- Nov 4, 2012
- Queensland, OzTrayLeeYa
my present view on the topic is this:I’ve been advised to consider the bovine valve for now, and a mechanical one next time. The comment someone made about risks of each surgery does worry me, especially regarding the effect on cognitive function, so I think I have some more research to do!
I believe now (more so than I did 10 years back) that having a bio as your first intervention can be a good thing. Its good because it transitions you from being able to recite data to actually possessing experiential learned knowledge. You grok it if I may use that word.
During recovery you become aware of what all those words people said mean when over (say) 10 to 15 years you go through recovery, to yearly examinations, to eventually turning the corner when Structural Valve Degradation (SVD) becomes an actual in your personal face reality. I recommend you read this about SVD.
The mature heart valves are made up of highly organized extracellular matrix (ECM) and valve interstitial cells (VIC) surrounded by an endothelial cell layer. The ECM of the valves is stratified into elastin-, proteoglycan- and collagen-rich layers that ...www.ncbi.nlm.nih.gov
You'll experience it and I believe that if you don't experience it you may well always wonder if that was what really happened. When people close to me have died suddenly and unexpectedly there was always some nagging part of my personal unconscious half expecting to see them ... this went on for years. This never happened to me with those who I saw getting sick, went to sit beside them during Chemo, went through remissions with them and then eventually there was no remission and I went to see them in their last days at the hospital and finally went to their funerals.
So based on what you've said, unless you decided otherwise I would suggest that you get a bioprosthesis and consider it not just "kicking the can down the road" but part of your personal life journey.
Remember, my journey started when I was about 6, with all the hospital visits (which increased in frequency) and then an OHS at 10, a (then called) catheter examination (as the technology was introduced) of how the repair was going, then at 28 got somebody elses valve, then at 48 (with the development of an Aortic Aneurysm) chose a mechanical valve with my bental.
I've since learned a lot about all of that and what it entailed and what I was lucky to avoid. I did however have a bit of a bumpy first year after an infection from the OHS #3 emerged.
me, especially regarding the effect on cognitive function,
There have been a few women who have posted in this forum that they have had successful pregnancies while taking warfarin and/or with mechanical valves. Suggest you seek a second opinion on this, perhaps with a high-risk OBGYN, as this is a big decision.but my surgeon and cardiologist believe it’s probably too risky to consider pregnancy on warfarin.
My wife is on warfarin and stopped taking Levothyroxine (generic), not because of any known interaction, but because she experienced heart palpitations. She switched to Synthroid (brand) and the palpitations ceased.I also have an underactive thyroid and apparently warfarin and levothyroxine don’t work well together, but I’m yet to research this further.
I'm not even convinced that I'm the real Chuck C.How do I know you’re the real Chuck C and not just trying to trick us into a false sense of security?
I'm not even convinced that I'm the real Chuck C.
I've been reading up on Gilbert Harmon and am more and more convinced that I'm just a brain in a jar and all of you are just part of electrically generated imaginary memories.
I was going to shoot back, asking you how I know that you're the real Superman. Then I remembered that you presented photographic evidence that you went rim to rim at the Grand Canyon. Definitely the real Superman (at least as far as my imaginary brain in a jar universe is concerned )
Thank you! I will see if I can consult a high-risk ob gyn for advice! Cardiology don’t seem to have detailed knowledge in this area as I guess they see mostly older patients.Hey Zara, someone just posted that their wife gave birth with a mech valve - maybe you can pm them? I will try to find that thread since it’s recent.
I gave birth with a stenotic native mitral valve (did not know I had it prior) and that was extremely sketchy, bad option. I would agree to consult a high risk ob gyn (perinatalogist) as you decide what to do about your valve choice. They would have a better grasp on managing a mech valve pregnancy than a cardiologist would.