Valve replacement

What is Valve replacement?

Valve replacement surgery is the replacement of one or more of the heart valves with either an artificial heart valve or a bioprosthesis (homograft from human tissue or xenograft eg from pig). It is an alternative to valve repair.Traditionally, repair or replacement of heart valves has involved open-heart surgery.Newer, less invasive techniques have been developed to replace or repair heart valves.

Questions and answers on "Valve replacement"

I have moderate aortic stenosis that is getting worse I am a hiker and have a hard time walking up any hill , I have bicuspid aortic heart valve. I would like to go back to normal activity . I am 62 should I consider heart valve replacement and if so which type pig or artificial

doctor1 MD

Brief Answer:
Valve replacement therapy should be considered.

Detailed Answer:
Hi,
Thanks for posting on this forum after going carefully through the details given by you i woud say that if aortic stenosis is symptomatic especially if any of the three symptoms are there like-
Angina-Chest pain...

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Thank you. I am male, 66. I had my calcified aortic valve replaced (bovine) at age 62 via open heart surgery. Now only 4 years later it has recalcified. I hope to have it replaced via TAVR in the next few weeks. I have read that aortic valve calcification may be caused by the loss of the protein MGP which is dependent on the vitamin K2. I do not smoke, do not have hbp, and exercise regularly. Would you recommend vitamin K2 supplements?

doctor1 MD

Brief Answer:
Not recommended for you. I will explain.

Detailed Answer:
Hello welcome to HCM. I have read your question and understand your concerns.

Vitamin k2 supplements can reduce vascular calcification, reduce the incidence of prostate cancer and also reduce bone fracture according to newer...

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I am having aheart valve replacement in 2 weaks, I was told to stop taking Plavix. should I and why XXXXXXX

doctor1 MD

Brief Answer:
Plavix increases chances for bleeding complication

Detailed Answer:
Hi XXXXXXX

Plavix is a blood thinner drug, which makes it difficult for the blood to get clotted, prolonging the time of hemorrhage (bleeding).

Your cardio-surgeon has asked to stop it before the surgery, it was...

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hello doctor,
i am XXXXXXX from XXXXXXX .i have some doubt about that is my mother 68 years old ..she have.proximal basilar artery stenosis approx80%
severe calcific aortic vale stenosis
diabetes mellitus
hypertension

next
neurology
right ICA : non significant stenosis of right ica origin'(30%)
right ECA : NORMAL
LEFT ECA : normal
left VA : Dominant'Diseased intracranial segment of vertebral artery <50%stenosis)
proximal basilar artery stenosis =70-80%
please tell me can do aorta valve replacement at these condition?plz help me

doctor1 MD

Brief Answer:
Aortic Valve Replacement is very Risky. It can be better avoided in this scenario

Detailed Answer:
Hi,

Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you....

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I suffer from hypotension. Blood pressure 70's, 80's. What can I do for severe low pressure Sunlight bothers my eyes and I find it difficult to function. Had an heart valve replacement and was better a few months, but now I'm back to this problem,

doctor1 MD

Brief Answer:
I need more information

Detailed Answer:
Hello,
I am Dr.Rajesh Teli,MD.
I have gone through your query.Thanks for using HCM.
I need more information about your hypotension.kindly provide following details
1.this level of 70 or 80 is systolic or diastolic ? When we say BP is...

