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R

rcatalano

Just got home yesterday - had my 14 yr old homograft replaced with an ATS Medical mechanical valve on Tuesday, 8/26 by Dr Parr at Morristown Memorial Hosp in NJ. Anyone with any experience ATS Medical valves, please fill me in!

What a difference the second time around. I'm almost giddy at how well everything went! Maybe I'm just on the high part of the emotional curve right now, but I feel great (relatively speaking of course)!

My first surgery, I didn't sleep for months before or after the surgery. I was probably clinically depressed. Physically, everything was well, but mentally and emotionally I was very down. I was probably on the verge of a nervous breakdown prior to surgery.

This time, I was well prepared, confident, organized - ready for battle. 2 days of hell, a day or 2 of purgatory, now I'm good to go.

My only real concerns were making the mechanical vs tissue valve decision (again), coumadin, and the clicking noise.

Well, I have yet to hear a click. No nurses or family members could hear it yet either. Maybe this will change as the swelling in my chest goes away? The surgeon told me its a very quiet valve.

As for coumadin, I've received my forms from QAS and will look into home monitoring. My cardiologist likes the idea, though he has never seen a home testing unit.

I wish I could bottle up my experience and give it to anyone facing upcoming surgery. What can I say? Are you scared? Of course your scared! Worried? Who wouldn't be! I can't tell you its fun or easy, but you'll have lots of help at every step.
 
Congrats!

Congrats!

Morning,
Sounds like everything is going great for you.
The coumadin thing is not that bad. once its stablized.
I am so jealous of you not hearing the clicking. I am finally starting to get where I don't hear mine all the time.

Hope you continue with a smooth recovery. Remember to breathe, walk and nap!
 
Hi Rob-

BIG congratulations on your successful surgery. Wonderful to get the good news.

Best wishes for a continued good recovery.
 
Ross,

Not sure what model ATS valve this is. On the ATS website, they seem to mention both a standard series and an AP series of Open Pivot valves. Mine is 21mm, which is listed in the standard series. I don't see any other types of valves mentioned on their website.

Guess I'll have to call the surgeons office for specifics. I've been told my target INR is 2.5-3.5. Going to the lab tomorrow morning for my first outpatient test.

As for its quiet operation, I'll give it a few weeks. Maybe I will eventually hear a faint clicking, but right now its not obvious.


Rob
 
Rob if you really want to hear it, perhaps wait for another blackout to occur and then go into a well insulated room, close the door and concentrate really hard, you just might hear it. ;)

It does sound like a good valve. I'm supposing it is the open pivot series, but I guess we'll have to wait and see. I marvel at where technology is taking us.
 
Hi Rob and Welcome Home

Hope this one lasts for a verrrry long time!!! So glad you're up and about, you sound WONDERFUL!!!

Evelyn
 
Ross,

I called my surgeons office, it is an ATS Open Pivot valve.

I'm not ready to declare it's completely 'silent'. I'm taking your advice, when the next blackout comes I will shut myself in a closet and listen intently. Thanks for the tip!

rob
 
I'm sure it's not truly silent, but God forbid, should I need another one someday, I'd like to know about what you have as a possible replacement for my St. Jude.
 
Run Silent Run Deep

Run Silent Run Deep

Well Ross, it appears the valve is not silent after all.
Possibly the swelling in my chest possibly muffled it a bit?
Anyway, my wife has heard it the past couple of nights, and my daughter says she can hear it if I'm sitting in the recliner and she puts her ear near my chest.

I can hear it at night, especially if lying flat on my back or on my left side.

Can't say it bothers me... yet. I also can't compare it to other models of valves since I've never heard anything like it before. Kind of like a ticking clock.

Rob
 
I must be deaf to mine. My wife can hear it (But she can't hear me) my kids can hear it, but I have to be in a silent room with no noise at all for me to be able to hear it. The only other time is when I've been too active and my heart rate soars above 110, then I hear it in my ears.
 
Hey Rob,

Congratulations! I am glad your 2nd AVR went well. I will be having my 2nd AVR this Friday after having the Ross Procedure in December, 2000. I also feel somewhat relieved that I am not the only one who has experienced extreme anxiety over this fast approaching surgery. Sometimes I wish I could be more like Conk who seemed to have no anxiety at all. I can't wait to get on the other side of this.

God Bless.
 
Hey Rob,
Glad to hear you are doing so well! Remember not to over do it for awhile.
Take Care.

Dave
______________________________
Surgery: 4/21/03
Aortic Aneurysm Repair
AVR, with a St. Jude Mechanical
Heart Center of the Rockies
 
hi rob!
so glad to hear you are doing well. i'm so happy to hear that your second time around wasn't as bad as the first_ atleast it doesn't sound like it was. please keep us up to date on how you do.
wishing you a continued smooth recovery.
be well,sylvia
 
Hi Rob, I am so glad your surgery went well. Incidently I work at the hospital here in Mpls. where your vavle was invented and worked withthe DR that invented it his name was Dmitri Nicoloff he recenly passed away , great man and surgeon he also was 1 of the 3 dotors who invented the St Judes valve which was also developed here.Your valve is the second generation of the ST Jude valve a little history for you! Hope you have a speedy recovery. Take care hfk
 
Hey Rob,
As another AVR "two-timer" I wish you the best on your recovery. May we NEVER do this again!
_____________________
Les AVR '93 / '95
 
Thank you all.

hfk - thanks for the history. Funny how I'm so interested in little details once the thing is implanted in my body!

My surgeon seems to be very conservative when it comes to valve selection. I was a bit surprised to find he used the ATS, since it is such a small, fairly new company. But he has been doing valve replacements for about 30 years, so probably knows of Dr Nicoloff and the history behind ATS Medical.

I hope ATS stays in business for a long time!
 
Choosing the valve

Choosing the valve

Rob:

I note your 1st replacement was tissue. Could you have opted for another tissue this time, or did you decide on a mechanical so that you could be done with open heart surgeries?

Just wondering as I am probably facing multiple surgeries. Maybe I should just get a mechanical the 1st time around?
 

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