Hello everyone! I’m a male 52 years old now and I just wanted to mention I just had my 2nd open heart valve surgery back on November 30, 2023 within the last 22 plus years, first one was in July 2001. In both open heart valve surgeries I had my aortic valve replaced with a cow valve and in both surgeries they also had to repair aneurysms! In both surgeries I had very excellent heart surgeons and anesthesiologists!
So the first valve did last for 21 years? Amazing! Hope you are doing well now. I am 59 now and I am going to have my first surgery in four weeks (Aortic valve as well). I opted for a cow valve and I hope it will last at least 15 years.
Vince Gaudiani .... A great great lecture. Simple, direct, and wonderfully clear. Mein Gott, if I got to Med School you would have been an incredible teacher. I'll bet you had some wonderful professors in your life too. Great job once again. Basic, beautiful, and clear. Something that most people don't know how to do !!!! Bravo Dr !!! CM Schiff
Thank you again for everything you do. It is wonderful that you have dedicated your life to saving the life of people like me. I am a survivor of an emergency Type A/Class 1 Aortic Dissection and Pericardial Tamponade. Conducted (in the UK) by Dr Alex Cale a former associate of Professor Magdi Yacub and who trained under him at the Mayo Clinic. I was a very lucky man that night, in May 2008. Still here, still breathing and alive! God Bless you all.
Thank you so much for taking time out of your busy day to explain this. my friend is going through her 3rd aortic valve replacement and hopefully her last.
This video is great to understand everything. My mum is due to go in for a valve replacement in the next few days and I just watched it with her after seeing it myself a few days earlier. It gives you confidence in the machinery and practice involved and really makes you look at the heart as a mechanical device that can be repaired. It has boosted confidence and taken away some of the nerves so thank you for posting.
Thank you for your gift of healing and caring, and saving lives. I have had aortic dissection - de-bakey (Type 1) - and was an emergency patient. I owe it to you all for your caring and skill, and for looking after us all who suffer. Given a 2% chance of survival, I was one of the lucky ones. May God bless you all.
Dr Verrier, Of UWMC in Seattle performed my Mitral valve replacement. A new lease of my life. Praise to you on this video. or as Siskil & Ebert would say 2 thumbs up! Keep them coming.
Gaudiani did my surgery to replace my defective aorta valve in March, and he did a wonderful job. Just saw him four days ago for a follow-up visit. He's a really cool doc! :-)
Both Parts 1 and 2 were very helpful; wish I had seen them before my open heart afib maze surgery. Now I've got more questions to ask my doctors to followup on my tricuspid valve leaking diagnosis.
@@user-ur6ib6fi7l my surgery was complicated. It doesn't hurt to say first that in the past, like with having a tracheotomy, sizes of medical devices used on me have been tricky. I had to have a child sized tracheotomy cap to pass the tests to get off it when I was an adult over 20. For my surgery, they attempted a repair (twice) but my valve had several tears and was too badly damaged. They then (in the same operation) attempted a replacement which was unsuccessful so they tried a SECOND replacement (so two repair attempts and two replacement attempts in one long procedure) to which I was told after "it was an awkward fit but we made it work" because I'd already been on bypass much longer than you're suppose to be and they had to end the operation. Turns out there was a major bleed in my heart that went unnoticed (or I wasn't informed at least) for almost two weeks, they'd sent me home with it. My heart filled so much with blood that it stopped for about 15 minutes. After 13min of cpr they rushed me into my second emergency heart surgery a couple weeks after the first. That replacement was successful, the third replacement they tried. I feel badly sharing because I don't want you to think your brother will have the same bad luck. I just happen to have bad luck when it comes to getting the right sizes for medical equipment, im 5'6 and not petite but not big, but for whatever reason I seem to not be the size internally that would be expected. I also have a lot of other medical issues that tied into my complicated recovery so I just left it with what happened in surgery. The recovery wouldn't have been so bad if I didn't have 2 OHS and 13min of cpr all in under 2 weeks time. I hear most tricupsid valve replacements go smoothly and that it's the least dangerous of the three to have replaced ♡ if you have more questions I'm happy to answer and I wish your brother the best of luck and healing
@@user-ur6ib6fi7l also, from what I was told, they always try to repair the valve you were born with before they opt for the replacement, but if they do decide on the replacement it's usually done in the same procedure, not a second one. I am generally fine now but because of the damage to my heart muscles from the bleeding I had in my original valve, then my heart filling with blood to the point it had too much pressure to beat and stopped, has caused me to have Congestive heart failure now :/ I still have pain when I move certain ways, but for the most part I feel healed from the surgery.
