S
singsong
My husband, aged 90, has been told that valve replacement is going to be the only real answer to his problem. He has diabetes which is well controlled with Lantus insulin, has been in atrial fibrillation on and off for about 10 years, and now has congestive failure. He is in remarkable condition for his age in every other way. Strong mentally, and still tries to be productive. He is surrounded with young people which has made it possible for him to continue doing what he loves best in life. He has an intractable pleurisy right now which seems to have weakened him a lot over the last six months. Does it seem prudent to pursue valve replacement as soon as possible for him with these risk factors present? Given his age, is it important to go to a large cardiac hospital?