I'm told my 4yr old aortic valve is deterioting

Posted by cautiousoptimism @cautiousoptimism, Aug 10, 2023

My open heart surgery in 2019 was successful with a tissue valve replacement for the aortic valve. This year's test reveals the valve is deterioting. Has anyone has it replaced twice? I am 80 years old.

Interested in more discussions like this? Go to the Heart & Blood Health Support Group.

Just had open heart surgery, my valve was replaced with a mechanical valve because I was told a bovine valve would last from 5 to 15 years and then 2 things might work 1st is maybe a TAVR valve could be used or open chest back up and put in new valve good luck with your decision.

REPLY
@davej

Just had open heart surgery, my valve was replaced with a mechanical valve because I was told a bovine valve would last from 5 to 15 years and then 2 things might work 1st is maybe a TAVR valve could be used or open chest back up and put in new valve good luck with your decision.

Jump to this post

My medical team didn't recommend a mechanical valve for me and didn't foresee early failure. I have no symptoms, so I'll continue to have an annual echo until the numbers indicate action. I'm very disappointed!

REPLY
@cautiousoptimism

My medical team didn't recommend a mechanical valve for me and didn't foresee early failure. I have no symptoms, so I'll continue to have an annual echo until the numbers indicate action. I'm very disappointed!

Jump to this post

I wish you well. God bless and have a great weekend. Dave

REPLY
@davej

I wish you well. God bless and have a great weekend. Dave

Jump to this post

I’m wondering why your doctor preferred a pig valve ( that’s what it was called in 2015) when I had my open heart surgery to remove my leaking valve and the surgeon recommended the mechanical valve.

He said that a tissue valve has around a 10 year lifespan and a mechanical aortic valve has a 40 year lifespan so I opted for a mechanical valve and have had nothing but a good ticker at every exam. That’s 8 years so far.

REPLY
@andytheman

I’m wondering why your doctor preferred a pig valve ( that’s what it was called in 2015) when I had my open heart surgery to remove my leaking valve and the surgeon recommended the mechanical valve.

He said that a tissue valve has around a 10 year lifespan and a mechanical aortic valve has a 40 year lifespan so I opted for a mechanical valve and have had nothing but a good ticker at every exam. That’s 8 years so far.

Jump to this post

I think it had to do with the blood thinner for life aspect of the mechanical valve vs bovine. We did expect the valve to last 15+ years, and for some reason the surgeon hardly considered the alternative. Perhaps it's my advanced age! It'll be a crap shoot to see how fast the numbers dip compared to any other health circumstances! I'm also a cancer survivor, GERD sufferer, the list is long! One day at a time....

REPLY
@cautiousoptimism

I think it had to do with the blood thinner for life aspect of the mechanical valve vs bovine. We did expect the valve to last 15+ years, and for some reason the surgeon hardly considered the alternative. Perhaps it's my advanced age! It'll be a crap shoot to see how fast the numbers dip compared to any other health circumstances! I'm also a cancer survivor, GERD sufferer, the list is long! One day at a time....

Jump to this post

Well, I’m 70 and in fairly decent shape but I’m beholden to blood draws once a week for life. Are you saying that a bovine valve doesn’t need INR and PT tests every week? I think I heard that somewhere as well.
I didn’t want surgery on my heart every 10-15 years. It was only done through open heart surgery in those days. Now it’s not necessary to open you up except for a few people and that TAVR or whatever it’s called is better. I didn’t know that in 2012 and neither did the number one heart valve surgeon that did my surgery.

So I opted for the mechanical one with a 40 year lifespan. If I need it replaced I would probably not be a good candidate for TAVR as that type surgery places a new valve over the old one by going through your groin.

My valve leaked and I don’t think placing a new valve over the old one would work. Anyway, it’s ticking away just fine.

REPLY

Yes, after the initial recovery period , I am only on 81mg aspirin daily, due to the bovine valve. Mechanical valves require blood thinner for life.

REPLY
@cautiousoptimism

Yes, after the initial recovery period , I am only on 81mg aspirin daily, due to the bovine valve. Mechanical valves require blood thinner for life.

Jump to this post

Yeah, I’m on 81 mg of aspirin a day plus Coumadin draws once a week and am on Coumadin for the rest of my life on a daily basis. Mechanical valves can cause blood clots so my Coumadin levels vary according to my INR levels.

REPLY

I am 92 and had a TOVA two years ago. I do not know about as a replacement for a previous valve, but it is certainly worth asking about. Operation was very quick, quite painless, and recovery time very quick.
Gina5009

REPLY
@andytheman

Well, I’m 70 and in fairly decent shape but I’m beholden to blood draws once a week for life. Are you saying that a bovine valve doesn’t need INR and PT tests every week? I think I heard that somewhere as well.
I didn’t want surgery on my heart every 10-15 years. It was only done through open heart surgery in those days. Now it’s not necessary to open you up except for a few people and that TAVR or whatever it’s called is better. I didn’t know that in 2012 and neither did the number one heart valve surgeon that did my surgery.

So I opted for the mechanical one with a 40 year lifespan. If I need it replaced I would probably not be a good candidate for TAVR as that type surgery places a new valve over the old one by going through your groin.

My valve leaked and I don’t think placing a new valve over the old one would work. Anyway, it’s ticking away just fine.

Jump to this post

the valve you have is probably great for younger candidates, but I was 90 and surgery was not a viable option. I had the TOVR. Very quick, quite painless, and a much better option than ""just wait and see". Recovery is very quick. I take a child's aspirin every day. No Coumadin. I do need some B.P. Medication. Hopefully, if I later need to replace this valve, there will be even greater progress in the replacement process, or at my age, I may just outlive the need.
Gina5009

REPLY
Please sign in or register to post a reply.