Thanks you so much for the explanation, witch is much better than my own doctor can give. I will proberbly have to undergo that surgery in a couple of month.
Very informative. I had both my aortic and mitral valves replaced just about 3 months ago with mechanical valves. I am amazed at what all the doctors can do. Alot of people seem to think that if one just eats right, they will most likely avoid their chances of needing surgery...(i'm all about eating heart healthy) but there are several other causes of heart disease that have nothing to do with your diet. Until I became a woman who is now 44 yrs. old, I wasn't aware like I am now of so many facts surrounding the heart. WOMEN: Heart disease kills more women every year than all cancers combined do!!!! That's a fact. In my situation, I was sick and didn't even know it until one day, things got real bad. Women tend to have pressure and not so much the chest pains. Not that women never get the chest pains, the statistics show women get them less and tend to have other symptoms.
B. Cortez How are you doing now. I have Valvular Heart Failure with 2 separate surgeries for mechanical replacement of valves. It's been about 10 yrs. I'm not doing so well. I know you are feeling better.
Dr. Vincent...I'm sure you were probably busy. My uncle passed away this morning. His body just was not able to handle so much trauma. His kidneys stop functioning and dialysis kept his blood pressure dropping ...his body was not responding to any treatment and doctors told us today there was nothing more they could do :( my aunt accepted and they unplugged him ...this is a very sad day for me and my family. Thank you at front, in case you were thinking about answering my previous question.
I have a sclerotic aortic valve leaflets, mild mitral valve regurgitation, mild tricuspid valve regurgitation, and afib. Several doctors have told me I'm not sick enough to need treatment. What would you tell your patient if they were me?
i need suggestion regarding my mom's condition she is having aortic valve stenosis, a week before the operation they repeat the echocardiogram and they found out that my mother is also having Mitral regurgitation and tricuspid valve regurg. the surgeon and cardio refuse to continue the surgery because they said this is a veru risky and high mortality case for her any suggestion please. thank you
I had my aortic valve replaced in July 2016. Animal tissues. Im feeling dizzy more in more everyday. Confused most often.and tired very tired. Short breaths and I don't want another surgery. I fake being okay to my friends and family. Can I just die all a sudden or is there signs to be aware of?
Good afternoon Dr. Vincent. My name is Vielka and my uncle just undergo Cardiac Surgery involving 5 Bypasses and 2 Valves. After 18 hours he developed complications. One of them was the Blood was too thin and his body was rejecting it..second, Acute Kidney Failure which required dialysis at this moment. I am terrified of the outcomes. Can u please give me your inputs on what we should expect based on these developments ? He is heavily sedated and its been now 48 hours after surgery. Thank you
anatomically, the pig heart is similar, but on a molecular level, the issue about pig hearts is that their DNA is just too different for our bodies to accept. we already use very potent immunosuppressive drugs to prevent rejection on a human-to-human transplant, but the immunologic barrier is just too high on a pig's heart for us to make that leap, no combination of drugs has yet been able to prevent rejection in that scenario. so for the moment bovine hearts are not being used.
That's why they use immunosuppressive drugs - they inhibit the immune system so that it doesn't attack any new organ/tissue that enters the body. I am not quite sure why they use pig tissues only - but pig tissues function exactly like human valves; I also think they use it because it's more available and for the past many years they have been using pig/cow valves. Hope this helps - I am not a cardiac surgeon; It's what I always wanted to be though; had to reply, Take care.
@jennystgirls The pressure in the chambers makes valves open and close. When the the atrium contracts, the pressure rise and it makes the atrioventrucular ( mitral and tricuspid ) valves open. When the atrium relaxes and the ventricle contracts the pressure rise in the ventricle, and the pressure in the atrium drops, thus causes to close the atrioventrical valves. Same goes to the aortic and pulmonary valves. All 4 valves in the heart are passive, as are other valves in human body.