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Here is my story. I had a CT with contrast to evaluate my heart for upcoming Aortic Valve replacement. This past Sunday I was reviewing my medical records for the surgeon appointment and noticed they found nodules on my Thyroid. Never was I told by the cardiologist and the test was ran a month earlier. When I went into the surgeon he said that he would not perform the surgery until we know the thyroid concenrs because it can affect the functions of the heart. I then saw my internal medicine primary and had labs ran and for TSH T1 T2 T3 T4 and all were normal. He sent me to the hospital for an ultrasound. They found a nodule on my Ithsmus and on my left lobe. I saw an endocrinologist yesterday. She was referred to me but I found out she has only been in practice a year. She did an ultrasound and said the one on my Ithsmus is an Echoic Primarily solid nodule and it measured 2 cm. the one on my left lobe was also Echoic but not as solid. I asked her risk of cancer and she said the left was not a concern but the ithsmus was suspicious for cancer and she gave it double the odds that it was. She said it is very treatable but she also said that I had several other nodules under 1cm throughout my thyroid. She said either way she would recommend that I remove my thyroid due to future risks even if not cancer. I fought the hospital and she supported me in getting a stat biopsy knowing I have open heart surgery scheduled. They are getting me on Monday and I should have results by Wednesday afternoon. My questions...Should I do heart surgery first or the thyroid surgery if cancer? If not cancer I would think do heart surgery first. She did an ultrasound of my lymph nodes and said she didn't see anything which is good. I also have a second opinion Endocrinologist appointment on Monday so I need to know what to ask. What scares me is we would have never known I had them if my CT was not done. They said they are slow growing by 2cm is big which means they have been there for awhile right? What are odds if they are cancer that they spread to something else if there for awhile? Based on description of what I gave you - she said solid had a halo appearance around it would you suspect it is cancer? Next questions....can you have an aortic mechanical valve with no thyroid? What would the affects be on the heart especially if I have it removed after heart surgery and its newly functioning? Please let me know and also do you recommend removal of the thyroid even if benign? Also will idione radiation affect my heart valve either now or when I have it in the future and will idione attack the heart? ALso can you take Coumadin with Thyroid meds and what are the contradictions for long term use a it woud be 40 years if I lived a full life and what is full life expectency with both of these? Can you ask a specialist for Endo and Cardiologist? Thanks!

doctor1 MD

Brief Answer:
Nodule seems bening

Detailed Answer:
Dear Mrs,

From your description nodules seem benign. If lymph nodes are intact, it is good sign. Anyway biopsy is obligatory. If you were my patient at first I would perform thyroid biopsy and check serum TG and anti-TPO antibodies. If the...

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i am late diagnosis rheumatic fever.i actually had it,aged six months.my gp said measles,my mum argued, my said no..she was infectious disease trained...ten years ago,my gps took no notice of blackouts,faints etc. i feel cheated of life.i have had mitral valve replacement over a year ago. i have no cardiac appt,this year.should i be seen? at least yearly? i am an ex casualty nurse!

doctor1 MD

Brief Answer:
yes, annual check up is good idea

Detailed Answer:
Hi XXXXXXX
Read your query
Will try to help answer them

Noone will ever refuse a visit to a doctor.
An annual checkup is a good idea for more than one causes,
especially after the age of 40 years.

About your cardiac conditions, keep...

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Hi Doctor Mannish,
I'm back again to ask you a question iv always wondered about, basically i want to ask you that when i get my periods its heavy for two days and then it goes very less like spotting, i wanted to ask is that normal?
I'm sorry you must be thinking why I'm so particular and why I'm worrying. could it be because of thyroid`? but very long ago i used to get for 3-4 days then it went up to 5-6 days but it is very little i don't know. is it anything to worry about/

my family and friends get them for like 5-8 days so hence why i was wondering

thank you
and sorry for the inconvenience

doctor1 MD

Brief Answer:
Nothing to worry

Detailed Answer:
Hello afsheen, there is nothing to be sorry about asking anything anytime, I'm happy to relieve you from all your anxiety before your marriage.
It is very common to have alteration in pattern of bleeding over time but in case you are still anxious...

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My 87 year old mother has just had an heart valve replacement and post operative brain scan shows she has had 2 episodes of left sided weakness consistent with a TIA. A CT head showed subacute nonhemorrhagic infarct affecting the left ACA territory. She has temporary memory lapses. Mum lives in England and I live in Australia. Should I get home asap?

doctor1 MD

Brief Answer:
I recommend an MRI

Detailed Answer:
Hello. I have been through your question and understand your concern.

