Hi friends - seems I haven’t as good as others in updating my stories here but wanted to share my experience now that I’m a week removed from my OHS. ...Read more
Hi friends - seems I haven’t as good as others in updating my stories here but wanted to share my experience now that I’m a week removed from my OHS.
First, I want to say God Bless to the whole staff at Cedars Sinai medical center here in LA. All the nurses, technicians, staffers, ans everyone in between. They couldn’t have been more helpful, caring, attentive, and a huge source of getting me back up in my feet. they are all truly the best of the best at what they do and deserve all the thanks and praises. Same goes for my surgeon Dr. Trento - not that he needs any more praises in his incredibly storied career but he truly saved my life, like he has for so many others. For all my research and worry about which valve replacement to chose, he was able to fix my existing valve which was the absolute best scenario. He instilled confidence and calm in me a few minutes before going under which was huge. I’m forever grateful to him and everyone at Cedars.
Secondly, wanted to provide a quick recap of my experience in the past 7 days with the process:
-pre-op (day of): it’s really just about the nerves and mental here. No pain, just stress from getting up at 4am and drive to hospital. Not having a guest allowed until just going into the operating room was a challenge but again the staff and doctors really help put me at ease. You won’t sleep the night before almost no matter what you do but I think we can all agree that’s normal.
-post-op (day of): don’t remember much from this one which I suppose is a good thing. The biggie is the breathing tube which I have no memory of them removing. GF said it came out around 4pm or so and that I kept trying to pull on it myself to a point where they had to restrict my arms. Again no memory of this so the point might be not to worry too much since it’s very likely you won’t be conscious during the removal. I do remember waking up in early evening when they sat me down and being extremely thirsty. My gf gave me some soda which felt like heaven.
-the first night: was by far the toughest for me. Anesthesia wore off and pain meds weren’t enough. ICU is loud and busy and plus I was alone due to COVID. I barely slept and it felt like the night was a week long. This is where you’ll need every once of mental strength.
-Day 1: as painful as it was to get out of bed, that was a turning point for me when they got me up to sit me down. I drank and was able to see my gf again in the am. Best news of all was that my vitals were good enough for them to move me from icu into a private room. Cant tell you how thrilled I was to hear. They made me take a short walk using a walker. Painful but worth it.
-day 2 till discharge: no real pain and progress every day. Lots of walks and tests. Getting the tubes and dressing out isn’t pleasant one bit but it does feel way way way better once they are gone. So that 15 seconds of pain from the tubes coming out is well worth it on the other side. Again the lack of overnight guests was a mental challenge for me but that’s 2020 for everyone.
Being back home is huge and so much comfortable. Highly recommend renting a zero gravity chair since it’s been my homebase since return. I’ve slept in it for the first two nights since my bed is too hard still. Showers are weird but ultimately very good to wash the hospital stink.
Thank you everyone for the comments and help. For those upcoming patients - you’ve got this and reach out with any questions!
Civita Fahey Welcome to Recovery.. Happy all went well.
Susan Lynn Ben - You certainly picked an accomplished surgeon and facility. Thanks for the recap - I'm sure yo ... Read more
Susan Lynn Ben - You certainly picked an accomplished surgeon and facility. Thanks for the recap - I'm sure you've inspired many future heart warriors in the waiting room. Wishing you a speedy recovery! ❤
Hi everyone - I've been navigating this site for about a month now, and I've interacting with a few of you but here goes my first official post.
Foremost, ...Read more
Hi everyone - I've been navigating this site for about a month now, and I've interacting with a few of you but here goes my first official post.
Foremost, I want to thank everyone on here for all their advice and sharing of their journey. I've learned so much from what you all have posted and all the advice you've shared with each other. This site is absolutely heaven-sent.
Now on to my case. I've had a bicuspid aortic valve with mild to moderate regurgitation for all of my life. The leakage hasn't changed much over the last two decades but I've developed an aortic aneurysm over the last couple years which has now grown to 5.3 at last measurement two months ago. I am 38 and 150 lbs so I was told by surgeons here in Los Angeles at both USC and Cedars that I undoubtedly require surgery.
