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The Milkman

Member
Joined
Feb 21, 2009
Messages
12
Location
Neston, U.K.
A bit belated but hi everyone.

I am 10 weeks post surgery and have been viewing the forum daily since my operation.

A little history.

In February of 2008 - I went to the doctors because I had 2 speech disturbances (couldn't say the words my brain was thinking) - at the same time I had what I still believe to be cluster headaches. My local doctor referred me to a 'stroke' specialist - who said that he suspected Tia's which was not unusual for someone with my heart condition - you guessed it - I said what heart condition?

I then had numerous routine tests - Bloods, MRI (head only), Carotid Doppler Scan, ECG, Echocardiograph & xrays - the stroke specialist then referred me to a cardiologist. From the echo the cardiologist said that my pumping efficiency was only 54% (normal 75%) - I had a mild leaking Aortic valve and a 5.2cm dilated Aorta.

Fast forward to May 2008 and a CT scan was performed confirming the aortic dilation @ 5.1cm. After a discussion on the 5.1cm/5.2cm dilation the cardiologist said that he wanted to talk about the speech disturbances that I had in January and the suspected TIA?s which he then thought I had suffered.
In his opinion the TIA?s might have been caused by his raised suspicion that I have a hole in the heart (a PFO) and he wanted to do a trans-oesophageal echo test (down the throat!)

On the 10th of July I had my T.O.E. test ? yuk ? but not as bad as I was anticipating! No P.F.O. present, aneurysm unchanged at 5.1cm. However, the T.O.E showed a clear picture that the valve was actually Bicuspid (at least I then knew what probably had caused the aneurysm)

After some 6 months fighting with my local health authority ( I will explain more at a later date ), I eventually had my operation done on the 12th of January by Mr Olaf Wendler (not only a great surgeon - but a great man also) at the Kings College Hospital in London (some 300 miles away ) under the NHS.

I have had a St. Jude mechanical valve and conduit.

I am really doing great - but only because all my worries and fears that I have had have been calmed by all the answers on this forum - I feel as though I know most of you as I follow your posts day by day.

I hope to contribute more to this forum in the future - but for now I would just like to say a big thank you to you all!

Andy
 
Hi Andy,

Glad you decided to post...'Better late than never'!

Happy to hear that you are doing well and wish you continue so for many years to come:) We'll be happy to read your posts.:)
 
Welcome to the family. I'm glad you found us and glad you decided to post.
 
Hi Andy, and welcome to VR.com, welcome to the other side of the mountain, and congratulations on your recovery. As another BAV/aneurysm fellow, it's a pleasure to meet you. I would like to suggest that aneurysms are probably not "caused" by BAV. The literature indicates that aortic dilation occurs independently of AV lesions in patients with BAV. It is likely that if you have BAV you will have other connective tissue disorders such as aortic aneurysms.

Best wishes,

Jim
 
Welcome to the forum! Glad you decided to post your surgery. Sounds like your doing great. Keep us posted how you are doing, have any questions ask away. It's the best place to be.
 
Welcome Aboard Andy -

I would question the Ejection Fraction (pumping efficiency) numbers your Cardiologist gave you.

From Wikipedia: "Healthy individuals typically have ejection fractions between 50% and 65%."

Elevated EF's (75%) are typically seen in
Highly Developed Athletes (think Bicyclist Lance Armstrong) or
Heart Patients whose hearts have been pumping against stenotic valves.

I'm still checking some of the many links to "Ejection Fraction" from my Search on GOOGLE.

Here's what appears on the Mayo Clinic Website:

"Because the left ventricle is the heart's main pumping chamber, ejection fraction is usually measured only in the left ventricle (LV). A normal LV ejection fraction is 55 to 70 percent. The ejection fraction may decrease if your heart has been damaged by a heart attack or other problems with the heart valves or muscle."

This was written on the website www.chfpatients.com:

"If your heart pumps out 55% or more of the blood in your left ventricle on each beat, you have good heart function. When it falls below 55% on each beat, you're slipping. That means your heart muscle is too weak to force as much blood out on each contraction as it should. Now, if your EF sounds bad, don't despair." ... goes into a case history of low EF and recovery...

And here is what the Cleveland Clinic website has to say:

"Ejection fraction is usually expressed as a percentage. A normal heart pumps a little more than half the heart’s blood volume with each beat.

A normal LVEF ranges from 50-70%. A LVEF of 65, for example, means that 65% of the total amount of blood in the left ventricle is pumped out with each heartbeat.

The LVEF may be lower when the heart muscle has become damaged due to a heart attack, heart muscle disease (cardiomyopathy), or other causes."

===========================

I think I like the numbers from the Cleveland Clinic...
they encompass ALL of the above definitions :)

Bottom Line: Your EF of 54% is 'just fine' and
the 75% number given as "Normal" by your Cardiologist
is clearly ABOVE the Normal Range defined by the Major Heart Hospitals in the USA (i.e. Cleveland Clinic and Mayo Clinic).

'AL Capshaw'
 
Welcome I hope all is well, and you continue to get along as well as you have been. :D
 
Hello Andy,

Welcome to the forum! It's a great group of people Sounds like you are doing just fine! We look forward to your posts in the future.

Take care
 

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