I certainly agree that if you are not serious about managing Warfarin and INR do not go on Warfarin. Many years ago, 1974, I suffered my one and only stroke while on Warfarin. The stroke was not because I knowingly mismanaged Warfarin......but it was due to not understanding the true importance of taking the drug as prescribed......and I became 50% blind and that blindness is with me to this day.From the publication:
.........if the patient is not going to be serious about the need to continue taking warfarin, probably best to stick a tissue valve in them, regardless of age.
To me it depends on the nature and reason for the VR. If its Bicuspid Aortic Valve (BAV) then if the surgery is done young then to me this makes a case that aneurysm is probably going to be a driver of the next surgery, of course we can't predict the timing of that. In my case an aneurysm drove reoperation (valve would have lasted longer) and that occured in my late 40'sYes, most should, so as to avoid repeat surgeries. But,
Chuck: i hear and know what you'r saying is oh so true, people are worrying about bleeding to death from what, a paper cut or something? for years though i had the same concern, and I should not have done so, live and learn. well, what happened to me was this. I was at work and slipped and fell, and yes, cut myself with a sharp knife that I had in my hand, well I didnt need stitches or anything but it was a pretty bad cut. I held it with pressure for as long as I could, and it stopped. And I am still alive to tell others of my story. I am saddened to hear what happened to this young lady, and had real bad problems. very sad!Like the nurse who confiscated my razor in the hospital and told me that now that I'm on warfarin I can't shave with a razor anymore, as I might bleed to death if I cut myself. I did not listen to her and had my wife smuggle me a razor in the hospital. And, I have continued to shave since then as well and I even cut myself once. I'm happy to report that I did not bleed to death, nor did I bleed to death when I cut my leg while gardening or when I recently bit my tongue.