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https://www.milb.com/milb/news/pittsburgh-pirates-prospect-gage-hinsz-pitches-after-heart-surgery/c-302847728 By Chris Bumbaca / MiLB.com | January 21, 2019 10:00 AM Thump thump. Thump thump. The heartbeat in Gage Hinsz's chest had always felt normal. There was never any reason for him to...

Beautiful story and amazing that a BAV repair gave this very young patient the ability to return to the sport he so loves... https://www.bostonglobe.com/sports/high-schools/2018/06/04/heart-and-soul-game/NhoAW38RIS1cF0BqaoWbIO/story.html “Owen embodies perseverance and resiliency,” said...

Great story, will be rooting for Celveland !!! Does he also have a BAV? I thought it was just an aneurysm which is not too uncommon in basket ball players given the association with Marfans. Regardless of the reason, truly amazing !!!

Good story, great attitude...maybe not in the NFL but the heart of a true champion !!! http://www.augustachronicle.com/sports/20180508/michaux-georgia-techs-gray-disappointed-that-heart-defect-ends-football-career A.J. Gray’s view of his new horizon began at Disney World. On Tuesday morning –...

I was actually shocked by the slide, of course it does not comment on the age of patients. But based on all I have learned in the past year I am surprised that mechanical valves are not more popular given the advances that have been made in INR self testing. I think a repair that could...

One last piece which is also interesting... http://circ.ahajournals.org/content/128/8/854

This is a good piece by Tirone form Toronto who in many ways has been a pioneer of this procedure, a fantastic surgeon who put together this piece on the AVRepair... http://www.onlinejacc.org/content/accj/68/6/654.full.pdf

this has some good data on the topic...Aciher has some good studies and this one is in slide format. I found slide 22 quite surprising, I would have thought mechanical was much higher. And perhaps repair is gaining favor quickly as it is a better option than bio-prosthetic at present...

And here is a link to eric's blog...the fire fighter from Colorado who had his valve repaired. https://captaintinman.blogspot.com/2017/06/welcome.html

If you want a long detailed explanation, here is a good video to watch from Dr. Stewart at Mt Sinai on BAV repair... https://www.youtube.com/watch?v=x4G_P7JqF4k

I have been following BAV repairs and have read many studies. While there are not yet significant long term results, the good news is that this is a rapidly developing field with significant improvements. If you compare repairs pre 2000 to post 2000 the results are significantly better and they...

There is some good data here on dilatation rate for BAV...which is consistent with what pellicle has emphasized: Aortic dilatation patterns and rates in adults with bicuspid aortic valves: a comparative study with Marfan syndrome and degenerative aortopathy...

It seems now as if On-X is not alone in positioning their aortic mechanical valve with the potential to have a lower target INR in low risk patients. LivaNova Bicarbon Aortic Valves Receive CE Mark for Expanded Use Labeling with Lower-Dose Blood Thinners in Low-Risk Patients...

Eric from Colorado recently has his valve repaired in Cleveland and can offer some ideas as to how to solicit an appointment. There are a few other centers for aorta disease that have very good outcomes: - Duke - Mayo - Penn - Dr. Bavaria - New York - Sinai (Dr. Stewart) / Presbyterian -...

And while all the attention is on the TAVR revolution, there are some potentially interesting improvements to anti-coagulation therapy that could make the mechanical valve option even better. Evolution in AC therapy: - Improved data analytics which will create improved algorithms for people...

A great moment to reflect on a brave innovator whose courage and vision provides heart valve patients today with such great options for a beautiful life.. "In September 1952 Dr. Hufnagel, then director of the Georgetown University Medical Center's surgical research laboratory, implanted an...

Paleowoman, Not at all, I am all for innovation and think it is fantastic that medicine has achieved over the course of the last 40 years. At issue is providing good data for someone trying to make a decision which is not entirely easy. I think there is VERY good science behind this valve...

Marketing as these are after all companies looking to gain some form of edge so as to expand market share for a new product. It is no different then the claims that On-X makes regarding its valve with respect to reduced INR. Anything to stay a "step ahead" of the competition. I am sure that...

The fine print in the Edwards Resilia webpage states: "*RESILIA tissue tested against tissue from commercially available pericardial valves from Edwards in a juvenile sheep model 1. No clinical data are available that evaluate the long-term impact of RESILIA tissue in patients."

Articles on this valve are making the rounds but most tend to be more cautious with respect to durability claims despite the encouraging (and wildly confusing) headlines: http://www.upmatters.com/news/healthwatch/new-heart-valve-replacement-changes-diagnosis-for-young-patients/1063970787 "New...