62 years old and meeting surgeon in 10 days to decide on valve type

[pellicle]

thinking

very kind

 

[Superman]

very kind

I was just quoting their words.

 

[Gail in Ca]

The more surgeries the more scar tissue in there. Also, some of us have had endocarditis after 2 surgeries requiring a 3rd we weren’t expecting. Be open for another surgery or 2 down the road. You never know. Taking warfarin is just another pill and a self test once a week.
Plus, I got chronic a-fib after 3rd surgery so i would’ve ended up on warfarin. I choose not to call it poison because that’s pretty negative.

 

[newarrior]

Hi !, before all, would like to thank all the people that share here their concerns and thoughts about this event that has crossed our lives taking us to surgery room to have a heart valve replaced.

currently am 62, and every where hear "recommendations" for tissue valves because they will last 20 years, or 17 at least, and on the other side hear that currnet st jude and on-x valves will for sure last 20+ years and warfarin is just a matter of learning how to manage it....

reading and talking have to say a question comes to my mind "if there is no one walking around with a pericardial valve" x 20 years, how can the industry promiss so ?, statistics can say what ever you push the to say, mathematics tell you is all about the sample and the population selected,
so "science papers" mean certain thing but they are just a "reflection" of the reality,..... but there are people walking around with mechanical valves x 20+ years ...

all of that said, still have doubts, will a pericardial valve last 20 years on a 62 years old ?
is taking warfaring the boogie man that will fix one thing and destroy 3 more ?
what about the noise of the mechanical valves ?, st jude or on-x ?

my heart tells me to get a bio, my mind tells me to get a robot l.o.l...

just need to share.....


thank you

Get bio then tavr if you are a good candidate

 

[nobog]

Uhm, this post was started in September 2015.

 

[geff]

Get bio then tavr if you are a good candidate

hi there i`m having a valve replacement in 2 weeks what did you decide on the day of your surgery and do you have any regrets thanks

 

[pellicle]

Uhm, this post was started in September 2015.

nw is probably blocking you (and me), so dunno

¯\_(ツ)_/¯

but I see he has hooked in @geff (to whom I should say "newarrior hasn't had surgery and is just a serial chain yanker")

 

[geff]

i think your right pellicle i never noticed the date and i`m still undecided as to what valve i think i`ll end up leaving it in the surgeons hands can i call you a few days before i go into surgery to ask you some final questions and perhaps advice and how to recover etc

 

[V__]

Uhm, this post was started in September 2015.

Clearly, the stuff on the internet is timeless!

 

[newarrior]

jlcsn - Some of the valve lifespan expectancies are extrapolations from data regarding the previous generations of tissue valves. IIRC, the current batch of tissue valves are thought of as "third-generation" valves. The scientists have a lot of data on the "second-generation" valves that were in use some years ago. They also have predictions as to how the third-generation valves are superior to the second. They then calculate how long the third generation valves should last, given what they know about second generation and what they think they know about the third generation valves. We know and are told by the docs that there are no guarantees as to valve life, but they do tell us that their best prediction is that the third-generation valves will last longer than the second gen. They have a lot of data about what percentage of second generation valves are still OK at 10, 12, 15 or more years, and they expect that the newest ones will last longer.

They are also sure that the older the patient at time of implant, the longer it will take for calcification to form on the prosthetic valve. That is because the immune system is what causes calcification, and the immune systems of younger patients are more active than those of older patients.

I was 63 when my Edwards tissue valve was implanted. At 4 1/2 years all is just fine. I'm betting that it will be a close race as to which lasts longer -- me or my valve. (And yes, I DO buy green bananas. . . )

That's good to hear. I'm turning 62 next month and I still haven't had my valve implanted both my surges in America and in Thailand where I live are both recommending tissue valve without me saying anything also talking about doing minimally invasive surgery

 

[palmaceae]

Hi !, before all, would like to thank all the people that share here their concerns and thoughts about this event that has crossed our lives taking us to surgery room to have a heart valve replaced.

currently am 62, and every where hear "recommendations" for tissue valves because they will last 20 years, or 17 at least, and on the other side hear that currnet st jude and on-x valves will for sure last 20+ years and warfarin is just a matter of learning how to manage it....

reading and talking have to say a question comes to my mind "if there is no one walking around with a pericardial valve" x 20 years, how can the industry promiss so ?, statistics can say what ever you push the to say, mathematics tell you is all about the sample and the population selected,
so "science papers" mean certain thing but they are just a "reflection" of the reality,..... but there are people walking around with mechanical valves x 20+ years ...

all of that said, still have doubts, will a pericardial valve last 20 years on a 62 years old ?
is taking warfaring the boogie man that will fix one thing and destroy 3 more ?
what about the noise of the mechanical valves ?, st jude or on-x ?

my heart tells me to get a bio, my mind tells me to get a robot l.o.l...

just need to share.....


thank you

My bovine valve lasted 13 years, even though they said up to 20 years. Everybody is a bit different though. So when my bovine started to fail I opted for a mechanical, that was when I was 59 years old. My bovine went on at age 46. I am now 62.

 

[newarrior]

My bovine valve lasted 13 years, even though they said up to 20 years. Everybody is a bit different though. So when my bovine started to fail I opted for a mechanical, that was when I was 59 years old. My bovine went on at age 46. I am now 62.

It's frightening cuz we have to have the valve to live so if it fails you've got to go through another resurgery I'm assuming I'll do the valve it's 62 or 63 that would probably take me into my mid 70s then do valve and valve but of course there's always the possibility of ohs

 

[Chuck C]

My bovine valve lasted 13 years, even though they said up to 20 years. Everybody is a bit different though. So when my bovine started to fail I opted for a mechanical, that was when I was 59 years old. My bovine went on at age 46. I am now 62.

You did well to get 13 years. At age 46, getting 13 years from a tissue valve is better than average. About 10 is more typical.

Thanks for sharing.

 

[pellicle]

My bovine valve lasted 13 years, even though they said up to 20 years. ...My bovine went on at age 46.

13 years isn't unexpected from a bovine in a 46yo.

"The disadvantage is that they can wear out. It turns out that the older you are, the longer your biological valve will last. And we don't completely understand why that is the case. But in general, if you receive a pig or a cow valve, you can think of that as a 10-year valve."
https://my.clevelandclinic.org/podc...lve, you can think of that as a 10-year valve.

I have no idea why so many surgeons give the upper limits as the expectations. The statistics are lower for younger.

Best wishes and Happy New Year

 

[Timmay]

And some other things that I have learned recently with regard to bioprosthetic vs. mechanical valves:

If you get a bioprosthetic valve and have high Lp(a), expect that valve to degrade quicker. Most cardiologists don't know this.
https://pubmed.ncbi.nlm.nih.gov/37643771/

If you have a bioprosthetic valve then your risk for endocarditis is higher
https://pubmed.ncbi.nlm.nih.gov/32471905/

 

[dornole]

tissue is also going to degrade faster if you have rheumatic heart disease. My surgeon said 3 years