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“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

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Elevate your arm slightly on a pillow if you aren ‘t already .
I hope that it is settling down xxx"
Check out the new edits to 'My Story' page by clicking here.
Check out the new edits to 'My Story' page by clicking here.

Mitral Valve Repair & AFib: Surgery vs Transcatheter
Doctor Interviewed:
Dr. Marc Gerdisch
Mitral Valve Repair & AFib: Surgery vs Transcatheter



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Big News! In case you missed it, the new SMART Clinical Trial just revealed... Read More.
Patients who learn the best course of action for their mild-to-moderate aortic stenosis is... Read More.





Thank you to the entire team at Northwestern and the amazing job ...Read more
Thank you to the entire team at Northwestern and the amazing job they've done on my Tricuspid repair. I will never forget being given this amazing gift🫶


And could not agree more about those amazing nurse... Read more

And could not agree more about those amazing nurses - a special, special group of people.


part is over.
You have a lot of wonderful people taking good car ... Read more
You have a lot of wonderful people taking good care of you.



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Welcome

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


I had an echo last April 2025 and according to the Cardiologist everything looked pretty good, in fact, the Cardiologist said my heart appeared strong, and leakage was between mild and moderate.
I recently got an Apple Watch and I’ve been using the iCardio app to monitor my heart rate. I’m getting some troubling feedback
Primarily bradycardia (slow heartbeat) occasionally tachycardia(fast). I’m 62 and realize that aging can affect the natural pacemaker (sinus node). I’m scheduled to see my primary care doctor on October 16th and will ask for a referral to my Cardiologist.
I’m also scheduled to see a therapist to help cope with the anxiety this is causing. Just curious to know if anyone else has experienced Bradycardia and if so, is there anything that can help?

I’m so glad you’re doing well after your valve replacement surgery. If I felt fi ... Read more
I’m so glad you’re doing well after your valve replacement surgery. If I felt fine, I wouldn’t be concerned about my low BPM, but the bouts of extreme fatigue are what concern me the most.
The extreme fatigue seems like a bigger red flag.
I had a mitral valve repair in 2018. I had MVP that doctors could hear forever (first identified when I was 20), but it got worse and then it went "flail" with several broken chordae in 2017. After a slow diagnosis (a failing mitral valve can feel a lot like pneumonia -- shortness of breath, wet cough), I got a repair. My valve still doesn't leak much after 7 years, so my repair was great.
... Read more
The extreme fatigue seems like a bigger red flag.
I had a mitral valve repair in 2018. I had MVP that doctors could hear forever (first identified when I was 20), but it got worse and then it went "flail" with several broken chordae in 2017. After a slow diagnosis (a failing mitral valve can feel a lot like pneumonia -- shortness of breath, wet cough), I got a repair. My valve still doesn't leak much after 7 years, so my repair was great.
I think a few failed chordae just increase the stress on the remaining ones, and I think your cardiologist will agree that the risk of the valve going "flail" is not something you should take. You are still young (my age!) so you would recover perfectly from a valve repair, and then it would never need repair again. If you wait until more chordae break and you need surgery urgently, you will also be older and a weaker patient.
My MVP surgery involved basically resecting the middle leaflet of one side of the valve (very common), and it was the chordae to the leaflet they removed that were broken in the first place. So they didn't put any artificial chordae into my heart. Your surgeon might find that your broke chordae are also the ones to the floppy valve leaflet, so you don't need fake chordae.
So obviously I'm not your doctor, but you should definitely see a cardiologist. I wish I'd seen one earlier! (My primary care people were happy to give me antibiotics for pneumonia when I needed hear surgery!) My valve was such an obvious candidate for a textbook mitral repair that I saw a cardiologist for the first time, he looked at the external echo (trans-thoracic) and got me a meeting with the surgeon (who had a cancellation) an hour later, and the surgeon took one look and said I need to get on his calendar. He didn't need a trans-esophageal echo to diagnose this, and said it was just an easy one but needed doing sooner rather than later.
Your cardiologist might tell you to get ahead of this structural problem, which is now symptomatic for you (fatigue). I would just tell you the surgery is not as scary as it sounds, and you will be energized by how quickly you heal.
Appreciate your detailed message. Very glad to hear that your repair was successful. From what I recall, I have 2 broken chordae (one on each valve). I’m not sure if they are completely torn or just stretched.
Fortunately, I do not have pulmonary hypertension, and I rarely get short of breath. The only time I might get short of breath is if I’m going up a very long flight of stairs. I’ve always lived an active lifestyle and stay fairly fit.
... Read more
Appreciate your detailed message. Very glad to hear that your repair was successful. From what I recall, I have 2 broken chordae (one on each valve). I’m not sure if they are completely torn or just stretched.
Fortunately, I do not have pulmonary hypertension, and I rarely get short of breath. The only time I might get short of breath is if I’m going up a very long flight of stairs. I’ve always lived an active lifestyle and stay fairly fit.
I’ve never had such a low heart rate, even while resting. I agree with you, I feel as if I need to get the surgery sooner than later. I don’t want to wait for more chordae to rupture.
When I mentioned the low heart rate to my cardiologist, he did not seem concerned whatsoever, but at that time I was not experiencing the extreme bouts of fatigue.
He’s always very positive but rather blasé about my MVP. I’m planning to get a second opinion. Thank you again for your input.

