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In January 2022, a routine checkup revealed a heart valve issue: mild aortic
stenosis (AS) and moderate aortic regurgitation ...Read more
In January 2022, a routine checkup revealed a heart valve issue: mild aortic
stenosis (AS) and moderate aortic regurgitation (AR) with an LVEF of 60%. I was
advised to have yearly follow-ups.
In April 2025, after a recent
move to new place, new tests done by another cardiologist showed my condition
had progressed to mild AS and moderate-to-severe AR, with my LVEF at 65%. I've
been prescribed Telma 40 and am scheduled for a follow-up in six months, with a
possible recommendation for valve replacement surgery if my condition worsens.
I now experience occasional
chest discomfort, palpitations, and some fatigue during exertion. I am
concerned about the risks of not having surgery, the possibility of a sudden
cardiac event, and the potential for other valves to be affected if I delay
treatment. There is no qualified Cardiothoracic and Vascular Surgeon in
my current city, Just want to know is it safe to travel by air after surgery
and discharge from hospital back to home.


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Valerie"
your positive attitude will serve you well as you get older. My first major health issue was my mitral valve but i was 79. You, on the other hand have lived with heart issues your whole life. I commend you. "

Moderate Aortic Stenosis: Why Wait For Surgery?
Doctor Interviewed:
Dr. Craig Baker
Moderate Aortic Stenosis: Why Wait For Surgery?
So glad to see your post and know that surgery is done. Sounds like your surgeon repaired the many heart issues which caused your problems. ...Read more
So glad to see your post and know that surgery is done. Sounds like your surgeon repaired the many heart issues which caused your problems. Now on to recovery, slow and steady, regaining your strength day by day. Treat yourself kindly, you've been through alot.
"








Check out the new edits to 'My Story' page by clicking here.

During the past 25 years, a key transformation in heart valve disease treatment has... Read More.
Heart disease remains the leading cause of death throughout the world. However, breakthrough discoveries,... Read More.
https://scitechdaily.com/after-40-years-heart-doctors-say-beta-blockers-may-do-more-harm-than-good/ ...Read more
https://scitechdaily.com/after-40-years-heart-doctors-say-beta-blockers-may-do-more-harm-than-good/









I live out of the country in a tall apartment building.No living family. ...Read more
I live out of the country in a tall apartment building.No living family. Nobody to take care of me.Only going to go to a nursing home or have paid professionals.Don't own a car.-----------------------------------------------------Opening glass doors in the elevatorOpening glass doors to get into the gymOpening glass doors to get into our libraryGetting into and out of a taxi. Is just going to be the only way I can get around after surgery so I better not have problemsFinding people to take care of me after surgery especially after I leave the nursing homeGetting a new jobHaving strangers at my home to take care of it for the second and third month after surgery- I live in a tiny studio apartment.VolunteeringRiding a busRiding a SubwayRiding a trainRiding in a boatTaking long trips by public transportationTaking short mid-level and long flights including International with moderately heavy luggage.Sleeping in a youth hostel.Getting things out of the refrigerator my refrigerator is only about half size so I've got a squat down a lot.Walking upstairs to get to the Sky Train which is the elevated subway walking down multiple slices of stairs after getting out of the subwayGoing to a mall going to a grocery store going to a bookstore going to social events going to church going to meditationSexDatingGymSwimBikeGoing downstairs to do laundryGrocery shopping Retrieving packages downstairsCleaning my house aloneActivities of daily livingFalling into depression because I'm probably going to be alone most of the first 3 months surgeryGetting repulsed by the scar and looking forward to minimizing it as soon as possibleSleeping normally againDealing with pain from the incisionGetting back to normal physically emotionally psychologically spiritually cognitively mentally



