products affected their INR? I am about to try a new food called matcha soaked oats this week, but was wondering what People's experiences are? Thank you tommy boy

@BAV I am really sorry to hear about your complications post Ross procedure. Unfortunately, sometimes the side effects can be a bit more significant after complex surgeries. I also had bleeding around the heart after my second AVR, but it stopped by itself, so they didnt need to open me up...

Hi Dick, your story is incredible and an inspiration to us all. It also shows that modern medicine can do. Here is to many more happy year for you. Tommy boy

Congratulations and wrlcome to the other side. Very happy for you that you cant hear it ticking

When I was going for my second surgery, my cardiologist performed this test on me. He checked the left and right arm blood pressure and said that this is a sign of that the LV is dilating and that the valve needs changing again. He was right. He explained to me that this was an old school way of...

https://www.novostia.com/sites/default/files/inline-files/Press%20Release%20-%2010th%20patient%20FIH%20-%20June%202024%20-%20Clean_1.pdf Still at clinical trial stage, but they will discontinue anti-coagulation for patients from Sep 2024. Given that there is only 10 patients, we should know if...

Hi Hana, There is a forum in German. It is here https://www.die-herzklappe.de/forums/index.php Viel Glueck. Deutschland hat einige der besten Herz Chirurgen der Welt.

My first valve was a tissue valve. I had two neurological events with that valve and one bleeding event. The first neurogical event was me waking up with half of my face numb one day (Bells Palsy I think). They did an MRI and nothing came back - no sign of stroke. The second neurological event...

For info, i left hospital on 4mg, now my maintenance dose is 9.5mg.

I will be honest, I can do more after OHS than before. I also actually do more because OHS wakes you up a bit and you want to live a bit more. I have not exercised before my OHS. Since 2nd OHS, I am exercising four times a week. Have never been this fit.

I frankly think you got very lucky. At 61, the TAVR may have lasted 8-10 years. Then its either another TAVR or open heart. But even though you say you are large, at your age you could still live another 20 years. If so, then going with a mechanical valve is the only way to get a 80-90% chance...

@j42195 Also another interesting meta-analysis is here: https://pubmed.ncbi.nlm.nih.gov/30562065/ they say: Estimated life expectancy after surgery was 59 years for children (general population: 64 years) and 30 years for a 45 years old (general population: 31 years). But they also say...

@j42195 Hello, Let me give my two cents. At the time of my first surgery I researched the Ross in Europe extensively. Europe has some of the best Ross surgeons in the world. But in your case if you only have regurgitation, then perhaps you should consider a Valve repair. Germany's top valve...

https://www.jtcvstechniques.org/article/S2666-2507(21)00104-8/fulltext It says: At 20 years, 69.1% of patients were alive and free from aortic valve reoperation, and the cumulative probability of aortic valve reoperation with death as a competing risk was 6.0%. The cumulative probability of...

My understanding is that the probability of a repair failing is like 1-2% per year. So if you take 1% (2% were earlier studies), there is a 70% chance this was your last operation.

@Earthsciencerocks I think that the ATS is a great choice. All of these valves are very similar, but they have specific benefits. There is some research to suggest that you dont hear the ATS as much as other valve due to the open pivot design. It is also the only valve with one study (yes only...