3. St Jude Trifecta 27mm tissue valve
With regards to valve selction ( tissue, mechanical etc), sometimes, to make an informed decision, there is more to consider, and you may have to be guided by the cardiologist. eg. If you choose a tissue valve, depending on your age, yu may require a REDO operation sooner rather than later, most people understand that. As opposed to a mechanicla valve that may last much longer. BUT, if your aorta is enlarged, or you require a coronary artery bypass graft (CABG), then a redo operation may or may not be more difficult (depending on what was done to the heart). Also you may or may not be a candidate for long term anticoagulation with warfarin etc, so other factors may influence which valve you might need. MY choice was quite straight forward, as it was a planned bicuspid aortic valve replacement, and due to my work I didn;t want long term warfarin, and the risk from a redo procedure in 5, 10 or 15 years is approximately the same risk as a first time procedure. However, there is also quite a lot of reaserch into alternative anticoagulation medicaltions, so warfarin may or may not be replaced at some stage inthe future...eg Pradaxa (dabigatran) may be show to be a suitable alternative for warfarin (not enough evidence as yet). Anyway, the decision as to which valve may be quite straight forward for some, but more complicated for others and if you demand a particular valve you may in fact be compromising your future options. Remeber, everyone's circumstances are unique, in their health, activity, lifestyle, comorbidities, cardiologist etc.