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  1. W

    Can doctors insert a larger Mechanical valve on later surgery? My first AVR was a Porcine 27mm, Current is a Bovine 23mm.

    My experience was the mitral position. First a repair that solved a valve leakage problem but made the valve too small, then 6 mos later a mechanical valve was installed. I've always been a distance runner so, like you, from the time I had the valve work done I have always clearly noticed...
  2. W

    AV Node Ablation

    My first ablation for AFIB was done at the University of Michigan by Dr. Morady ~15 years ago. Something you are likely aware of, is that is very common for AFIB to return. Ablations often/usually? are not getting to the root cause of the arrythmia .. . i.e. what is causing the abherent...
  3. W

    AV Node Ablation

    Yes. In my case, cardioversions nor medications had any impact. My recollection is about a dozen shocks and 4 or 5 drugs over about a 4 month period when I first had afib. Nothing had any impact. Once it turned on, it was on . . . . until the ablation. When the flutters showed up a decade...
  4. W

    AV Node Ablation

    I have a mechanical mitral valve (at age 50) and had AFIB a few years prior to that. When my AFIB developed, it never 'turned off' until I had an ablation. Ablations are generally done through the veins so there is no comparison (surgically) to open heart work. AV node ablation essentially...
  5. W

    Severe Aortic Regurgitation Leading to Second Surgery

    My experience is with the mitral valve. There are some major differences between the valve positions that are less frequently discussed. For simplicity, I like to think of the mitral valve as the pump inlet and the aortic as the pump outlet. In my case I first had a leaky mitral valve...
  6. W

    Decision made....nearly

    I'll share a couple thoughts on #1 as I had both. Just over 9 years ago I had a minimally invasive mitral valve repair and that was followed ~ 6 months later with a full sternotomy mitral valve replacement. [note: I was/am an endurance runner. The repair was to address a deteriorating...
  7. W

    My 15 yo daugther - soccer dreams on warfarin

    Here's a Bosch article that I thought was "relatively" rational. I recall paying attention to this over the couple of years he was fighting with his employer (NBA) because my personal experience was also with a DVT that moved to the lungs. My recollection is that he played for Toronto before...
  8. W

    My 15 yo daugther - soccer dreams on warfarin

    Henkac: I agree with you about being a crazy dad . . . and I mean that as the highest of compliments! I'd also say your English is better than my American! If you have not already, you may want to investigate general antiacoagulation in athletes [e.g. Athletes and Anticoagulation: Return...
  9. W

    My 15 yo daugther - soccer dreams on warfarin

    Hi. I'll share a couple anecdotes as food for thought. As an intro, I've been on warfarin for almost 20 years . . . about a decade before my mechanical mitral valve went in. It was initially for a pulmonary embolism. I recall the hematologist who first prescribed home monitoring for me...
  10. W

    Dosing after colonoscopy

    As I had a colonoscopy last week and literally have my anticoagulation instructions in front of me, I will share in case they are helpful . . . . - Last day of Coumadin: 10/13/21 in the evening [note: I am quoting the instructions but I am actually on the generic at 3 mg/day] - Start...
  11. W

    any one with this scar !!!

    I've got a scar like that but it's on my left. This was from my first surgery which was minimally invasive (mitral repair). For minimally invasive, the groin area is a good access for the bypass as MdaPA notes. I also had a good sized hematoma afterwards. About the size of a tennis ball...
  12. W

    Post Surgery Timeline

    Good advice above; however, I will share my tractor specific individual experience. Key of course is that everyone is different and it is absolutely best to err on the side of conservatism if there is any doubt. My first surgery was in May and I know I was on my tractor moving logs in week...
  13. W

    COVID Long Hauler Looking for Help

    I'll offer an opinion on EP's as I have worked with several over the years and have had ablations at 2 different centers. I would not be terribly bothered by an EP not using a stethoscope. They are working on the heart electrical pathways which often are not going to yield a useful audible...
  14. W

    How soon will work & driving resume after AVR

    I was ok'd to drive at 3 weeks. Something my surgeon said that I had not considered was "just make certain you do not have an air bag deployment into your sternum". I did drive without incident. Well, I did make one mistake at a gas station. It was on the way for an errand so I filled up...
  15. W

    Dosing Question

    Agree completely. I have never used anything but 2 mg tablets for a 3 mg daily dose so I have a split 100% of the time over many years. Never considered the ingredient distribution within the pill. However, I just split by hand and it is not unusual to be able to visually see that my two...
  16. W

    Dosing Question

    As a fellow 3 mg/day user, I'll offer/second a couple comments. I was started on warfarin about 20 years ago after throwing some blood clots. The hematologist told me to expect to be on warfarin for life and prescribed me a meter. I subsequently had some AFIB and then 8 years ago received...
  17. W

    Longevity and quality of life

    Regarding Flying: My path to anti-coagulation was a bit different because I was on warfarin long before my mechanical valve. It was first for blood clots (one went to my lungs) and later on it was for AFIB. But until I retired a couple years ago, I was regularly flying 100k miles/year. If...
  18. W

    Deciding whether to have Mitral Valve Repair/Replacement Surgery

    A little bit of a challenge to answer how I "feel" because I was asymptomatic. So a couple of thoughts: - As a lifetime runner, I could tell that my race performance was deteriorating. Trouble is, I was almost 50 . . . times had been deteriorating for 20 years! I believe running was...
  19. W

    Deciding whether to have Mitral Valve Repair/Replacement Surgery

    Been thinking about sharing on this as I too was asymptomatic at 49 when my cardiologist (and subsequently also the surgeon recommended repair of my mitral valve (for regurgitation). But looking back and 'what iff'ing' . . . . I still always come back to confirming that proceeding was the...
  20. W

    Ross procedure or mechanical aortic valve for reoperation

    The warfarin "issue" is my understanding as well. A recent (11/20) from Marey & Said (U of Minnesota) concluded "Ross Procedure After Previous Aortic Valve Repair in an Adult" with this sentence : "Finally, the Ross procedure remains the best procedure for young patients with active...
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