Hello, I read your story and it seems very similar to mine. I’ve met with two surgeons that tell me because of the size of my ascending aorta, ...Read more
Hello, I read your story and it seems very similar to mine. I’ve met with two surgeons that tell me because of the size of my ascending aorta, 4.9cm, that I need to have this surgery in the next couple months. I’ve also been struggling with the aortic bicuspid valve replacement valve options. My father had this done at age 38 and had a porcine aortic valve replacement. It lasted 15 years and he had his 2nd OHS and had the same valve two more times. I’ve ruled out mechanical valve because I’m active in my job and other activities. I also do not want to be on blood thinners for the rest of my life. I’m leaning towards this new bovine treated valve that I think someone else mentioned on your thread. They’re predicting 15-20 years but only have been doing it for 7 years so the long term data of this treated valve is not there yet. As far as procedure types both surgeons recommend the Bental procedure but did mention the Ross was an option. The way the last surgeon explained the Bental surgery to me was that they would try to repair my own valve it based on how much calcification was on the leaflets. If not they would have the bovine valve stitched into prosthetic aorta from root to arch. He mentioned how they’re stitching it in just above the LV so that the next replacement should be through the femoral artery (TAVR)? I would look into and ask surgeons about the Bental procedure if the Ross does feel right in your gut for you . Excuse my lack of knowledge on a lot of these procedures and valves but this is very knew to me as well . I also just found out about an anti oxidant anti calcification heart friendly regiment of hawthorn tea and supplements like vitamin D3 with vitamin K2 helped a guy reverse some of his diagnosis with regurgitation. Look up Alexander on my feed . Interesting story .
All the best in your decisions
Ana K Hi Angus, thank you for your post. We do have a similar condition. No one else in my family has a bicuspid valve, but I was diagnosed when I was born. The doctors heard the murmur and monitored me every few years. Last year the echo showed moderate stenosis, so they told me to come in once a year. This January it progressed to severe so I chose to meet with a surgeon to see what my options would be. At that time I only knew about the valve and I was hoping it could be fixed with a minimally invasive procedure. The first surgeon ordered a CT and found the aneurysm. I was pretty shocked and kept feeling like a ticking time bomb. Both surgeons told me full sternotomy is my only option :/ Obviously I’m not looking forward to that so I have decided to wait as long as safely possible. My aneurysm is a bit smaller 40.17mm by 40.9mm. I’m hoping I can monitor it every 6 months and see how it goes. I did see Alex’s story. In fact I asked him what he was taking and ordered the same supplements and the tea. I’m giving the ‘Alex method’ a shot. I don’t think I can dodge the surgery for long but if I can wait a year or 2 that would be fantastic. It is very encouraging that your father’s valve lasted 15 years and he was about my age when he had it fixed the first time. ... Read more
Ana K Hi Angus, thank you for your post. We do have a similar condition. No one else in my family has a bicuspid valve, but I was diagnosed when I was born. The doctors heard the murmur and monitored me every few years. Last year the echo showed moderate stenosis, so they told me to come in once a year. This January it progressed to severe so I chose to meet with a surgeon to see what my options would be. At that time I only knew about the valve and I was hoping it could be fixed with a minimally invasive procedure. The first surgeon ordered a CT and found the aneurysm. I was pretty shocked and kept feeling like a ticking time bomb. Both surgeons told me full sternotomy is my only option :/ Obviously I’m not looking forward to that so I have decided to wait as long as safely possible. My aneurysm is a bit smaller 40.17mm by 40.9mm. I’m hoping I can monitor it every 6 months and see how it goes. I did see Alex’s story. In fact I asked him what he was taking and ordered the same supplements and the tea. I’m giving the ‘Alex method’ a shot. I don’t think I can dodge the surgery for long but if I can wait a year or 2 that would be fantastic. It is very encouraging that your father’s valve lasted 15 years and he was about my age when he had it fixed the first time. Many people keep telling me that bio valves don’t last long but I think ultimately it’s luck of the draw. My procedure will be a variation of Bentall - I’ll need a valve replacement and part of the root / the surgeons disagree on whether or not the hemi arch needs replacement. In your case they might be able to repair the valve so that’s good. Mine has stenosis and regurgitation so it cannot be repaired - it must be replaced. Honestly I’m not scared of the heart surgery itself I’m just really not looking forward to the sternotomy :/ and the scar. Since there’s nothing I can do to change it I’m trying to accept it. I’m also trying not to think about it too much so I can enjoy life : )