"They
tell of a wise man who one day
"Is there anyone," he said to
himself,
And when he turned his face,
For opening doors, grab the handle with both hands, keep your hands close, and use your shoulder to help you push or pull if you can.
With stairs, up will be more difficult than down. Just take your time. Take a break if you need to. I had some post-op weakness in my left leg and used a cane for balance for a week after leaving the hospital.
... Read more
For opening doors, grab the handle with both hands, keep your hands close, and use your shoulder to help you push or pull if you can.
With stairs, up will be more difficult than down. Just take your time. Take a break if you need to. I had some post-op weakness in my left leg and used a cane for balance for a week after leaving the hospital.
As Rose said, you won’t be an invalid. You’ll just be weaker and slower for a while. You’ll get through it.
Sometimes recovery will feel frustratingly slow and sometimes it will feel amazingly fast.
For laundry, I saw a guy who taped a laundry basket to a skateboard to get it back and forth without having to carry anything.
You could get a wagon, trolly, or stroller that you could use for both laundry & groceries so you don’t have to carry those things. Something you can push with both hands would be preferable to pulling with one hand.
Taxis, buses, & trains should be fine. You’ll want to sit on buses & trains. Having a pillow to put between you and a seatbelt is good to have for the first 4 - 6 weeks.
No motorcycles (or bicycles) until your sternum restrictions are lifted, the standard is 12 weeks.
If a Cardiac Rehab program isn’t available to you at the hospital, the gym should wait until Week 6. You can do treadmill and stationary cycling in the RPE 4 to 6 range (look up the modified Borg Scale of Perceived Exertion).
You can start using very light weights (5lb dumbbells or lower) at Week 10. The point of using weights is more about getting your torso accustomed to stretching and turning again more than it is about trying to build muscle.
I started working again at Week 4. I didn’t start driving into work until Week 6, I worked at a shipyard and it could be a 2 hour drive on bad days. I didn’t start feeling mostly normal most of the time until Week 8. At Week 13, I started feeling back to normal, just slow.
If you can postpone international travel until Week 12, I would recommend it. If you can’t wait that long, I’d recommend after Week 6. Before Week 6, it will likely be exhausting.
Read more
A lot of people experience reduced appetite post-surgery for 4-6 weeks, which is bad because 20% of your calories are going into healing.m. I could only eat 2 meals a day into my 6th week. I supplemented my calories & nutrition with protein powder and fruit smoothies. You’ll want to figure out a strategy that will work for your situation.
Check out the new edits to 'My Story' page by clicking here.

“I just went in for an annual check-up. After listening to my heart, my doctor told me I had a heart murmur. I never knew I had a heart murmur, and I didn’t know much about them. The images ... Read more.
“I just went in for an annual check-up. After listening to my heart, my doctor told me I had a heart murmur. I never knew I had a heart murmur, and I didn’t know much about them. The images showed that I had a severe mitral valve prolapse.
We made the decision, at the time, to keep an eye on it for a year because I had no symptoms. Based on my second echocardiogram, it was determined that my mitral valve prolapse had progressed, and it was time for surgery. Now, I am ecstatic to say that my wife and I just returned from a 10-day holiday in Saint Lucia which included four scuba dives.
Dr. Castillo-Sang gave me the confidence that I would be able to dive again, and he was 100% correct."
-- Gary Fabre, heart valve patient
(The photo is a picture of me on my 25th birthday last month. A quarter century with a CHD!)
One interesting point is what you want the opinion of cardiac surgeons as well as cardiologist about timing. I found cardiac surgeons to be WAY MORE dialed into the nuances of surgery than the cardiologists who were back office dudes.
I'd say you want to be with Cleveland Clinic, Mayo, Mt Sinai - one of the greats to maximize all of this. It is worth the effort!!! Best of luck.

Check out the new edits to 'My Story' page by clicking here.
Check out the new edits to 'My Story' page by clicking here.


Check out the new edits to 'My Story' page by clicking here.

Check out the new edits to 'My Story' page by clicking here.
Check out the new edits to 'My Story' page by clicking here.
Check out the new edits to 'My Story' page by clicking here.
In January 1988, I received a St. Jude Valve replacement for my bicuspid aortic valve at Hopkins. Since then, I've been on Warfarin without ...Read more
In January 1988, I received a St. Jude Valve replacement for my bicuspid aortic valve at Hopkins. Since then, I've been on Warfarin without problems and lead a busy life. In May 2017, I underwent aortic aneurysm repair at Hopkins, and the surgeon confirmed my St. Jude Valve looked healthy. Did you have your St. Jude Valve replaced because of issues with it, or was there another reason? You've been through a lot, but I'm glad to hear you're doing well.
Barry"
Check out the new edits to 'My Story' page by clicking here.
Upcoming Surgeries
Glenn Tremper
Aortic Regurgitation
September 12, 2025
Mark Giordano
Bicuspid Aortic Valve
September 16, 2025
David Buchanan
Bicuspid Aortic Valve
September 22, 2025
Surgeon Spotlight
Dr. Doug Johnston is a world-renowned heart valve surgeon that has performed thousands of heart valve operations that include minimally-invasive techniques.