Medtronic Mosaic

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cp172

Well-known member
Joined
Dec 25, 2007
Messages
585
Location
Middle Ga.
Hi Guys,

My surgeon has told me that if he can not repair my mitral valve he wants to put in a Medtronic Mosaic (tissue) valve. Anyone have comments on this valve? Anyone have this valve? Thanks a bunch for your thoughts.
 
A few of us here do. I've only had mine--in the aortic position--for 4 1/2 years. No problems yet. Feeling very well overall :) . Hopefully others will reply also.
 
It's one of the Big Three in US-available tissue valves. The Medtronic Mosaic (porcine), the Carpentier Edwards Perimount Magna (bovine pericardial), and The Medtronics Freestyle (stentless, configurable porcine with root). At some point in time, St. Jude may enter that group. Right now, they're not approved for use in America, and I've not seen long-term data regarding their working life expectancy.

I have a heavy heatbeat which causes continuing high transvalvular pressures, and my Mosaic has been hammered hard since it's been in, yet it's performing fine.

Each of these valves has a lot going for it, all are treated to have anticalcification properties and to reduce damage during tissue preparation.

It should help you to do an Advanced Search on these valves on this forum, as a lot has been written about them.

Best wishes,
 
Thanks Susan and Bob,

I appreciate the info.I will do a search and see what other info is on this site. Can you explain the term "stent"?

Again thanks for the response.:)
 
A stent is a slim, usually plastic band that is enclosed in a sleeve at the base of a tissue valve. It holds the shape of the valve, much the way those thin, clear, plastic pieces hold the proper shape of a new shirt's collar before you open it.

A stent can take up a small amount of the opening of the valve, so stented valves are often implanted slightly above a slight ridge where the natural valve is situated to offset any opening size loss. This is called supraannular positioning.

Stentless valves usually replace a part of the aorta as well as the valve itself, as that's how they hold their shape.

Although it's always good to search for independent information on the web, there is also discussion previously placed in this forum, so an advanced search for these valve names should get you some good data right here.

Medtronic and Edwards sites:
http://www.medtronic.com/cardsurgery/therapy/valve1.html
http://www.edwards.com/Products/HeartValves/PericardialCategory.htm

Best wishes,
 
Go for it.

Go for it.

I have this valve, and I think you should be fine with this. Mine happens to be faulty, ( I still have it - No re surgery planned - still does the job - just a bit breathless) And I figure that if I have a faulty one, other peoples should be fine as the chances of a faulty on are VERY slim. LOL

This does come as a highly recommended valve and of course there is a good chance of no drugs, although this can not be guaranteed.

Good luck with everything

Lotti
 
Bob ...Thanks for the info on stents and web sites.
Lotti..Sorry your valve is misbehaving. There are no plans to repair it?How long you had it? What drugs are you on?

Thanks for sharing info with someone who is still a newbie.:)

Gob bless,
 
Hi CP
I have had it in the aortic position for 6 and a half years. Worked great until autumn and then it seems to have been a lot of calcification - I am in for replacement on wednesday. It seems like younger people wear out the tissue valves faster - my surgeon was not happy to see it fail so fast. It is though one of the better valves and I really have not felt anything beeing wrong.
You will feel great - for me I have not even considered myself sick - no medication and I have been able to do whatever I feel like.

All the best,
Swede
 
Thanks Swede,

I just read your post on another thread and wondered what happened to your valve. I will be thinking of you on the 30th.Keep us posted on your smooth recovery!

God Bless
 
medtronic mosaic

medtronic mosaic

I have one in the aortic position. The surgeon told me it was the valve he'd choose for himself, so I went with it. On an echocardiogram machine in September I watched it opening wide and closing, opening wide and closing... an extraordinary sight, and I'm a believer.
 
TobagoTwo really has the knowledge on these valve types -- glad to see he has weighed in. I will just chime in that I have one of the three he mentioned, the Freestyle, and am doing well with it three years in (knock on wood). :) Good luck and best wishes to you....
 
Glad you're well enough to be at the computer, Marie.

Regarding Swede's experience with the valve, I would point out two things:

Swede was 36 or 37 when he received the valve. That is a young age for a tissue valve. The younger you are, the faster you will calcify it. It was also six and a half years ago, which was before the anticalcification treatments were being used on the valve. I'm not saying the valve would now last for fifteen years on a 36-year-old (we don't know if it would, but I have my doubts). I am saying, however, that Swede's circumstances would stress any tissue valve almost to its limits. In my case, I have an overly aggressive heartbeat, with a very high pressure gradient across the valve, and I don't expect my valve to make the normal lifespan either. The only situation I would think more demanding is pregnancy, an issue to which I believe Swede and I are immune.

If you are in your mid-fifties and beyond, you can expect a much longer life from a tissue valve. Once you reach traditional retirement age, the valve life seems to reach its maximum potential. That would range from 18-25 years, depending on which valve and which statistics you want to believe. Edwards has projected that their current valve should last on average up to 25 years for that age group. That's just their supposition; the actuality remains to be seen. They do have valves reaching the 23-year mark now, and they were valves manufactured before anticalcification treatments were developed, so that is a hopeful sign. However, 23 years is not the average lifespan of those valves: it's an age that some of them are reaching.

Importantly, there is also another difference between your valve problem and the ones Swede and I have. You are having the valve put in the mitral position, which is more a higher-calcification position for the valve. Ours are aortic replacements. Tissue valves traditionally do not last as long in the mitral position, by about three to four years on average for a 65-year-old patient, using slightly old numbers.

I'm also confused by your lead post, as it refers to you getting an On-X, which is not a tissue valve. There's nothing wrong with that. It's an excellent choice. The mital version of the On-X is relatively new, but the quality of the pyrolytic carbon and the advanced fluid engineering put into the aortic version bode extremely well for it. The trade-off is Coumadin use, but depending on your age, the greatly increased likelihood of no further surgeries may be preferable to you.

Best wishes,
 
Thanks for all the posts guys!

tobagotwo..Originally my surgeon recommended a Medtronics tissue valve if he could not repair the mitral valve (gave me 85% chance of repair). After a reveiw of a new echo he doubted that he could fix the valve (10% chance at best) and recommended an ON-X if he could not repair the valve. During surgery he was able to repair the valve:) . Sorry for the confusion.
 
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