Life Expectancy After AVR

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cpt278

After much Googling ,there does not seem to be consistent data of life expectancy after AVR. Some say 10 - 20 years others say no change. ???
 
Some are saying that the new generation bio valves will last 20 plus years!! I do not think my AVR will play into the length of my life. If you need a replacement and don't get it, now that is a different story.
 
Here's the "official" formula to the best of my knowledge.

(Average national life expectancy) - (age at AVR)
 
The question that should really be asked first is "What's my life expectancy if I don't have AVR when I need it?". When you know that, at least the original question has some context.

Anyway, my Card said after I had the repair that there should be negligible impact on my normal life expectancy. However, he is wrong of course......I'll probably live longer than what my "normal" my life expectancy would have been if OHS didn't exist. :)
 
The problem with the vast majority of "life span after valve replacement" studies that I have seen is that they seem to take the age of the recipient as an independant variable. The vast majority of people who are having valve surgery as still over 60, so saying that they will have an average life span after surgery of 15 years is as good or better than what they would have had in the normal population. I've never seen a study on the average lifespan of somebody who is 20 after valve surgery. Of course, to prove a 60-year lifespan on somebody who was 20 when they had their valve implanted would require you to watch them until 2067 (assuming their surgery was this year). On the other end, I'm pretty sure that valve surgery didn't even exist 60 years ago, so there wouldn't be any case studies to even use to get that data.
 
Providing all goes well during surgery and your alive after it, you should expect to have a normal life expectancy.
 
When I had my surgery the docs told me that I WOULD NOT live past 40 without corrective surgery but that I PROBABLY WOULD live close to normal life expectancy with corrective surgery. In 1967 life expectancy was about age 73. I am now almost 72 and very much alive and kicking. Docs no longer pay a lot of attention to the valve. They now focus on colesterol, hi blood pressure, prostrate screening and all the other stuff that goes with "old age". My doc joked recently that sooner or later something would "put me under" but it problably would not be the valve.

On a serious note, life expectancy is shortened by inaction regarding a corrective treatement plan.
 
The easy answer is much longer than if you didn't have one. Especially when you are dealing with Aorta.
 
dick0236 said:
When I had my surgery the docs told me that I WOULD NOT live past 40 without corrective surgery but that I PROBABLY WOULD live close to normal life expectancy with corrective surgery. In 1967 life expectancy was about age 73. I am now almost 72 and very much alive and kicking. Docs no longer pay a lot of attention to the valve. They now focus on colesterol, hi blood pressure, prostrate screening and all the other stuff that goes with "old age". My doc joked recently that sooner or later something would "put me under" but it problably would not be the valve.

On a serious note, life expectancy is shortened by inaction regarding a corrective treatement plan.
Click to expand...

That's great to hear! Post surgery, I spoke with my surgeon and asked him how everything looked "in there". I was only 40 at the time (4 years ago) and he told me coronaries, heart muscle, aorta, etc. looked great and that although we all die of something, he said not to worry about the heart and focus an maintaining a healthy lifestyle. :)
 
multy - dependent

multy - dependent

Life expectancy after AVR is not a cheese in the market - it has no a constant value. Many factors determine the individual's outcome. Age, sex, NYHA class pre-op, ejection fraction pre-op, contractility pre-op, heart rhytm, left ventricular function, LV dimensions and volumes, ascending aorta's aneurism, coronary artery desease, high blood pressure and concomitant diseases (heart related or not).
It may range in a very long curve, depending on many many heart related risk factors and
VERY LESS DEPENDENT ON THE VALVE per se. :)

Ivo
 
Nancy's husband Joe was told he would not live past age 50 because of his heart and other conditions. He died at age 75 of multiple organ failure. His Heart and Valve were working JUST FINE at the time of his death. Note that he had had 3 Heart Surgeries and 2 Lung Surgeries in the interim!

'AL Capshaw'
 
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