The good news is that surgeons are somewhat confident they can repair my valve (one quoted me at 70% confidence) but, as you all know, I still have to decide on a replacement in case they find my native one too damaged once they start the operation.
Also like many of you, I've been agonizing over the decision of which replacement to chose. Surgeons told me I'm a candidate for the Ross Procedure due to my relative younger age. I know it's worked well for Adam and a few others on here but something about having to mess with 2 valves instead of 1 just feels like I'm doubling my chances of future issues. To me, that feels like a higher risk.
I'm leaning towards the tissue option. Surgeons have recommended the Edwards Inspiris and the posts on here seem favorable based on early research. The Mechanical/On-X option is my least favorite one at the moment. I do like the idea that it won't wear down but I don't like the lifestyle changes that come with it - mainly the physical activity and dietary restrictions, not to mention the testing and having to regular check-ups.
I welcome everyone's advice. I am going to set my surgery date in the coming weeks. I'm mostly just waiting on the hospitals here in LA to relax some of the Covid-related visitor restrictions before I officially schedule. I don't think I could handle a full week or more in the hospital and only see one visitor for a couple hours a day. I know I'll need more emotional support than that LOL.
Rob Powell Hi Ben, it looks like we are in a similar position, although I’m 8 years older. I have a bicuspid ... Read more
Rob Powell Hi Ben, it looks like we are in a similar position, although I’m 8 years older. I have a bicuspid valve, which has resulted in a potential aneurism (4.5). I am going for the op in a couple of weeks, but feel little symptoms at the moment. I looked at the Ross procedure but because of my valve, I have an aorta that’s is slightly ovular. I am told this makes the Ross procedure sub optimal. Actually, I am glad in a way because it makes the decision easier to not have the procedure, as it is technically more difficult. Like you, I am not in favour of a mechanical Valve and have chosen the Inspiris Resilia which seems to be the absolute best option that I have seen available, although with no long term results because of its relative recent deployment. I don’t have much more advice on the practical front as I am kind of battling the COVID effect in the UK. Everything seems to going really slow, and I don’t have a date as of yet. Anyhow - feel free to contact me as we are both heading the same way, and I will help however I can with what I have experienced so far.
Pat Bluemel Hi Ben. Just read up on your story. Welcome! You are going to change your mind exactly 1k times betwe ... Read more
Pat Bluemel Hi Ben. Just read up on your story. Welcome! You are going to change your mind exactly 1k times between now and surgery time, and the choice is highly personal, so just know that coming in. It seems impossible, but you will get there and be at peace. I'll likely write a novella here so please forgive, we have a lot in common in the journey. I had my anny repaired and bio implanted St Judes valve 5 years ago. Going in with just about the same mindset as you. Active lifestyle, really like my wine, and worried about the dreaded Coumadin. Everything was perfect for 4 years until my valve started to fail last summer. So I ended up on coumadin anyway to limp me through until now, when it's re-operation time. I considered the Ross repair, but much like you, I really don't dig the thought of two parts of my heart being toyed with and possibly another procedure in life. All of my consults have advised I go w/ mechanical due to my track record of rejecting this bio valve as a baseline and age. So now onto my wisdom and learning over all this. 1. If I had to do it all over again, I would have chosen mechanical. I went in with bio fully believing I'd get 12-15 years out of that valve and then get a TAVR replacement, not to be for me, my repair won’t allow it, I am getting a complete redo due to scar tissue (trunk and all). 2. I’m dreading this next operation and don’t want to go through it again in life if I can help it. Of course things happen and I may have something else go wrong but in general, mechanical valves last longer and for life. 3. Having been on Coumadin for the last 8 months I can tell you my life hasn’t changed much - beside my stupid valve slowing me down just recently. I wouldn’t think of the rules as diet restrictions, but consistency. If you like salad and greens and Vitamin K eat them on a consistent basis, if you don’t – don’t. I dislike rules and structure, and am the poster child for breaking them. We managed to get me on a stable plane w/ INR and I was cool with it. The measurement and meds seem like a hassle at first but you find a rhythm and it becomes a very small part of life. A pill at 5pm a blood check every month which you can do at home and off you go. The cool thing about this group is that we support any decision you make as we’ve all been there and get what a huge emotional rollercoaster this is. I hear Cedars has a great Cardiac program is that where you are pondering?
