Doctor insights on:
Aortic Valve Replacement Life Expectancy
What is "normal"?: A patient will undergo that procedure if it will save him or her or at least improve quality of life. If the procedure will keep a patient from going in and out of heart failure or allow him to at least perform reasonable functions in life, it is probably worth having done. Will someone run a marathon, probably not, but even so--i'll bet that there has been at least one or two who have done so. ...Read moreSee 2 more doctor answers
A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more
How safe is transcaval aortic valve replacement? Possible risks? It doesn't appear to be widely used yet. Possible reasons for that?
TAVR. : The TAVR is a fairly new procedure. Your best bet would be to seek a consultation with the surgeon in the hospital that performs many of these procedures. You need to find the most experienced surgeon, which will give you the most chance of success. ...Read more
Relatively safe: Heart surgery is major surgery with lots of potential complications but the good news is that for the vast majority of patients they are uncommon. A lot depends on how well your heart squeezes before surgery and your overall health. With good health and function infection 1%, stroke 1%, irregular heart beat 15-20% (often not serious), death 2% or less. Your surgeon is best resource. ...Read moreSee 1 more doctor answer
Chest opened, tubes inserted intto heart connecting to bypass machine to replace the function of the heart while it is temporarily stopped.
The heart is stopped, and blood prevented from entering the main blood pipe (the aorta), the aorta is opened, the old valve is cut out, an artificial valve is sewn in, the aorta is emptied of air on closure, the heart is restarted, tubes out, chest closed. ...Read more
Surgery: Severe dysfunction of the aortic valve can sometimes require surgery as therapy. Valve replacement consists of removing the diseased valve and placing either a mechanical or biological device. Choice of valve depends on multiple factirs, and requires a detailed discussion with your surgeon. ...Read more
????????: Why? do you do the procedure?Get a more detailed answer ›
Depends: The type of surgery used is important. Full sternotomy means no straining or heavy lifting for about 6-8 weeks, while a mini- sternotomy requires less recovery. A transcatheter approach can have patients fully active in about a week. Discuss recovery times with your surgeon before proceeding. ...Read more
NO, but it happens: Most patients wake up the same day. Rarely, a patient may wake up agitated requiring further sedation to protect them from harming themselves. This may take several days to wake up appropriately. Even more unusual is the patient who does not wake up due to a stroke. All of the above patients may still have a very successful outcome, but recovery may take longer. ...Read moreSee 1 more doctor answer
How is a small aortic annulus or root handled when doing aortic valve replacement? Do the 19mm or 17mm valves flow badly? More risks?
Cardiac surgeon: Small aortic annulus is identified by echocardiography. Your cardiac surgeon will plan to enlarge the annulus to accommodate the largest valve practical. Sometimes even cutting into the heart like a ross/konno is required. All surgery has risks but your surgeon will be everything possible to help you, remember they have dedicated themselves to this job. Hope this helps. ...Read moreSee 1 more doctor answer
Having my aortic valve replacement surgery next month.I need to relocate to a different country. How long before i can do that. Any supervision needed?
3 months: Wait at least 3 months. If you have no complications by that time, you should be good to go. At your (young) age, i presume you'll receive a mechanical valve since a bioprosthetic valve won't last long enough. You'll need warfarin/coumadin and will need close medical supervision of your protimes/inr in your new home. Get hooked up with a cardiologist or other doctor there as soon as possible. ...Read moreSee 1 more doctor answer
Need for pacer?: Assuming your father had aortic stenosis, the need for a valve replacement is totally separate from any need for a pacemaker. A pacemaker's function is usually to allow a control of the heart rhythm in the case of the heart's normal rhythm being abnormal or undependable. Most rhythm problems respond to oral medication but some require a pacemaker. Valve disease is usually a separate issue. ...Read moreSee 2 more doctor answers
Surgical procedure :
Aortic valve replacement is a surgical operation where the heart is stopped while the body is on cardiopulmonary bypass machine. The diseased valve is cut out and a new prosthetic valve from a pig or cow or a mechanical valve is sewn in.
The operation takes 3-4 hours to complete and you can stay in hospital for 4-7 days. ...Read more
Reasonably safe: Generally aortic valve replacement is a reasonably safe procedure. The operative risks however depends on the overall condition of the heart, age, presence or absence of other problems such as lung and kidney disease and the overall physical strength of the patient. In most cases the surgical risk should be less than 5% chance of a bad outcome. ...Read more
The aortic valve is one of 4 valves in the heart, each of which separates 2 cardiac chambers. It opens when blood is actively ejected from the left ventricle into the aorta artery, to be carried to the rest of the body. It then closes firmly to prevent blood from flowing backwards, while it passively continues to flow forward to body's vital organs. When next heartbeat ...Read more
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