Prep.for aortic valve repl. pls discuss 'wisdom' of choosing mech. & lifelong implications of coumadin (warfarin). one doc rec. that b-cuz of my 'young' age.thx?

Aortic valve replace: Tissue aortic valves often don't last beyond 15yrs. At age 65 you could easily end up needing another valve at or over age 80. The mechanical valves don't wear out. This is the main reason your dr. Likely recommended the mechanical valve. If there is some good reason while lifelong anticoagulation would be a serious problem for you, then the tissue valve might become a better choice.

Depends..: The newer biological, non metals valves last much longer and do not require coumadin (warfarin). In addition, if you valve starts to not function properly in 15 years, you may be a candidate for a catheter based procedure. Coumadin (warfarin) has a 3% risk of bleeding per year. A long discussion with your surgeon and cardiologist is in order. Good luck.