Mechanical vs Tissue - need help deciding

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tom in MO

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Thanks for the responses. Interesting, I do have a gummy every now and then, but not sure the long term effects of thc? Of course, most sedatives have their side effects. Also I do have an air cleaner going at night, which acts like white noise. Very good suggestions, although I take advantage of them already.
A vape is instant delivery with an effect within minutes, as opposed to a gummy which needs digestion and takes a longer time to reach maximum effect and will leave your system by the time you wake.
 

newarrior

I have severe tricuspid aortic stenosis live in Ba
Joined
Jun 28, 2019
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Bangkok Thailand
I had my AV replacement 2 years ago at 49. I chose a mechanical valve on the basis that I did not want to endure another surgery or possibly two. That along with the accompanied degradation in health leading up to a tissue replacement and subsequent rehab. That being said I can hear my ticking and is both comforting and at times a somber reminder. Taking warfarin is a pain but it is what it is. I have had a few instances where the warfarin has come back to haunt me with treatment for other issues. It does limit my use of my old standbys to treat pain/inflammation but I have dealt with it. To me it still beats the prospect of surgery and rehab at least two more times.
How is your INR now ? Relationship with coumadin ? Ticking ? Any bad bruising or bleed outs ? Hope you are good Patrick !) All the best David
 

oo0My_Valve0oo

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This is sort of reassuring:

"Current consensus guidelines state that choice of either a bioprosthetic or mechanical prosthetic aortic valve is reasonable in patients aged 60 to 70 years, and that a mechanical valve replacement is reasonable in patients younger than 60 years without contraindications to coumadin."

I was 63. It was a quick decision for me to go with a biological valve. As I have stated here before, if I had known of this forum while deciding I probably would have opted for a mechanical valve. There is nothing I can do about things now except take care of myself as best as I can.

I am not worrying about a future surgery, yet. now that I have recently experienced a burst of rejuvenation I am feeling younger than I am again.
 
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Chuck C

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Dec 5, 2020
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This is sort of reassuring:

"Current consensus guidelines state that choice of either a bioprosthetic or mechanical prosthetic aortic valve is reasonable in patients aged 60 to 70 years, and that a mechanical valve replacement is reasonable in patients younger than 60 years without contraindications to coumadin."

I was 63. It was a quick decision for me to go with a biological valve. As I have stated here before, if I had known of this forum while deciding I probably would have opted for a mechanical valve. There is nothing I can do about things now except take care of myself as best as I can.

I am not worrying about a future surgery, yet. now that I have recently experienced a burst of rejuvenation I am feeling younger than I am again.

Yes, most guidelines in the world indicate that either a mechanical valve or tissue valve is a reasonable choice if the patient is between 60 and 70. These are not established arbitrarily, but are meant to give the patient the best chance at a normal lifespan, based on many studies and meta-analysis.
Nothing wrong with going biological at age 63 at all. Sort of a coin flip at that age, especially with the hope that the new anti-calcification tissue valves will last a little longer.
 

Timmay

Grandfather Clock
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Apr 22, 2022
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Frederick, MD
Yes, most guidelines in the world indicate that either a mechanical valve or tissue valve is a reasonable choice if the patient is between 60 and 70. These are not established arbitrarily, but are meant to give the patient the best chance at a normal lifespan, based on many studies and meta-analysis.
Nothing wrong with going biological at age 63 at all. Sort of a coin flip at that age, especially with the hope that the new anti-calcification tissue valves will last a little longer.

Agreed Chuck. If I were 63 I would have seriously considered an Inspiris Resilia tissue valve hoping for 10-15 years and also hoping for TAVR at 73-78 to get me to 83-90.
 
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