Surgery in March 2025. St.Jude???

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kobaha21

Active member
Joined
Oct 27, 2024
Messages
30
Location
Croatia
Hello.
Status: Aortic stenosis with biscupis aortic valves.

3 days ago done echo or ultrasound. AVA 0,7 cm and Ejection fraction LV 60%.

2 month ago my AVA was 0,5 cm and ejection fraction 54%....

How it is possible that after 2 month my AVA and EF is better???
I use every day Q10, K2D3 and Rizolit(for colosterol) 2xday.

BUT! Pressure Gradient go from 112 to 119.
I have agreement with my cardio surgeon that I must change aortic valve!
And I will. He will done mini thoracotomy 5,6 cm cut that I will pay(that do that in my clinic) (price is private). It's not OHS. Just little cut. He is one of the best mini thoracotomy surgeon. We have a deal and now question about valve.

Only valve is St.Jude they put. On-x not.

I read about On-x that is much better and new stuff but S.Jude is legend.

Any personal experiences about those the valves.

And I don't have any simptoms of aortic stenosis. I considering not to go to operation. What I made mistake and that put me mechanical valve with no reason because I don't have simptoms and feel good and healthy. Even my echo is better. Maybe for 4 months calcifications in valves disappear forever and AVA goes to 1 cm? Ejection fraction is higher than 2 months ago

Tnx .
 
I read about On-x that is much better and new stuff but S.Jude is legend.

Any personal experiences about those the valves.
I am glad you are getting your surgery planned. Excellent!

I have an On-X aortic valve which is excellent. My surgeon decided which mechanical valve to use because he is the expert. My surgery was at Mayo Clinic in Rochester, Minnesota, USA. They use both the On-X and the St Jude valves. They told me that some surgeons (including my surgeon) prefer On-X valves, and other surgeons prefer St Jude valves.
 
I read about On-x that is much better and new stuff but S.Jude is legend.

Better? How is that quantified? If one happened to have a OnX implanted then the OnX is "better".

Most of OnX's claim is that they are "newer" - doesn't make it "better".

I own a Chevrolet - it's much better than a Ford.

Your doctor may be an expert in the implantation of the valve but they know very little about the mechanics and flow thru any artificial heart valve.
 
Better? How is that quantified? If one happened to have a OnX implanted then the OnX is "better".

Most of OnX's claim is that they are "newer" - doesn't make it "better".

I own a Chevrolet - it's much better than a Ford.

Your doctor may be an expert in the implantation of the valve but they know very little about the mechanics and flow thru any artificial heart valve.
Hehe.Yes. I have Chevi(Aveo)😂.

I
 
Hello.
Status: Aortic stenosis with biscupis aortic valves.

3 days ago done echo or ultrasound. AVA 0,7 cm and Ejection fraction LV 60%.

2 month ago my AVA was 0,5 cm and ejection fraction 54%....

How it is possible that after 2 month my AVA and EF is better???
I use every day Q10, K2D3 and Rizolit(for colosterol) 2xday.

BUT! Pressure Gradient go from 112 to 119.
I have agreement with my cardio surgeon that I must change aortic valve!
And I will. He will done mini thoracotomy 5,6 cm cut that I will pay(that do that in my clinic) (price is private). It's not OHS. Just little cut. He is one of the best mini thoracotomy surgeon. We have a deal and now question about valve.

Only valve is St.Jude they put. On-x not.

I read about On-x that is much better and new stuff but S.Jude is legend.

Any personal experiences about those the valves.

And I don't have any simptoms of aortic stenosis. I considering not to go to operation. What I made mistake and that put me mechanical valve with no reason because I don't have simptoms and feel good and healthy. Even my echo is better. Maybe for 4 months calcifications in valves disappear forever and AVA goes to 1 cm? Ejection fraction is higher than 2 months ago

Tnx .
 
I had aortic stenosis and had surgery many years ago to install a St. Jude valve in Boston. I do know that only 25% of people getting a mechanical valve live as long as I have. The need for daily blood thinners is not really a problem, and neither are regular INR tests.
 
Valve installed July 3, 2007 at Beth Israel in Bodton. As for the 25%, I just got it off the Internet. Google " Percentage of people who have lived 17 years with mechanical aortic valve."
 
Google " Percentage of people who have lived 17 years with mechanical aortic valve."
But ... Google doesn't do medical research. What is the source of the statistic you quote? I apologize if I am being obnoxious. However, I think it is important for all of us to list our sources when we state a fact so that others can do their own research. Think of a person who was just told they need surgery, and they come to this forum to start their search for answers.

I did Google "Percentage of people who have lived 17 years with mechanical aortic valve." I didn't find a clear answer to this question.
 
Who really knows how long a valve will last? When I got mine the docs told me it had a 50 year life in testing outside the body. Mine has already lasted over 57 years with no failure in site. So much for life span testing.......even tho its durability is well documented my valve was taken out of production, after 800,000 inplants, in 2007 for other reasons......part of the reason was with the "ball-in-cage" design, but also I suspect, was the manufacturer became very involved in the "tissue valve" market.

St. Jude has a long and well-documented history. Onyx has a good history although their low INR target is still suspect.

Valve life is somewhat of a crapshoot for each of us, but normally, the life of a mechanical valve is much longer than 17 years. It is extremely difficult to wear out a mechanical valve, and failures are usually due to other conditions.
 
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As for the 25%, I just got it off the Internet. Google " Percentage of people who have lived 17 years with mechanical aortic valve."
Hi Yankeeman2. This figure is not supported by several studies which I have read. Also, such a figure without taking into account the age of the patient or comorbidities is meaningless. A lot of patients who received mechanical valves in the 1970s, 1980s and 1990s were over 70. For such patients the number living more than 17 years after their procedure will be low and skew the statistics, giving the appearance that there is a low life-expectancy after SAVR.
 
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