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Sir my mom 63yrs, she had MVR with perimount magna ease 29mm mitral valve in 2012. Company assured 20 yrs. But gone in 12 yrs Now Leaflets are calcified and degenerated and leaflets not opening properly severe stenosis ppg/mgp 27/15 in AFIb No MR or leak. She had CMV in 1987. Is enough data available for sapein 3 ultra resilia TMVR please ? Which surgery is best for her please
Does someone with an aaortic valve that is "normal" still have some form of risk of an aaortic complication? Or are only people with dialation at risk as well? Thank you for this video, have had a hard time sleeping after finding out yesterday of my 4.0cm dialation. Docors visit is over a week away.
Hi i have a quick question im 29 and pretty much all my life ive been having palpitations and constantly feeling my heartbeat and recently theyve been getting more and more i ended up having scans and i found out i have a bicuspid aortic valve with severe regurgitation only 30% is going through normally and am needing valve replacement when i have the operation will it stop all these palpitations or will i still have them?
Thanks for this: palpitations may discontinue but depends on their nature Is your aorta dilated? Has an assessment been made regarding repair of valve?
So as a general rule you would not do a TAVI (or TAVR) on a 70-year-old patient with Aortic Regurge and a mild Mitral Valve Regurge, even if that patient is otherwise in good health and physical condition? Primarily because you want to avoid warfarin?
Not the cholesterol is the problem doctor, the sugar yes and then triglycerides and low HDL. Our body makes cholesterol to heal the inflammation in our body and so the more u lower it the more our body makes it . Plus if your digestion is good and you are active and sleep well then numbers don’t mean a lot . You don’t need chemicals and procedures to stay healthy ❤
Just had an Inspiris Resilia fitted at 52 (really didn't want to be dealing with blood thinners or noisy valves) - I'll be watching the data on these valves with interest :) - thanks for your videos.
I have a dilated ascending aorta measuring 4.0 cm, with no family history of this condition. Additionally, my aortic valve is trileaflet. Could you provide information on the average number of years it typically takes for a dilated ascending aorta to progress from 4.0 cm to 5.5 cm? Furthermore, are there any minimally invasive surgical options available for treating a dilated ascending aorta, rather than open-chest surgery?"
I am 40 years old, had an aortic valve replacement six months ago, so far everything is fine. I suppose in 15-20? years I will have to undergo another open-heart surgery and then, after next 15 years probably TAVI? But medicine is evolving extremely fast, maybe everything will be completely different. What is your guess of real durability of this valve in younger patients? Thank you very much for the answer and this video as well!
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After the valve has been replaced, how do you return the heart chamber to its proper sized to avoid heart rhythm issues? I was forced to live with my leaking valve from birth until it almost killed me just before I turned 36 37, I have never been able to hold a job because of it, and I am still out of work and waiting on yet another heart procedure to try, no promises, to get my heart beating right again, due to an enlarged heart chamber. My ex-cardiologist knew of the leaking bicuspid aortic valve from the day he took me on as an adult patient, despite this, he left it in me until as I said, it almost killed me via heart failure, my life is a living hell as a result, no job, no money, stuck on benefits, possibly for the rest of my days.
I just had a CTA scan showing 44 mm AA dilation, PFO, normal coronary arteries.Earlier diagnosed with bradycardia, mild fibrotic thickening of all tree leaflets of a tri commissar AV with lack of central diastolic coaptation. App.AV regurgitate orifice area= 10 sq mm. No stenosis, plaque. How bad does it sound to you, Doctor? Thank you!
Here is some data: www.edwards.com/healthcare-professionals/products-services/surgical-heart/inspiring-results Here is the main competitor: europe.medtronic.com/xd-en/healthcare-professionals/products/cardiovascular/heart-valves-surgical/avalus-bioprostheses.html Note that there is also data that indicates improved long term survival in young patients with mechanical rather than tissue valves
Mechanical valves don't necessarily last FOREVER. Yes, they last much longer, however there is the lifetime blood thinner requirement & about a 25 to 30 year lifespan of the valve itself. Other disadvantages to the Mechanical valve for the AORTIC position: if any of the flappers stick due to calcification at an older age, you are now looking at a 30% mortality rate for the emergency operation that you now need asap & it must be REPLACED with a REOPERATION that you may not be healthy enough to endure at an older age.... a Mechanical valve is not a candidate for a valve-in-valve TAVR replacement in the future the way that a tissue valve can accept a future TAVR.... One outstanding valve available for anyone is a Edwards Magna Ease bovine tissue valve...
Hey i have bicuspid valve seeing a surgeon in two weekds i have sever regirtitation moderate stenosis with a 4.5 centimeter acending aorta and normal decending aorta thiught on when u think i need surgery and will i be ok up until then I have no symptoms yet amd i workout all the time Thoughts im stressed iut about it My aorta wont rupture at this point right i have a couple months being ok hopefully?? Thanks
I'm 36 years old considering this valve. I personally am really intrigued by the new technology. It does annoy me that we cannot tell with certainty whether younger patients can be stable with this in the long term. However, if combined with regular fasting to clean up the arteries and blood, I don't see why this valve can't last me a long time. There's no cardiologist on the planet who is going to advocate for this regiment, and therefore there are no studies out there that would prove this to be helpful (even though we know fasting is helpful for people in good health). I can't see fasting being good while being on blood thinners, which means my entire body would suffer by not being able to fast. The very reliability of a mechanical valve also means I would have to cut this good lifestyle habit, and this habit could be the thing that helps these new tissue valves last longer. Having a bicupsid valve is super annoying and I'm convinced that no one has the correct answer. Leaning towards what I trust will be good for me and taking the risk of no long term data. I talked to people at Edwards and they claim there's a patient who got a bio valve in the 1970's and it is STILL doing well. What makes this person an outlier? I wish we knew, but lifestyle choices must be a factor!
