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    Hair loss from warfarin

    Hello fellow September-operated friend 😊, Hair loss and anticoagulation therapy seem to be related. i feel that for men it’s not a big deal as it can very well be normal aging, but for women it can be stressful. This might be an interesting read...
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    Redo valve surgery within a year

    Welcome Toffeelondon, The 7-year results of Resilia might be interesting for you: https://www.edwards.com/about-us/resilia-newsroom/commence To pellicle's point, an interesting statement of what clinicians consider a "young" patient: "The seven-year data from the COMMENCE aortic trial...
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    Early 30s, 3 strokes over 7 years of On-X

    In the past I spent lots of hours studying papers. Honestly I haven’t done it systematically enough but rather spontaneously. Topics that interest me: - valve selection (before I got my On-X I used to look towards studies of the Resilia, Osaki and Ross approaches, but most doctors I spoke to...
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    Joint Statement on Aortic Valve Replacement in Low-Risk Patients Issued by Society of Thoracic Surgeons and European Association for Cardiothoracic Su

    Happy to learn. 😊 I think my reverse engineering of the age groups is kind of ok, but my statement that aortic disease is an “elderly” disease is probably wrong. In the study they excluded all patients with bicuspid valves, which is the vast majority of patients getting the surgery below 60...
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    Joint Statement on Aortic Valve Replacement in Low-Risk Patients Issued by Society of Thoracic Surgeons and European Association for Cardiothoracic Su

    I have to retract my comment above as the clinical trial seems to have some interesting exclusion criteria eg Aortic valve is unicuspid, bicuspid, or non-calcified https://clinicaltrials.gov/study/NCT02675114 That means that they excluded patients with congenital aortic valve disease (among...
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    Early 30s, 3 strokes over 7 years of On-X

    This is an old topic, but somehow revived recently. I've read several studies that compared mechanical vs biological complications. It turns out that the risk of thrombosis is either the same or slightly higher with mechanical (~50% more). Risk of bleeding on the other side is significantly...
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    Joint Statement on Aortic Valve Replacement in Low-Risk Patients Issued by Society of Thoracic Surgeons and European Association for Cardiothoracic Su

    That's probably big numbers illusion (the study database has 42000 patients). 5.7 is one standard deviation. I round it to 6 in my example below. Assuming normal distribution (which is very likely not the case): ~34%: 69-75 ~34%: 75-81 ~14%: 63-69 ~14%: 81-87 ~2.5%: 57-63 ~2.5%: 87-93 Most...
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    Mental state before and after surgery

    Thank you everyone for your positive messages! :) Two weeks post-op I mentioned to the doctor I was worried about the pacemaker, and we tried to check and modify some of the settings. We ended up allowing a higher waiting time till the pacemaker kicks in (hysteresis). That resulted in a...
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    Mental state before and after surgery

    Hello from the other side, I had my surgery ~5 weeks ago. The surgeon replaced the aortic valve plus the semi-arch of the aorta with a combined ON-X 25mm + Vascutec graft. Overall the operation went well, besides my rhythm. A few hours after the OP I was already pacemaker dependent, as I...
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    Mental state before and after surgery

    Hi everyone, First of all I wanted to say I've been watching and admiring the amazing community in this forum for almost a decade, but this is my first post. It is comforting to see so many people here living normal lives after the surgery and offering their experiences. Thanks for being such...
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