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Is there an ideal BP heading into (4-6 weeks out) AVR? I'll be getting aortic root + ascending aorta + aortic valve (Bentall procedure). My BP varies from 115/60 to 125-130/65-70 depending on the time of the day it's taken wrt the timing of BP meds. I'm on regular BP med and dosage. No beta...

I think your decision is rather easy. Tissue valve at your age (67), and then TAVR when it wears out (as you noted yourself around 83 yrs, let's say). This's consistent with guidelines, and your cardiologist and surgeon would tell you that in a heartbeat. All the best in valve selection.

Thanks Chuck and Pellicle. Yes, I wouldn't think Lp(a) was the only factor in this key valve-type determination, especially for those with good number as you said. Opposite is more applicable as you said, totally makes sense. Hopefully this level of Lp(a) is helping with my around heart...

Thanks Chuck.

I just my Lp(a) tested. It's 35 nmol/L. Am I correct in its conversion to ~16 mg/dL (= 35/2.15)? Does it mean that I may be a good candidate for a tissue valve? PS: My LDL, HDL etc which they test every year in the standard cholesterol panel have always been super favorable too.....

Chuck, After reading various posts on Lp(a), I just got mine tested. It's 35 nmol/L. Am I correct in its conversion to ~16 mg/dL (= 35/2.15)? Does it mean that I may be a good candidate for a tissue valve? PS: My LDL, HDL etc which they test every year in the standard cholesterol panel have...

hi Daniel, I appreciate your insights. It does provide balance in perspective and experience. I'm happy to see that you're happy with your choice :) May you forever keep your tissue valve. Thank you.

All, Thank you so much for great insights, as always. You're a great bunch :) I'm leaning mechanical but doing diligence while I can :) I had my initial surgeon consult yesterday and we got the surgery date set (July 22). Will keep you all posted, and I'll have many more questions yet. Just...

Hi Richie, We're in a same/similar boat except I'm 5 years older (54). I need a new aortic valve myself (and posted mechanical vs tissue questions recently on the chat). This forum is super (both the members and the information presented), isn't it? I've thought of mechanical for a long time...

Forgot to add that I'm (almost) 55. If I can get a tissue valve last 20 years, then I may go that route (with the option of TAVR when I'm 75 let's say......).

Is there any data or information to suggest that tissue valve may last longer under certain lifestyle conditions? For example, if someone lives a very clean (e.g. eating) and active lifestyle, can they expect it to last longer? For sure, they are many many other variables, but wondering if...

Thank you all again. Great, useful info :-)

I really appreciate you all for responding. I learnt so much from each response. Pellicle, I'm in California, USA, not in India. I will be watching the video on mechanical valve you sent. Watched the other one on Curcumin, I get your point :-)... Now, the chart you sent, there are 2 St Jude...

I'm 54 who's having AVR with root replacement (Bentall procedure) this summer. As the title suggests, I'm leaning on mechanical (although I'm open to suggestions and convincing otherwise:-)). For example, my cardiologist was preferring tissue with future TAVR(s) since he thinks risks of...

Thank you all for your recommendations and feedback. Very helpful :-)

I'm 54 BAV with severe stenosis, starting to shop for surgeon in the bay area, preferably Stanford. I would need an AVR and also aorta (root and ascending) replacement (Bentall procedure), so hopefully this surgeon would specialize in the latter as well. Any recommendations welcome. PS: Not...

Is PEARS procedure only available in the UK? This procedure appears too good to be true. Why has it not become mainstream and available in the US, when it can be the answer to all our worries with dilated aortas e.g. 4.8cm etc?? Why not reinforce aorta to avoid any possibility of rapture or...

Congratulations on the successful outcome. A couple of questions: 1) What was your aortic root dimension before surgery? You mentioned Bentall, meaning root also got replaced. Was ascending aorta replacement as well, and what were the dimensions there? 2) How bad was your stenosis? The pressure...

hi Workmonkey, Another very thoughful and extremely informative post. I remember reading your post a year ago when you were going thru excellent recovery at the hospital 2 days after your ascending aorta repair. Your posts clearly tell us that you are very methodological in assessing and...

Thanks everyone. Yes, I'll be going to a dentist soon :-)