- Feb 14, 2017
Things move along over time in another 5 years it could be that TAVR is the recommendation for 1st line treatment. However you cannot second guess yourself you made that decision at the time based on the most relevant information and your circumstances available at the time ( as did I )Hello again. It’s been a while since I’ve posted, but I read quite often. Something I read here recently is what’s inspiring me to write now. It’s about TAVR.
You see, I had my first BAV repair in 1993 at the age of 27, which lasted until 2007 when I had it replaced with a CE bovine valve. At the time, my surgeon told me that he recommends a tissue valve because “eventually” they’ll be able to be replaced through the groin (i.e., TAVR). So, naturally, the latest advancements in TAVR are of great interest to me, and most of what I’ve read is encouraging.
Some information I read here, however, from the pro-mechanical members is giving me some consternation. What with the TAVR is too much of an unknown quantity, so mechanical is the way to go sentiments—namely the increased risk of aneurysm with TAVR—I’m wondering if I made the right decision on my 2nd OHS to go tissue.
It’s been 11 years now, and my echo in January showed the valve is still holding up. My annual physical with my GP checked out fine, and my last checkup my cardio said the valve “sounds great.” Further, “it can last 15 or 20 years or longer. Until then, just live your life.” When I asked him about the latest he’s heard on TAVR, he said it’s not a certainty I’d even have a TAVR replacement; it may have to be traditional! TAVR is currently only for high-risk patients, and I qualify as one because of my multiple surgeries and that I had a TIA (mini stroke) prior to my second surgery. It’s not, however, a guarantee.
But the whole point of my going tissue was the prospect of TAVR. And now it may not even be an option. They may have to carve me open anyway, and that’s something I don’t want to go through again. The second op was really brutal, not just painful but also had a collapsed lung during recovery. The thought of a third OHS… Again, it seemed like the right decision at the time.
So, what is the point of this post? I’m not entirely sure. I imagine I’m like a lot of you out there: nervous, trying to stay positive, and live in the present and not worry about the future. But will my past come back to haunt me?? Perhaps some words of encouragement for this two-time OHS vet, now 52 years old and worried that his most important decision he made was the wrong one?