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Rose Madura  I had a successful implant long BEFORE my surgery.  Just be sure you take antibiotics prior to each procedure. 

Mohammed Abdulrahman  Thanks rose for your response. 
I already take antibiotic (amoxicillin 1000 gm) before procedure 30 minutes. 

Marie Myers  I had a tissue valve in 2017, and had 2 implants with an extraction and bone graft last year. Everything came  out fine, and I expect them to last the rest of my life. 

Mohammed Abdulrahman  Hi Marie , happy to see your comment.

Marie, why you went through bone graft? Do you have specific problem in your jaw ?

Marie Myers  I needed the bone graft because the 2 molars had been missing since i was 18 years old. So over the next 50 years, the bone receded so much, there was not much bone to set the implant in. 
3 months after the bone graft there was enough bone growth to hold the implant. 

Mohammed Abdulrahman  Happy to hear this update.. I hope everything getting well

So , you taken antibiotics before the bone graft procedure? 

Marie Myers  Yes, before the bone graft and for 7 days, I believe. I also had an extraction done at that time with immediate implant. Then months after the bone graft grew new bone, I had the second implant placed in that second spot. Of course, I took more antibiotics for that too. But, it has been a year or so, and everything is good.

Robert Miller  What is your regular hear beat? Compare that to your 115. Sounds high to me. When I use the elliptical machine I get to maybe 130+. When I stop, my pulse goes down to 90 within 2-3 minutes. It takes a bit longer to go down to 60-70 but not one hour. Your resting HB should not be more than around 90. 

Robert Miller  Pamela makes a good point. I have a Galaxy watch (also tried iWatch) and they get the pulse completely wrong. You have to use the EKG function to get the right heart beat. Now, if your resting(!) heart beat (sitting for 5+ minutes/sleeping/etc) is between 80 and 95, that is rather high. I had this issue but after cardioversion it dropped a lot. 

Brady Busch  Thanks for posting that,Mohammed.After looking further,the European Union,has all but banned these antibiotics,citing possible permanent nerve damage and other side effects.

Brady Busch  Mirza,this is from WebMD:
The fluoroquinolone antibiotics include ciprofloxacin (Cipro), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), and ofloxacin (Floxin).

Marie Myers  These antibiotics ( like Cipro) also increase the risk of tendon ruptures…Amoxicillin does not carry this risk.

Brady Busch  I'll do a Richard joke here.If anyone wants to give someone an antibiotic,with the word flox in it,get the flock out of there!

Mirza Baig  My RN prescribed Amoxicillin (4 tablets)for my dental appointment coming up soon- My TAVR was done on August 27,2024

Mohammed Abdulrahman  Hi Marie
I am taking Amoxcilin irregularly, just before going dentist, i seen that  Amoxcilin can interact with warfarin. Is there alternative to warfarin? 

Mohammed Abdulrahman  Hi Mirza
4 tablets you should take at one time? Or frequently? 
what are the amount of 4 tablets dosage? 2gm?

Brady Busch  Mohammed,I
was taking Warfarin,for maybe 3 months after getting a cow type aortic
valve.My cardiologist told me later,that Eliquis(Apixaban),was available instead.So,that is what I'm using.The thing is though,Eliquis is not approved for people with mechanical heart valves.My dentist wrote a prescription for the antibiotic,Azithromycin,which hasn't caused any noticeable side effects for me.

Marie Myers  There is no safe alternative to warfarin at this time. Like Brady said (above), Eliquis (or any other anticoagulant )is not approved for mechanical valves. Also about your question about  the four tablets of amoxicillin, 2 gm would be the correct dose for a one -time dose, like for a dental cleaning. Taking four 500 mg  tablets would give you the 2 gm dose. If you are on amoxicillin for 7-10 days, the dose would be one 500 mg tablet three times a day. Hope that helps!

Ann T  I have a mechanical valve and have also noticed the visible beating at times. Notice it in my feet when I dangle my feet or sometimes arms too. I got nervous one day and called the after-hours line because I noticed I can now sometimes see my pulse bounding in my wrist. Im told as long as Im not in pain or short of breath not to worry about it. Im thinking it is just the way the blood flows now with the  mechanical valve and blood thinners. 

Leti Tenner  Hi Mohammed, congratulations and welcome home!

I was in a great deal of pain, especially back and shoulder pain, which I wasn't expecting. I learned the back pain resulted from being on my back during surgery on a metal table with my arms extended outward (like a "T") for several hours. The pain was so intense I couldn't sleep in the hospital bed, but instead slept in the recliner chair each night. The hospital provided me with muscle relaxant to help with the back pain. I'm 4 weeks post-op and I'm still sleeping upright in a recliner due to back discomfort.

Regarding breathing, a nurse in the ICU would tell me every hour or so, to make sure I'm breathing. She said I need to re-train my body to take deep breaths. I was so tense I found myself holding my breath or breathing rapidly. In any case, I found it difficult to breathe (deep breaths) post-op and I had to concentrate and make breathing intentional.

You're only a few days post-op and doing well. Walk for as long as your body permits -- even if it's only 5 minutes. Hopefully, you'll notice small improvements each day.

Rose Madura  Mohammed, I think this all sounds normal. Your body had been through a great trauma. Be patient and take one day at a time. Do the breathing exercises that they give you. Hoping you will feel better soon.

Grace Mason   Welcome to recovery Mohammed ❤️‍🩹. You are early days so don't be discouraged. Your discomfort will improve day by day. Sleeping in a propped up position on your back is commonly the most comfortable post OHS. Wishing you well❤️

Danielle Elizabeth  The advice I was given is to trust your surgeon for deciding the best mechanical valve option. Your surgeon is going to know from your TEE, TTE, MRI, CT, etc which valve size and design will best fit your heart depending if there is stenosis, regurgitation, etc. 

Mohammed Abdulrahman  Hi Ed 
I sent you different messages but without response . Please do you have contact e-mail or whatsup to chat with you? . I am on the way to repair or replace my aortic bicuspid valve (severe regurgitation).

Deena Z  Hi Mohammed,  there is no direct email listed for Dr Takayama.   If you prefer not to call given how far away you are living in Iraq, then go to the NY Presbyterian website and ask for a "second opinion"  and they can contact you this way.  You will need to send them your ECHO (ultrasound report) and maybe some other medical reports, before a virtual visit.  I hope you find this helpful.   

Mohammed Abdulrahman  Hi Adam Baumgartner
Could you please explain your case story? what the symptomatic you were suffered from?
How is your health status post surgery?
Where and who was made the surgery?

Adam Baumgartner  I had severe regurgitation and ascending aortic aneurysm. I had extreme fatigue and no exercise tolerance. Had surgery at University of Washington with Dr Christopher Burke. Echo and everything looks good now. Feel great and doing well with exercise now. 

Kimberly Eisenhut  Hello, I wish I could help. but in U.S. I will try to look for some information in Iceland. Also, Adam Pick would probably have better access to help you  wit this. He is the creator of this website and very knowledgable. 

Mohammed Abdulrahman  Thank you Kimberly Eisenhut so much 
Are you live in USA or Iceland? 
Do you have Bicuspid leaky aortic valve?

Kimberly Eisenhut  No, I am in U,S. I have Tricuspid Leak and other heart problems, but my Dr is watching it and I cannot get surgery until it is severe leakage or I have more severe symptoms.
Please ask the Dr that did this test and ask about any help they can give you in finding a specialist to speak with. Much LOVE and Prayers for you