I wanted to reach out because of something you posted on my journal a while back, and to thank you for it, because it got me to thinking. You asked... Read more
Hi Ana,
I wanted to reach out because of something you posted on my journal a while back, and to thank you for it, because it got me to thinking. You asked why surgeons are selective about who they offer the Ross procedure to. I actually came to the wrong conclusion about it, and it was something I couldn't get off my mind. So I emailed my surgeon and she was very upfront in saying that yes, indeed they are selective because they want to do it safely and with the best possible long term outcomes. That's why it's important to be generally healthy otherwise and on the young-ish side ie. less than 60. I hope you're feeling closer to a decision about your surgery. Given that you're only 37, I would give it serious consideration, though I know too, it's a very personal decision. Wishing you well. 🙏 🏻
Ana K Thank you : ) I haven't 100% decided yet. So far 3 interventional cardiologists suggested a mechanical valve, 1 surgeon suggested Ross, 1 surgeon said - definitely don't do Ross. I think ultimately I will trust my instincts and avoid it. ... Read more
Ana K Thank you : ) I haven't 100% decided yet. So far 3 interventional cardiologists suggested a mechanical valve, 1 surgeon suggested Ross, 1 surgeon said - definitely don't do Ross. I think ultimately I will trust my instincts and avoid it.
According to the several websites, my life expectancy is about 58 anyway (20 years less than the general population) - so 1 bio valve and one TAVR should get me there.
Yumiko Ishida I hate to be a pessimist here, Ana, but you are probably going to live longer than that. I don’t kn ... Read more
Yumiko Ishida I hate to be a pessimist here, Ana, but you are probably going to live longer than that. I don’t know the source, but assume the number is if no intervention is taken? So you could skip the surgery and live until 58. Or get a new tissue valve every 10 to 15 years and live to be 98, perhaps? Unless there are other health issues going on unrelated to your heart valve.
Ana K Actually it is 20 years with the surgery. None of the the valve replacement options are ideal. All p ... Read more
Ana K Actually it is 20 years with the surgery. None of the the valve replacement options are ideal. All procedures take a toll and the disease itself shortens life span. https://therossprocedure.org/life-expectancy-after-aortic-valve-replacement/
Life expectancy after aortic valve replacement is largely determined by the valve type and procedure you choose to have.
Yumiko Ishida Wow. I don’t see much point in being compared to the general population, though. At least the Swedi ... Read more
Yumiko Ishida Wow. I don’t see much point in being compared to the general population, though. At least the Swedish study emphasizes that patient age at time of surgery is a major factor. My mother had her valve replaced in her late 70, and now, at 89, is in better shape than her children, while I, at 54, am expecting to need two more mitral valve replacements, not to mention other medical issues. I guess we have to hope for and diligently work towards the best and plan for the worst, whatever our personal idea of best vs worst is.
Yumiko Ishida Actually, looking at therossprocedure.org website, the data on life expectancy is for mechanical and ... Read more
Yumiko Ishida Actually, looking at therossprocedure.org website, the data on life expectancy is for mechanical and tissue valves, it does not include the Ross Procedure. On another tab, it says “the Ross Procedure is the only operation that has been consistently shown to restore long-term life expectancy (survival) of patients, compared to the general population.” So if life expectancy is important to you, a Ross Procedure is probably the way to go? Of course, longevity is not the only factor to consider. If you could reverse your condition like Alexander Casler, that is probably the best scenario. Whatever path you take, it’s not going to be easy, and I hope you will be at peace with your choice.