Fatigue is a symptom. Tachycardia also isn’t good, especially if it’s v-tach.
I think you are right to get to a cardiologist.
i’m so sorry to hear that your husband has Covid. I just recovered from it. Managed to avoid ge ... Read more
i’m so sorry to hear that your husband has Covid. I just recovered from it. Managed to avoid getting it for five years and now I’ve had it twice in less than nine months. Each time I was prescribed Paxlovid which I highly recommend. Fortunately Covid never affected my lungs, however, I still have lingering sinus congestion. Tested positive on 9/14 (day 2 of feeling ill) and tested negative on 9/22. Paxlovid works fast! By the 2nd day I felt a lot better. From what I understand if someone is taking cholesterol lowering drugs, they prescribe something else called Tamiflu ( studies show that it keeps people out of hospitals and lowers risk of death, however does not decrease duration of Covid) Paxlovid can affect how other medications are absorbed by the body and apparently cholesterol lowering drugs cause dangerous levels so that’s why they do not prescribe it to people that have to take certain medications.
I really, really noticed the difference between a resting heart rate of 50bpm and 70bpm.
It slowly returned to normal over weeks 5 - 8.
I just looked back at my data. At week 4, I was ranging between 66 & 83, up to 108 when exercising.
My heart rate wasn’t completely back to normal until about Week 9, my dosage at that time was 25mg 2x/day.
I’m going out on a bit of a limb here because there’s no better time to do so and you can take from it what you will….Your life matters ...Read more
I’m going out on a bit of a limb here because there’s no better time to do so and you can take from it what you will….Your life matters because you were created by God for a purpose—this is not a religion I am pushing but the most important relationship any of us can ever know, no matter who we are, what we’ve done (or not done) , where we live, who’s with us, or who our surgical team is. It is a very personal matter so my belief and my relationship (and everyone else’s for that matter) have nothing to do with it.
I would just ask you to be willing to ask God to reveal himself to you in the way you need him to so that you can know that relationship, and all it promises for yourself! Many in this community (myself included) know this is not some fanciful fairytale or a matter of positive thinking, but a fact as clear and as close as our heartbeat.
I am praying for you to know this for yourself beyond any shadow of a doubt and for you to have peace and an ever increasing gratitude and love for life after you come through your surgery. 🙏🏻 ❤️"

“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
Welcome to you and welcome to your dad

Check out the new edits to 'My Story' page by clicking here.
I have always wondered why the conjoined flaps of a conjoined aortic valve can't be separated to enable the natural tissue to be retained. Surely it's simpler than separating Siamese twins.
Anyway I would be really grateful if this question could be put to Dr Svensson, if it hasn't been covered elsewhere.
Thanks

I like your salesmanship 101. 🎉🎊👍❤️
One day at a time.
I have just seen your message

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

Wishing you good luck for your surgery ."
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Adam's Video Library
Learn about heart valve surgery and patient success stories at Adam’s video library.