Abhishek's Guestbook

Abhishek Sharma  My LVEF at the time of surgery was 58, any after surgery it will increased to 60..  my aneurysm dimension was 55. My surgeon was Dr. Ashish Madkaiker . 

H Kumar  My aortic regurgitation moderate
Aortic aneurysm 3.5 CM
But LVEF 45% what could be the reason of low LVEF? As per your research, do you think this is the right time to go for surgery or it is already late for it. 

H Kumar  You must have done a lot of research for best bentall procedure surgeons in India before your procedure. Can you pls share those names. 

Abhishek Sharma  Hi , Well according to my research Low LVEF mean your left ventricle work hard to pump blood, results thick inner muscle, because heart is also a type muscle, biscupid Valve is also a well known reason for low lvef.. your aneurysm 3.5 means doctor will wait untill it reaches to 5.3-5.5 for surgery.. 45% lvef is not that bad, untill you get any symtoms..

Abhishek Sharma  For bentall procedure i not only researched doctors but also looked hospitals were maximum number of surgery done before.. after that i found major hospitals in gurjat, chennai nd delhi.. after that i selected Gujrat's hospital because its more convenient more me to stay there..

Rita Savelis  I have 2 mechanical valves, and have no dietary restrictions. I eat everything in moderation. At first one has to get used to anticoagulants and INR goes up and down  but eventually you get used to it. I have a blood test whenever I like usually once a month  The on-x has a very low INR target rate, which is its selling point.  I can't hear my valves unless it is very very quiet in the room. 

Teressa Phillips  I have an On-X aortic valve. In a quiet room I can hear it through the vibration in my ear, externally, and a small pop in the back of my throat. I mostly hear it in the evening or when I go to bed. No one else has noticed it other than my husband. I've been shocked at how little it bothers me.
I'm only 9.5 weeks out, so I'm still going to the lab at the Dr.'s office for my INR checks. I've only had one adjustment since leaving the hospital. I do like that I have a lower INR requirement, so my chances of bleeding problems are reduced by about 60%.
As for the food restrictions, I don't have any. Of course everyone's care team and biology is different, but according to my team the philosophy has shifted. In the past they tried to control the amount of High Vit K food, now they adjust the warfarin to work with your diet. They ask that I generally eat a consistent amount of the Vit K foods. The dietician I worked with said they finally figured out limiting that many healthy veggies was not a good idea. Everything online still has the old philosophy with lists of foods to avoid.

Abhishek Sharma  Hi, kumar .. i had bentall procedure, minimally invasive surgery is not possible due to graft as well machanical valve replaced.. well dietary restriction is eat moderate, like leafy green vegetables only rest u can take everything. Maintaining INR in range is also not soo difficult just take regular warfine. 
Machanical valve is my first choice because I don't want to get operated again in future because tissue Valve will last only 8-15 yrs only. Mechanical valve needs no replacement in future.. 
And in first few month ticking sound of Valve bother me little but now after 6 months its very low sound and i really don't care about it.. 

Alex Hunt  INR management is extremely easy. I would recommend self testing as it gives you more control.

I have an on-x. I can hear it in quiet rooms, and other people can too. I'm now completely used to it. There were times when it bothered me at the start though.

Abhishek Sharma  Hi, yes my surgery was perfect.. everything is fine now.  My surgery was done at UN MEHTA , ahemdabad. i think one of the best hospital for heart surgery in india. I had biscupid valve replaced with machanical valve.

H Kumar  Pls provide the name of the surgeon & model of the mechanical valve. Have you also gone through aneurysm repair?

Abhishek Sharma  Yeah , i gone through AAA , and machanical valve - st.jude.  they have team of top surgeons. Just search on google on the hospital website u find the list of vascular surgeons. 

Abhishek Sharma  One more thing- i had gone through bentall procedure. In which arota is replaced with graft also biscupid valve was replaced with mechanical valve..

Abhishek Sharma  Well I eating  nd drink well.  But not good sleep some nights.. filling low next morning..
Yeap I use plenty of pillows but not getting comfortable, my neck have little pain sometimes.  May be that is the reason but I don't know ...