rangerscat said:
...I would really like to hear more from you and how you are doing with your choice of the tissue valve. I am really interested in hearing about your success and why you picked the tissue valve.
Hope to hear from you soon...
Hi John
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I've only had this new valve for a little less than four years; so far so good and I feel amazingly better with the new valve. I asked my cardiologist why some tissue valves fail sooner than others and he said that oral health is one big factor.
For many reasons, I didn't want to have a mechanical valve and I didn't want to be on Coumadin. That said, however, there is no guarantee that even if you go with a tissue valve that you won't have to take Coumadin, at least for a brief time. Lots of people have temporary post-op A-fib and have to take Coumadin for awhile after their surgery; I did too. I'm only on aspirin therapy now though.
There are a few members here that are quick to exclaim that Coumadin is no big deal. (Some of them have had their mechanical valves for 10 or 20 or more years and either weren't offered a valve choice then or the tissue valves weren't lasting as long then.) I was only on Coumadin for three months post-op and found it to be a big nuisance and I couldn't reach and stay in range no matter how hard I tried. You can browse through the Anti-coagulation Forum and see various experiences members have on ACT (anti-coagulation therapy).
The most recent comparison studies of life expectancy, which I think you can find on the "sticky" at the top of the Valve Choice Forum, show that the average survival of tissue valve people with re-ops is about a wash in comparison to the average survival of mechanical valve people with the possible complications related to anti-coagulation.
So valve choice can sometimes be related to what an individual personally feels is a better quality of life. But one of the downsides of the whole thing is that there are no guarantees. Tissue valves and mechanical valves fail sometimes. Sometimes sooner and sometimes later and sometimes there are other catastrophic medical issues related to the valves. Or
scatastrophic medical issues
...
Also read about the On-X valve. There is another procedure, a Ross procedure, which involves two simultaneous valve replacements but it may not be the best choice for a bicuspid who may have connective tissue issues.
Try not to feel too stressed as you ponder your choices and remember that there may be more than one correct choice for you, John; it's not really a "true or false" kind of choice. Also, be sure and find an excellent and highly recommended surgeon that you are comfortable with and tell him what you want and see what he says and ask him what kind of valve he would want if he were you.
Sorry for the novel
. Take care and post again.