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    Ross vs Mechanical

    So the Ross reversal article states: During a median follow-up of 4.1 years (range, 7 months to 11 years), no patients required reoperation, 24 patients were free of pulmonary valve dysfunction, and 6 patients had clinically tolerated moderate or greater pulmonary valve regurgitation. 24 out...
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    Ross vs Mechanical

    At your age you will be guaranteed at least one other OHS if you go Ross. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339619/ https://www.annalsthoracicsurgery.org/article/S0003-4975(22)00729-9/fulltext The outcomes of these Ross reoperations are not that great. Some surgeons have good...
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    Anyone had 3 valve replacement surgeries?

    I didnt and hope I wont, but my surgeon said that he did a 6th AVR successfully on someone no problem.
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    Ross vs Mechanical

    There are several studies of the modified ross procedure. The modification is usually the reinforcement of the aortic root. The SANA clinic in Stuttgart adopted the reinforced root procedure and their own modification in 1999. Here are their results in 832 patients: Freedom from reoperation...
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    Marcumar/Phenprocoumon vs Warfarin

    Hi all, Anglosaxon countries tend to use warfarin as the anticoagulant of choice. But most other developed nations use Marcumar/Phenprocoumon. Marcumar stays for a lot longer in your system (longer half life), so apparently INR can be very stable. Does anybody know why anglosaxon countries...
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    turkish hammam after mechanical valve

    This lady is a great example for everyone. But she is not the only one. There were a couple of people on the German speaking forum that made it to base camp, no problem. Self management is the standard of care in Germany because this is where this was first introduced. I would make the point...
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    Surgery this Tuesday

    Great. Best of luck with your recovery
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    Questions about treatment options

    According to the data of Dr. David, who invented Aortic valve repairs, freedom from reoperation is 94% at 20 years. https://www.annalscts.com/article/view/1396/2011#:~:text=The%20overall%20freedom%20from%20reoperation,94.2%25%20and%2094.2%25%20respectively. if that result holds more widely...
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    What areas should i research more?

    I myself have a mech valve now, but if your valve can be spared, you should prob ask yourself if you are giving up a perfectly good valve? In some people all that happens is that the aneurysm pulls a perfectly good valve apart. Then once you fix the aneurysm, the valve is fine. Have you been...
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    Question about homographs

    Hi Jamie, I think the answer is Homograft. At least that is what past studies used to suggest. According to those studies you could get 15-20 years. I think @pellicle has a really good reference on the durability. However, when I asked about this option when I had my own first surgery in the...
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    Should I push to replace my mid ascending aorta?

    @Nesphito I think it is very sensible of your surgeon to make the call once he has opened you up. From my personal experience, the measurements can be different once they open you up. My measurements were around 4.5cm. When I had surgery three months later, it was above 5cm in the widest...
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    Should I push to replace my mid ascending aorta?

    I am just going to add that the definition of aneurysm varies by age. A 50mm Aorta in an 80-year old would be considered normal, but indication for replacement in a 40-year old. This article has a useful table: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461294/ The article says: According...
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    Surgery this Tuesday

    Fingers crossed Rebecca. I hope everything goes smoothly.
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    What areas should i research more?

    Since you have aortic regurgitation, has anyone suggested that your valve could be spared? Could you have valve sparing surgery? This is called a David or a Yacoub operation, but you get to keep your own aortic valve. It is also often referred to as aortic valve repair surgery. Finally, I see...
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    BAV With Severe Regurgitation - How worried should I be at this point?

    @NorthVanJosh I will just tell you my story. My Unicuspid valve with severe stenosis and regurgitation was discovered randomly. The year before it was discovered, I did the INCA trail at Machu Pichu, and when we were at Dead Women's pass (4200 meters above sea level), I slowed down a lot, my...
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    Mental confusion after intense exercise? Anyone experience this with mechanical valve?

    I just wanted to let everyone know how I solved this issue for future reference. It turns out that drinking water during exercise means I dont experience this anymore to such a degree. I think that I was just getting dehydrated. In all honesty, I never worked out like today. Sometimes I sweat...
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    Is the U.S. the only country that requires a prescription for anticoagulation testers?

    In the UK, anybody can buy the Coagucheck. You dont need a prescription. There is only one approved company selling them new and I just ordered mine and they send it to me. No doctors involved. Coagucheck is the only machine available. At the clinic, they use their own Caogucheck to check...
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    33yo with BAV and severe stenosis

    The second time around (2nd OHS time) I was clearly symptomatic. I had difficulty breathing when power walking 500 meters. during the initial investigations, my LV expanded from moderate to severe dilatation. I thought that I had permanent heart damage. The surgeon wasnt sure if it would go...
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    New Member

    Hi Bee, regarding BAV studies, please see below https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8257557/ https://pubmed.ncbi.nlm.nih.gov/17888968/ The general conclusion is that for bav patients long-term survival is normal after surgery. hope this helps Tommy boy
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    Resting HR post-AVR surgery

    I can only speak from my experience. I did lots of cardiac rehab after surgery. And started exercising seriously for the first time in my life. I am 43. I now have a resting heart rate between high 50s and low 60s and 115/75 blood pressure. My cardiac stats never looked this good. In all...
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