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Surgeon Q&A: Bicuspid Aortic Valves, Connective Tissue Disorders & Aneurysms
Doctor Interviewed:
Dr. Chris Malaisrie
Surgeon Q&A: Bicuspid Aortic Valves, Connective Tissue Disorders & Aneurysms
Upcoming Patient Surgeries
Ken Manson Amesbury Ma
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Hello I see you were scheduled for surgery back on May 6th. Hope it went well. I've had 4 open heart operation for aortic stenosis, ...Read more
Hello I see you were scheduled for surgery back on May 6th. Hope it went well. I've had 4 open heart operation for aortic stenosis, congenital bicuspid aortic valve . The first at Childrens way back in 1960 when I was 10. Then in 1984 my repaired native valve was replaced with a Porcine valve that lasted until 1994 and then replaced with a St Judes mechanical valve which I have had now for 32 years this June. Have been on warfarin for those 32 years and have been very fortunate not to have any issues. Then in January 2007 I was operated on for an aneurysm on my aortic arch. I now developed another aneurysm that they are tracking but are hoping it remains stable as I'm 76 and the doctors are reluctant to do a 5th operation. And my enthusiasm for a 5th surgery is low. LOL. "
I am 26 years old and was born with congenital heart disease. When I was about one year old, I had open-heart surgery through a sternotomy to treat ...Read more
I am 26 years old and was born with congenital heart disease. When I was about one year old, I had open-heart surgery through a sternotomy to treat pulmonary valve stenosis. After that, I lived a mostly normal life and had very few noticeable symptoms, so I did not keep up with regular cardiac follow-up as closely as I should have.
In 2025, I decided to have my heart checked again. I then learned that I had developed severe pulmonary regurgitation, pulmonary stenosis, severe tricuspid regurgitation, and significant right ventricular enlargement. I was surprised because I did not feel very sick, but my doctors explained that surgery was needed to prevent further damage to my heart.
On April 22, 2026, I had redo open-heart surgery with Dr. Jordan Bloom. I underwent pulmonary valve replacement with a 26 mm gender-matched acellular pulmonary homograft, tricuspid valve repair with a 28 mm Physio ring, and PFO closure. The surgery went well, and I am now recovering.
My most recent update is that I developed a postoperative pleural effusion. I have been having a frequent dry cough and am scheduled for drainage. This has made me anxious, because I am not sure whether it is simply part of the normal recovery process after surgery or whether it could indicate something more concerning.
They scheduled me for an outpatient interventional radiology appointment next week to drain the pleural effusion. But over the past few days, my cough has been getting noticeably worse. I can’t really bend over without coughing, and I also cough a lot when I lie down to sleep.
At the recent 60th Annual Meeting of the Society of Thoracic Surgeons in San... Read More.
Atrial fibrillation (AFib) is the most common arrhythmia among adults. Many people will experience... Read More.
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.
How are you doing? I have not been on the site for a few weeks. I am six weeks out from surgery now. I am doing ok. I am not ...Read more
How are you doing? I have not been on the site for a few weeks. I am six weeks out from surgery now. I am doing ok. I am not very patient and am ready to be back to 100%. I will be going back to work Monday.
Once leaving the hospital I was on aspirin, folate, b12, vitamin C, iron. For discomfort I was on Robaxin, gabapentin, and Tramadol. I am taking metoprolol to keep my heart rate down.
Overall, I am doing ok. The chest pain and s gone. I still have some numbness around and just below my nipple from the surgery. I also have some numbness in my right thigh from the bypass.
Good luck. "
I’m almost a year o ... Read more
I’m almost a year out. I get random discomfort in various places on my chest. It feels shallow, like it’s in my ribs. I mentioned it to my cardiologist a month ago and he didn’t act like it was significant.
“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
Check out the new edits to 'My Story' page by clicking here.
I’m forever thankful to Dr. Javaheri, my interventional cardiologist for the excellent work up and recommending a world class surgeon Dr. Morris Brown at the Piedmont Valve Center in Atlanta. Dr. Brown and his team provided excellent care before, during and after the surgery. I couldn’t have asked for more than a world class surgeon, at a world class facility, with a world class care team. And Dr.Javaheri has been monitoring my valve since the surgery to be sure it is fully functioning—which it is. Finally I’d be remiss not to be thankful to my dear wife of 52 years and my family for their care and support which was critical to my successful journey.
So if you are facing similar surgery know that, while it is daunting to face, there are professionals that will get you through it and back to normal. Many of us have done it and you will too!
My most important advice is to maintain a positive attitude and have faith in and listen to your surgeon and care team. Don’t let yourself get down. It can easily happen, but don’t let it! Always be positive!
Life is good!
Check out the new edits to 'My Story' page by clicking here.
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Best wishes for your surgery and recovery. I hope this helps. "
I had my aortic valve replaced 31 years ago (December 1994) at the Brigham and Women’s Hospital in Boston. I opted for a prosthetic valve ...Read more
I had my aortic valve replaced 31 years ago (December 1994) at the Brigham and Women’s Hospital in Boston. I opted for a prosthetic valve at the time, and I am not sorry. They were able to implant a Saint Jude’s valve, and I have been taking Coumadin ever since. In the early years, I had blood draws away from home. Later, I started self testing at home, and the results went to my doctor. I have said to my doctor that the office does not need to call me with instructions unless they feel they must. I know what I need to do now if my INR is too high or too low. It might seem overwhelming in the beginning, but it becomes part of the routine. Certain foods affect the way Coumadin works, but it is easy to manage. Self testing was always covered by my insurance, and now that I am on Medicare, it is still covered. Best of luck with your re-operation.
Sandra"
That is amazing you also went to Brigham and Woman's . It is a great hospital. Sounds li ... Read more
That is amazing you also went to Brigham and Woman's . It is a great hospital. Sounds like you have had a successful journey! I am just glad everything is over and like you said trying to manage the Coumadin. If I don't have to have another OHS I will get it done! Thanks for your thoughts!
"
Surgeon Q&A: Bicuspid Aortic Valves, Connective Tissue Disorders & Aneurysms
Doctor Interviewed:
Dr. Chris Malaisrie
Surgeon Q&A: Bicuspid Aortic Valves, Connective Tissue Disorders & Aneurysms
and are going to be just fine. My MR sounds quite similar to yours except that I have ...Read more
and are going to be just fine. My MR sounds quite similar to yours except that I have some cardiologists that are recommending surgery now and another that is saying not to have surgery. I'm getting another echo June 3rd, we shall see. Can you tell me at which hospital you're having here is done, please?"
I had aortic valve replaced in 2009. Had 2nd replacement in 2022. Less painful the 2nd time but recovery was much slower.
Tom O'Brien"
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My ...Read more
My surgeon has me on a regimen of 3 protein shakes per day for the week before surgery and the week after I return home. I'll also drink two carbohydrate drinks the night before surgery and the morning of. Plus showers using an antibiotic wash.
At this point, I've learned everything I can -- about my surgeon, the hospital, the daVinci surgical robot, the surgery itself, the post-op process, the pain management process, and what to do at home. I also learned about Cardiac Depression from Adam's book (a great resource!)
My support system is ready (my whole family), and my legal documents are up-to-date. I even put together a binder with all my receipts, documents, handouts, etc for my wife.
Now...I wait. This is the hard part.
All the best and looking forward to hearing y ... Read more
All the best and looking forward to hearing your after report !
Upcoming Surgeries

Doris Wunsch
Tricuspid Regurgitation
May 19, 2026

Katheleen Luz
Aortic Regurgitation
May 22, 2026

James Beauvais
Aortic Stenosis
May 27, 2026
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