Ben Landry Hi Rob - yes we appear to have a very similar timeline at the moment. Thanks for reaching out. Will d ... Read more
Ben Landry Hi Rob - yes we appear to have a very similar timeline at the moment. Thanks for reaching out. Will definitely stay abreast of your process. Please reach out as well. Happy to chat.
Ben Landry Thank you Pat - your story certainly resonates with me. I saw it earlier too as part of your journal ... Read more
Ben Landry Thank you Pat - your story certainly resonates with me. I saw it earlier too as part of your journal and the issues with the mechanical, as such an early stage too, are quite concerning indeed. I'm sorry you've had this bad luck. It seems like you have the right attitude at least. Thank you for the anecdote on the blood thinners, it helps to know it's not as restricting as it appears to be. Sigh. I think your estimate of me changing my mind 1K more times is on the low end LOL
Alex Sigalov hi Ben, i was 39 when i had to get my bicuspid valve replaced and aortic root repaired and i went wit ... Read more
Alex Sigalov hi Ben, i was 39 when i had to get my bicuspid valve replaced and aortic root repaired and i went with OnX mechanical; basicly the if you get tissue i believe u can get only one TAVR after the tissue(considered Ross procedure but was not feeling well and wanted to get it done as soon as i could); so if on avg they each last 15 year that can possibly put you in OHS 70year old which could be a bit dangerous; Coumadin is not that bad, i have in home monitor, so i self check once a week now, i am also as Pat not a big green eater so i am able to keep my INR pretty stable, there is also a possibility of Plavix getting approved instead of coumadin; clicking could be annoying at time but eventually get used it; Also personally i was feeling on the decline for about 2 years before Dr. were ready to do the surgery and never wanted to be in that situation again.
Chris Calhoun I have the On X - it has been great - I am 10 months out now and the Coumadin is not bad - I eat 2 l ... Read more
Chris Calhoun I have the On X - it has been great - I am 10 months out now and the Coumadin is not bad - I eat 2 leafy green salads each week - with dinner that's it - the clicking does not bother me -
Pat Bluemel One other thing I forgot to mention, we were similar in hoping for a repair. Put all your energy int ... Read more
Pat Bluemel One other thing I forgot to mention, we were similar in hoping for a repair. Put all your energy into doctor being able to fix your valve first. The David Procedure is awesome. That was the plan with me, all of our advice is coming from IF they can't repair your current set up. Just go in eyes wide open that they really don't know what's going on w/ your bicuspid till they get in there. Oft times it's too calcified, worn out, or stretched when they go in to look at it - so your solid back up plan will be in place and well thought out. I'm hoping you can get repaired via The David and be done with it!
Carlos Banuelos I was 44 when I had my valve replaced. The decision of whether to go with tissue or mechanical valve ... Read more
Carlos Banuelos I was 44 when I had my valve replaced. The decision of whether to go with tissue or mechanical valve was very difficult. Constant second guessing. Ultimately, I went with the On-x bc i believe it gives me the best chance of never needing another surgery. Also, I was told that it shouldn’t restrict me from continuing my activities. After a year in, all is good. I’m up in Tahoe now, wakeboarding, hiking, river rafting, etc., with my kids. Only certain contact sports are restricted (e.g., football, rugby). I eat and drink whatever I want whenever I want - my INR generally fluctuates between 1.7 and 2.0, and if it goes too low or too high it’s easy to adjust the dose. At home monitoring is very easy. Hopefully your valve can be repaired. It’s such a difficult decision that you’re going through. I remember wishing there was a clear cut answer. Looks like you are doing your diligence and will make the decision that is best for you. Good luck with everything. Happy to answer anymore questions you may have.