Aortic Valve Choices

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Chuck C

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Wow - what a sad (untrue) statement .....
I have to agree with Nobog. What I see is lots of robust discussion, with members frequently citing the literature to support their positions.
 

Chuck C

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They need to change the name this website to "Mechanicalvalvereplacement.org. Because there is nothing unbiased about this site at all.
I disagree and would like to give you a rebuttal, by way of example:

A few weeks ago Captain Cavemen started a thread with the various options he was facing, various procedures, mini sternotomy vs median sternotomy, Ross, Osaki, tissue vs mechanical valve, ect. He is 51 years old. A robust discussion followed, with many members sharing their personal choice of valve and procedure and why, and giving their thoughts on the procedures he was facing.


Today he shared that he had made his decision to go with a mini sternotomy and that he chose a tissue valve, after consulting with his surgeon, family and friends. Regardless of whether they personally chose tissue valve or mechanical valve, all comments on today's thread are wishing him well and all will be there to support him. That's what a community does.

 
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cldlhd

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Chuck, at the risk of being an echo chamber I wanted to restate this and provide emphasis:



of course acknowledging that there are exceptions such as
  • women of child bearing age
  • people with known bleeding complications (diverticulitius comes to mind)
  • macular degeneration
  • unwillingness to comply with AC Therapy
  • legitimate concern of a requirement for a redo surgery in the next 18 years
  • preference for not having it done (and accepting redo-operations as a consequence)
From
Guidelines on the management of valvular heart
disease (version 2012)
The Joint Task Force on the Management of Valvular Heart Disease
of the European Society of Cardiology (ESC) and the European
Association for Cardio-Thoracic Surgery (EACTS

p31


These guys include cardiologists and the top of the top surgeons ...
Chuck n me in our Echo Chamber

View attachment 887934
I see you guys more like that.....😂
 

Attachments

Superman

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Interesting turn this thread has taken. I’ll just say it bothers me that this forum can or is being perceived as an advocate for one particular thing over another. I certainly hope we can all figure out ways to communicate to avoid that.

Speaking for most of the exchanges I’ve participated in, the goal has always been to communicate the realities of life pre and post AVR. So if people have questions or concerns, they can come here and receive first hand experience from a diverse group of people from all other the world.

We celebrate successes with people regardless of valve type. We congratulate people on valvaversaries regardless of valve type. We have community threads where we just chat about life with our good friend Superbob kicking off Staying the Course discussions.

Clearing up a misconception is in no way intended to be a negative judgment on another choice. It’s to help other readers who may make a different choice have good information from which to make an informed decision. The reality is, many of us just don’t fit the studies. Being among the youngest on here to have needed a valve replacement at 17, I know I’m an outlier.
 

pellicle

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I agree with your sentiment
I certainly hope we can all figure out ways to communicate to avoid that.
Its an age old problem that opposing views of the same thing tend to be regarded as personal transgressions.

1626055895153.png


One size does not fit all, and I've certainly had a few different sizes

1626056106313.png


so I guess it boils down to trying to second guess what each poster is seeking; comfort or growth.
 

Deepak khanka

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Guys which mechanical wall is out there in the matter and which one is better
Tissue valve resilia , how many years can one get? Any data ?
 

dick0236

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Guys which mechanical wall is out there in the matter and which one is better
Tissue valve resilia , how many years can one get? Any data ?
St. Jude mech valve has been around for a long time...... but most mech valves are designed to last your lifetime. They say that the resilia will last 20+ years.....time will tell.

I think a good rule of thumb is. If everything else is equal.....
....under age 60 get a mechanical valve
....60-70 it's a toss-up, however with a tissue valve you may need replacement around 80?.....that won't be fun.
....70+ get a tussue valve....odds are you won't need it replaced.
 

Deepak khanka

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St. Jude mech valve has been around for a long time...... but most mech valves are designed to last your lifetime. They say that the resilia will last 20+ years.....time will tell.

I think a good rule of thumb is. If everything else is equal.....
....under age 60 get a mechanical valve
....60-70 it's a toss-up, however with a tissue valve you may need replacement around 80?.....that won't be fun.
....70+ get a tussue valve....odds are you won't need it replaced.
Thanks you . Any comments on ON-x ?
 

pellicle

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Any comments on ON-x ?
a recent discussion on the topic and including it here.

I would caution on following the INR < 2.0 protocol without
  1. do not aim to be on 1.7, aim to be 2.3 (and well ... whoopdie do)
  2. weekly testing (because you don't want to drop low)
  3. make sure you are also taking aspirin (because that's what they did IIRC)
 

dick0236

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Thanks you . Any comments on ON-x ?
I would expect that the ON-x is a good valve. I do think that ON-x tries to make too big of a deal about their low INR claim. I had a stroke a long time ago (1974) because I became lax and let my INR (altho we called it PT back then) and let my clotting time get too close to normal. Even with an ON-x I would not let my INR get below 2. It ain't worth the risk. My INR range has always been 2;.5-3.5 without any problems.......whatsoever.
 

jlcsn2015

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Yeah, best car in the world was the Ford T-Bird , is it now ?, everything changes as humans understand the secrets of the world; so what was best 20 years ago, is not best now; The first this and the first that means nothing in practical terms in comparing mech valves, and as far as Tissue Valves, not a problem either; as long as you can plan and absorve how many times you will be back at hospital you be happy, that is basically the Question, to be or not to be, Repeat or not Repeat; and yes, $$$ Recurring Revenue for Tissue makers is also a fact, In my point of reference, does not need to be right, nor the one, nor the only true about this, jus the way "I" see it, after all we are NOT in Communist China and do not have to do what the new MAO says,
 
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