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Surgeon Q&A: The Risk Vs. Benefit of Asymptomatic Mitral Valve Surgery
Doctor Interviewed:
Dr. Junaid Khan
Surgeon Q&A: The Risk Vs. Benefit of Asymptomatic Mitral Valve Surgery
Upcoming Patient Surgeries
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.
“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.
https://www.heart-valve-surgery.com/heart-surgery-blog/2023/02/21/day/
Check out the new edits to 'My Story' page by clicking here.
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Check out the new edits to 'My Story' page by clicking here.
My meme is Maya… what I written is powerful. It’s honest, vulnerable, and very “me” — ...Read more
My meme is Maya… what I written is powerful. It’s honest, vulnerable, and very “me” — colourful, strong, reflective, and grateful all at once. I hope this helps at least one person on their journey of heart surgery.
The Beginning of My 🩷 Journey
I am waiting for open heart surgery — a replacement of my aortic valve.
I have severe symptomatic aortic stenosis.
Some days I am smiling and life feels orange, red and yellow.
Other days are blue and frustrating.
For more than a decade I had mild stenosis, a heart murmur. Yearly visit and yearly tests with my cardiologist. Missed my last visit as I was moving to Thailand to retire. Too excited to worry about my mild murmur. Over the past 12 months it quietly became severe. I became breathless. Huffing and puffing. Unable to walk far. Very swollen feet. Occasional angina. One frightening episode of cold sweat and almost passing out 😵
And still… I didn’t put 2 + 2 together.
I told myself:
“I’m 72.”
“I’m a bit chubby.”
“It’s hot and humid.”
“I’m just getting older.”
I came back to Brisbane for 6 weeks (staying with my daughter) to catch up with friends and to spend Christmas with my family. On 9 December my daughter drove me — all of two minutes — to Emergency.
The angina was strong, spreading to my jaw, and did not pass after 15 minutes. I thought I was having a heart attack.
I wasn’t.
After 20 hours in ED, I was admitted to the coronary ward.
On 12 December 2025, at Ipswich Hospital, I received the diagnosis: severe aortic stenosis.
I was placed on an urgent (Category One) list for open heart surgery at PA Hospital in Brisbane — meant to happen within 30 days.
It has now been 70 days.
Public health means waiting lists. It means the most critical cases go first. It means bed shortages. And I understand that. I am severe — but stable.
Every day I live with angina and breathlessness. I am very restricted in what I can do. But I am deeply grateful that I am not in constant severe pain while I wait.
You can only read and binge-watch Netflix for so many hours.
You can only play so much canasta with friends.
You can cook yummy food often… and apparently gain 3 kilos in 10 weeks 😅😳
So I wait.
I smile when I can.
I feel the blue days when they come.
And I stay positive and grateful. 💜
Because this is only the beginning of my journey — not the end 🥰
Post-operative AFib is a BIG PROBLEM that impacts up to 30% of heart surgery... Read More.
Patients who choose a tissue mitral valve replacement instead of a mechanical valve understand... 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.
Surgeon Q&A: The Risk Vs. Benefit of Asymptomatic Mitral Valve Surgery
Doctor Interviewed:
Dr. Junaid Khan
Surgeon Q&A: The Risk Vs. Benefit of Asymptomatic Mitral Valve Surgery
Check out the new edits to 'My Story' page by clicking here.
Check out the new edits to 'My Story' page by clicking here.
I’m highly active in running and fitness, and enjoy travel, good food, and good wine.
I’m scared of adjusting to the mechanical noise, I’m scared of lifelong warfarin, and i’m joining this site to meet others who have stories about how to live with this valve and warfarin.
I’ve been told that athletes can sometimes expect to become even better once fully recovered (no more regurgitation), but i want to know your stories about recovery, limitations on athletics/food/wine, etc.
implantation in 1988. It has been reliable, and I’ ... Read more
implantation in 1988. It has been reliable, and I’ve maintained it through
regular exercise to keep my heart healthy. I was 25 at the time, due to a
bicuspid valve, and now at 63, I’m still very active and working full-time in
IT. You'll notice the clicking sound, but I quickly adapted to it. I've been on
warfarin for many years, which requires some lifestyle adjustments, like
avoiding risky activities. However, it's a small price for maintaining good
health. I pay attention to my diet, mainly vegetarian with fish and chicken,
and eat lots of dark leafy greens. I’ve adjusted my warfarin levels over time
to accommodate that. Feel free to ask any additional questions. I also had an
aortic aneurysm repair in 2017, without any complications.
Finding this blog with all the information to explore and the supportive people that know what you are experiencing was invaluable. Wishing you all the best in your journey and happy to answer any questions.
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? Ive had my share of difficulty past few months, but was wanting to check on you. Hope you are doing well."
Has anyone here or you, Kate, have taken Flaicenide? I know you struggled with pericarditis, but not recurrent correct? I'm on weekly injection now if Rilonacept (Arcalyst). It's only three mg that stopped my body from attacking my pericardium and keeping my inflammation (CRP) down in normal range now for past 8 weeks. I'm grateful for that , but my heart did not automatically go back to sinus rhythm afterwards, do I'm just stuck in this back and forth rhythm. I'm still hopeful it me resolve. Anyone had an ablation, it doesn't sound like it's very effective and I do not need yet another problem.
I missed a comment that you had sent regarding an angiogram. I did have a few, and one was close to surgery just to make sure all was well. ...Read more
I missed a comment that you had sent regarding an angiogram. I did have a few, and one was close to surgery just to make sure all was well. What is your status? Have you had the surgery, or have a date? I've started volunteering at St Marys, I'm there on Friday mornings between 6-9am Scott"
Hope all is going well on your end? I wanted to touch base with a few Ross patients. I've noticed the last few months that I've been having ...Read more
Hope all is going well on your end? I wanted to touch base with a few Ross patients. I've noticed the last few months that I've been having some dizziness, and not related to exercise. Wondering if its my iron (I'm still super low, or perhaps the beta blocker). Did you ever experience dizzy spells during recovery during the first year? Scott"
Upcoming Surgeries
Susan Cannizzaro
Mitral Regurgitation
February 24, 2026

Kevin Grant
Mitral Regurgitation
February 26, 2026

Jodi Schellenger
Aortic Stenosis
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