The heart valve replacement is associated with some risk for cardioembolic brain infarcts, that is why she is under Warfarin wich is an anticoagulant to prevent such...

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I am anemic due to hemolytic mitral valve problem arising from mitral valve repair. How can I increase red blood cell production?

doctor1 MD

Brief Answer:
iron supplements can help

Detailed Answer:
Hi
Thanks for your query.

Hemolytic anemia from mitral valve repair is uncommon. It occurs more commonly in prosthetic valve replacement. Hence the exact treatment is not known. What is the hemoglobin level in you?

Sometimes, iron...

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Recent questions on  Valve replacement

doctor1 MD

Doctor, I am Anisha,26 years old, height 169 cm, weight 65kg. Working as Software professional in Bangalore. I had undergone PDA surgery when I was 3 yrs old. I got married 6 months back and got pregnant in last June. During the routine check up for the pregnancy, it was found that, I have SEVERE AS and MILD AR. And doctor advised me to terminate the pregnancy and prescribed immediate Aortic valve replacement surgery. After this, we consulted another doctor and he also came to the same conclusion. We did MTP on June 11th, and after this I got normal periods on July 9th. My next appointment with the cardiologist is on 19th August. Based on the ECHO and ECG, they said, we can fix the date of operation. Doctor has opted, BIO-PROSTHETIC AORTIC VALVE REPLACEMENT. In the last two months, our life was much changed by hearing all this. Abortion and operation, tension, grief everything. I would like to know Doctor, I donĂ¢??t have faced any problem in walking or climbing steps, cycling or anything. I was leading a normal life. After this operation, would we be having any problem with conceiving again? Please take this as my request and please let me know will this operation cause any problem in having children and leading a normal life.

doctor1 MD

Pt had open heart 20 days ago for mitral valve replacement and pfo closure. Pt had hx CHF as well. Pt has had chronic nausea, vomiting of bile, white foam, dizziness and no Bm for 1 wk. All this is preventing her from physical healing and resulting in weakness, weight loss. Suggestions?

doctor1 MD

I had undergone PDA surgery when I was 3 yrs old. I got married 6 months back and got pregnant in last June. During the routine check up for the pregnancy, it was found that, I have SEVERE AS and MILD AR. And doctor advised me to terminate the pregnancy and prescribed immediate Aortic valve replacement surgery. After this, we consulted another doctor and he also came to the same conclusion. We did MTP on June 11th, and after this I got normal periods on July 9th. My next appointment with the cardiologist is on 19th August. Based on the ECHO and ECG, they said, we can fix the date of operation. Doctor has opted, BIO-PROSTHETIC AORTIC VALVE REPLACEMENT. In the last two months, our life was much changed by hearing all this. Abortion and operation, tension, grief everything. I would like to know Doctor, I donĂ¢??t have faced any problem in walking or climbing steps, cycling or anything. I was leading a normal life. After this operation, would we be having any problem with conceiving again? Please take this as my request and please let me know will this operation cause any problem in having children and leading a normal life.

doctor1 MD

My father aged 79 who is visiting my sister in the US has had a heart attack and needs a valve replacement and triple by pass done. He has been in ICU from 2nd Nov till 19th Nov =, then was shifted to Rehab dept. till date. By the end of next week he will be fit to travel. Is it possible to do the surgery in your hosp.

doctor1 MD

My father is a Holocaust survivor, around 90 years old, with multiple health issues including a valve replacement and quadruple bypass heart surgery 15 years ago. All his life he suffers from the worst case of PTSD . He has some dementia now and...

doctor1 MD

a few days ago I had a hard time climbing stairs (never happened before) most of my joints (knees/wrist/shoulder) hurt. It subsided by morning but now I had itchy palms, swollen right thigh AND I have "bumps" on a few places on my head. I took a...

doctor1 MD

Shortness of breath often I am 82 years old and my valve is wearing out (according to the Dr) is valve replacement an option

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