Duh. Fruit is XXX. Sugar is responsible for diabetes and my heart disease. Almost zero carbs, oily fish, red meat, fatty chicken and skin. Sugar will kill you, good fats won't.
The statin my Dr. wanted me to take causes memory loss in some patients. I was thinking I don't need memory loss when I'm driving out in the middle of nowhere.
Thanks for your question. If you wish to start family warfarin can be dangerous for baby in the first 3 months of pregnancy. Why are you needing surgery?
Hi doctor and thank you for the precious informations , regarding these new valves will there be a possibility to use them to replace the mitral valve ? or is there any mitral specific clinical trial currently . Thanks
There are equivalent valves for the mitral Position but the data is early and we await longer term verification of durability. If your mitral valve can be repaired then this is the better solution to replacement
Hey doc thank you again for your reply, could you please do a review on the Foldax permanent valve? They've been using it in the aortic position for quite a while now and recently enrolled many patients for the mitral valve clinical trials. Thanks
I had a bicuspid aortc valve and was persuaded to get it replaced at 61. My symptoms now are constant fatigue, dizziness, chest pain & when I push on, I have fainted once. Pre surgery I was asymptmatic. Worst thing I ever did was to get my good valve removed and had a valve downgrade.
Im 35 and want this valve is that too young If it last 20-25 years its worth the risk for me Can this valve be put in for open heart surgery??? I need a new aortic valve would love to take a risk and see if it does last for 20-25
The data still suggests that mechanical is the preferred choice in young age. Having said this your comments are very good and many younger patients are preferring to follow tissue valve by mini surgery between ribs, and TAVI or traditional mini breastbone repeat surgery in later life depending upon clinical suitability
Could you please explain this : the minim invasive procedure, how far it can go ? It is only for an isolated aortic valve replacement or it can be used for aortic root issue, or fix ascending aneurysm....
We can certainly perform minimal access aortic root surgery both for aortic valve and root replacement as well as aortic valve sparing root replacement where the aortic valve can be repaired (David Procedure)
@@Thekeyholeheartclinic My heart surgeon at Northwestern in Chicago claims that I cannot do minimally invasive if my root is above 4.5cm (because he cannot do keyhole to replace the root). I'm at 4.4! Is this a rule across the board, or something his personal preferences as a surgeon?
@@Thekeyholeheartcliniccan the aortic root repair be performed with the keyhole surgery when I already have a mechanical aortic valve? Thank You Doctor. Your information is much appreciated.
I am nearly 75,After hospital tests,I was told I had a leak in my heart valve,and was told they will send for me in 2 years for another test,Is this normal to wait that long?
3:04 I had this valve fitted in Feb 2021. It was still in the clinical trials phase. Nice that I wasn't even asked to participate, just found out 4 weeks after surgery. I had been asymptomatic prior to surgery but post surgery, I was hit with multiple symptoms from dizzyness, constant fatigue, breathless and even fainted. So much for a advanced valve. If Edwards want their donkey valve back, they can take it any time. My experience is nothing but negative. I wish that I never gave my ill informed consent.
Hi Brian, how are you doing now? Everything back to normal? I hope you are feeling better. Please let me know as I'm considering to get this valve at 37.
Swelling on my right ankle when I consumed atorvastatin even in small dose of 5mg. Now consumed fibre such as chia seeds and oat as alternative in controlling cholesterol.
Hello dear sir I'm Sheikh Waheed from Pakistan my son 27 year old hi bicuspid aortic valve moderate regurgitation how many years can safer he feel weakness no further symptoms no breathless
Hi doc my height is 161cm and weight is 70kgs im 28 years old and my cardiologist says my aorta is bigger than normal and has grown i found out more this week about my results from my CT scan wondering where on the chart you may think i may be at? Please
Hello doctor. I am a 29 year old male. I am 180cm tall and 89kg. This year i was diagnosed with a dilated ascending aorta at 4.2 cm. At first my doctor told me its normal amd that its because of bodybuilding and heavy weights. I did not like the response i got and i went to another doctor. He did an echogram and told me that i had an biscupid aortic valve which for the moment works fine and that caused my dilation. He also recommended a ct scan. I did one which showed my ascended aorta at 4.16 cm with no calcifications and no sign of disection. The doctor told me to excercise reguraly(running,sqimming,cycling,walking and moderate lifting). I have 2 queations 1- is it considered aneurysm at 4.2? 2- is having sex dangerous because it can spike your blood pressure for a certain amount of time?
@@Thekeyholeheartclinic thwy told me for the moment it's fine. I just need a follow up every six months for now and if it stays the same i can do it every year after that. Is it ok to run, play football, sex, etc?