Hello everyone, I want to join the good-old mechnical Vs bio prosthetic valve debate with some info I got couple of hours ago. Long story short, male 34 yo, diagnosed with bicuspid aortic valve...
I'm a little confused, are you saying that aneurysm was the driver for the replacement or was there some functional impairment to the valve from "scar tissue" ... was this pannus?I chose the Medtronic hall mechanical valve for my aortic replacement in 1998. I was 46 years old at that time and did not want to go through another surgery later in life.
I just had the Mechanical removed and the Edwards Model 11500A implanted as a replacement two months ago yesterday. The mechanical valve was being monitored by my cardiologist with echocardiograms every six months. I should also say I also had an aneurysm at the ascending aorta that also demanded monitoring with regular CTs. Finally were at a point where a was sent to a teaching hospital who had a surgeon that specialized in re-do's. The issue with the valve was scar tissue related.
Yes it was the aneurysm that did ultimately triggered all. For 5 years I had been warned by my regular cardiologist that I would most likely need to go under the knife again at some point. My regular cardiologist told me either the aneurysm dimensions or level of regurgitation at the valve would trigger resolution for both. Eventually I had crossed the line between acceptable and not on the aneurysm. My valve at the time was graded as high moderate but close to the severe threshold. My regular cardiologist did perform an angiogram at a local hospital prior to referring me to the surgical specialist in the big city and said that end looked good with no blockages. When I met with the surgeon (who also repeated tests my cardiologist had done just weeks earlier echo and CT) said he reviewed the angiogram films and said that he would be doing a single bypass along with everything else. I went under thinking they would be doing the bypass along with the valve and aneurysm. When I came out of it after surgery the doctor said he "felt the vein" during surgery and decided to let it be....so much for high tech testing.Hi (and welcome)
I'm a little confused, are you saying that aneurysm was the driver for the replacement or was there some functional impairment to the valve from "scar tissue" ... was this pannus?