I read your story and it seems very similar to mine. I’ve met with two surgeons that tell me because of the size of my ascending aorta, ...Read more
I read your story and it seems very similar to mine. I’ve met with two surgeons that tell me because of the size of my ascending aorta, 4.9cm, that I need to have this surgery in the next couple months. I’ve also been struggling with the aortic bicuspid valve replacement valve options. My father had this done at age 38 and had a porcine aortic valve replacement. It lasted 15 years and he had his 2nd OHS and had the same valve two more times. I’ve ruled out mechanical valve because I’m active in my job and other activities. I also do not want to be on blood thinners for the rest of my life. I’m leaning towards this new bovine treated valve that I think someone else mentioned on your thread. They’re predicting 15-20 years but only have been doing it for 7 years so the long term data of this treated valve is not there yet.
As far as procedure types both surgeons recommend the Bental procedure but did mention the Ross was an option. The way the last surgeon explained the Bental surgery to me was that they would try to repair my own valve it based on how much calcification was on the leaflets. If not they would have the bovine valve stitched into prosthetic aorta from root to arch. He mentioned how they’re stitching it in just above the LV so that the next replacement should be through the femoral artery (TAVR)? I would look into and ask surgeons about the Bental procedure if the Ross does feel right in your gut for you . Excuse my lack of knowledge on a lot of these procedures and valves but this is very knew to me as well .
I also just found out about an anti oxidant anti calcification heart friendly regiment of hawthorn tea and supplements like vitamin D3 with vitamin K2 helped a guy reverse some of his diagnosis with regurgitation. Look up Alexander on my feed . Interesting story .
All the best in your decisions
This January it progressed to severe so I chose to meet with a surgeon to see what my options would be. At that time I only knew about the valve and I was hoping it could be fixed with a minimally invasive procedure. The first surgeon ordered a CT and found the aneurysm. I was pretty shocked and kept feeling like a ticking time bomb.
Both surgeons told me full sternotomy is my only option :/ Obviously I’m not looking forward to that so I have decided to wait as long as safely possible. My aneurysm is a bit smaller 40.17mm by 40.9mm. I’m hoping I can monitor it every 6 months and see how it goes.
I did see Alex’s story. In fact I asked him what he was taking and ordered the same supplements and the tea. I’m giving the ‘Alex method’ a shot. I don’t think I can dodge the surgery for long but if I can wait a year or 2 that would be fantastic.
It is very encouraging that your father’s valve lasted 15 years and he was about my age when he had it fixed the first time.
... Read more
This January it progressed to severe so I chose to meet with a surgeon to see what my options would be. At that time I only knew about the valve and I was hoping it could be fixed with a minimally invasive procedure. The first surgeon ordered a CT and found the aneurysm. I was pretty shocked and kept feeling like a ticking time bomb.
Both surgeons told me full sternotomy is my only option :/ Obviously I’m not looking forward to that so I have decided to wait as long as safely possible. My aneurysm is a bit smaller 40.17mm by 40.9mm. I’m hoping I can monitor it every 6 months and see how it goes.
I did see Alex’s story. In fact I asked him what he was taking and ordered the same supplements and the tea. I’m giving the ‘Alex method’ a shot. I don’t think I can dodge the surgery for long but if I can wait a year or 2 that would be fantastic.
It is very encouraging that your father’s valve lasted 15 years and he was about my age when he had it fixed the first time.
Many people keep telling me that bio valves don’t last long but I think ultimately it’s luck of the draw.
My procedure will be a variation of Bentall - I’ll need a valve replacement and part of the root / the surgeons disagree on whether or not the hemi arch needs replacement.
In your case they might be able to repair the valve so that’s good. Mine has stenosis and regurgitation so it cannot be repaired - it must be replaced. Honestly I’m not scared of the heart surgery itself I’m just really not looking forward to the sternotomy :/ and the scar.
Since there’s nothing I can do to change it I’m trying to accept it. I’m also trying not to think about it too much so I can enjoy life : )