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I hope you are doing well. I am currently deciding between a repair of my bicuspid aortic valve and the Ozaki procedure. I am very interested in what your thoughts on the Ozaki Procedure are post-op. Thanks.
Bicuspid/aneurism. In the waiting room, getting scanned every three months, alternating an echo with MRI. After 40+ years of monitoring this, the doctors now say it's not a matter of "if," but when. Keeping myself in good physical shape to be ready for the day. Having read these and other forums for years, I'm now much at peace with it.
Why did you closed the board for sharing stories of beginnings. It would help people learning about how people learned about the heart problems and other health issues and why they chose to come to the Valvereplacement.org. I think it is nice to introduce ourselves and sharing the stories.
A
Angie
That forum is not closed just that one thread.
Warrick
Six month mark since TAVR on 1/17/19. After a few episodes of double vision, dizziness and stopping TOPROL XL I'm back to my post op self.... 25 mile bike rides, Planet Fitness every other day and continuing my Martial Arts (TKD) goal of Black Belt this year (now Pre Black Belt, 12 belts one to go). I had TAVR (Edwards trial program) with no symptoms.
W
Wayne
Since I'm in Trial for 10 years they don't know. I hear unverified that 10 to 15 years. Good news, if this one goes they could replace....
W
Wayne
8 months since TAVR, now experiencing slight dizziness at times... Should I be concerned ?
Duffey
Duffey
Didn’t you previously experience dizziness? I wouldn’t be very concerned.
Hi Duffy how are you doing? I remember you from years ago. Hope you are doing well. Nice to be on the VR replacement again. Blessings to you.
Duffey
Duffey
Thanks! It is good to see so many old, familiar faces around here! We are blessed to have a forum to share our experiences and friendships on.
Wondering if anyone with mechanical valve have a cat scan with and without contrast. Did you have to take antibiotics before procedure?
Also did anyone have a Cystoscopy ? Did you take amoxicillin before procedure?
I am concerned about infection.
V
vivekd
I've on-X mechanical valve in the aortic position and have done cat scan with and without contrast twice after my valve replacement surgery. I did not take amoxicillin before the procedure. However i take amoxicillin before teeth cleaning
Need advice on dental procedure for my daughter who has valve replacement. Extract or root canal ?? She’s been on amoxi for about 3 weeks and is still hurting, can’t open her mouth wide and very tender at jaw under tooth .. I am inclined to just pull them and not have to think about infection creeping back in
Duffey
Duffey
I don’t think either a dentist or oral surgeon will do an extraction until the infection is completely cleared. I would ask them what they advise long term. Extraction may be the best option.
Mitral Valve replacement 6/16 Northwestern University Chicago, Dr Patrick McCarthy
DDubs, new to the forum. Did you have the Ozaki Procedure after all was said and done?
Yes, I am back and once again in the waiting room. On 30 April, I expect to have TAVR and a new Medtronic CoreValve. It's sort of a bummer that the CE Bovine didn't make to event 10 years but these things do happen. If we could have controlled it, we would be here chatting. It is nice to see that there are several people still around whom I recognize.

Larry
rhight02@gmail.com
Hi, Don, if you are still reading responses, I would like to hear how things have gone with you. Later this month, my Cardiologist will place a Medtronic CoreValve in the ring of my Edwards Bovine Pericardial. So far, I've not encountered anyone with any experience of the Medtronic valve. Hoping to hear from you.

Larry in Tulsa
rhight02@gmail.com
Hi, Neo, I've read some articles now about NOTCH1. There are two versions of NOTCH1 identified so far. The normal one produces a binding protein that helps in wound healing. The mutated version does the same thing but it produces far more than is needed for healing. I can produce 50 times more. This overproduction of the binding protein appears to cause the calcification of aortic valves. The protein appears to cause calcification of any biological leaflets although more research will need to be done to understand the process better. If this is true, and one has the mutated form of NOTCH1, any biological leaflets are likely to calcify. If this genetic mutation does prove to be a major cause of aortic stenosis, then its unlikely that diet or exercise could have any significant effect on the progress of calcification. Fortunately, several groups of researchers are interested in tracking down the relationships of NOTCH1 to aortic stenosis. The group at Vanderbilt University is actually studying a new drug to treat rheumatoid arthritis when they realized that their drug shuts down NOTCH1. So, its possible in a few years and, maybe, not all that many years there could actually be a drug on the market to keep our bioprosthetic valves going for much longer.
Things are progressing more rapidly than on my first dance with valve replacement. I will have the inevitable heart cath this week and next week a CT Scan before the 2nd valve replacement later this month. Things have changed quite a lot in this past decade. For one, I'm now a candidate for TAVR. My Cardiologist's plan is to put a Medtronics Core Valve into the ring of my 23 mm Edwards Bovine Magna. He wants to use a slightly larger Core Valve so his plan is to "fracture" <boy, that's a difficult thing to think about> to fracture the ceramic ring of the Magna and insert a 26 mm porcine Core. He assures me he has done this many times and it works well.

Other things are afoot, however, in that there has been some surprising work done that may help everyone with a tissue valve in danger of calcification. Several groups studying various and sundry other things have come to find that a mutated gene [NOTCH1] may be the source or at least major contributor to valve calcification. The mutated form of NOTCH1 produces an amount of a binding protein that can be as much as 50 times normal. Many of the individuals identified with a super abundance of the binding protein have calcified heart valves. A group at Vanderbilt University came across this while studying a new drug (actually a monoclonal antibody) that they hope to market for people with rheumatoid arthritis. In the course of their research, they found that their "drug" shuts down the NOTCH1 so they had to follow the trail of bred crumbs to see what happens next and realized that the drug may prevent calcification. So its possible within a few years that, through this bit of serendipity, a drug could be available to help preserve our tissue valves.

And once again, thanks for your support.
Duffey
Duffey
Just seeing your post. Thanks for the information and good luck!
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