I'm 41, male married with 2 children. I have a ascending Aorta aneurysm and have a highly calcified unicuspid Aortic valve. I love my outdoor activities like ...Read more
I'm 41, male married with 2 children. I have a ascending Aorta aneurysm and have a highly calcified unicuspid Aortic valve. I love my outdoor activities like Trap shooting, treks on mountains, horse riding, etc. Ofcos I don't depend on the for my living.
I am contamplating between a Bentall with mechanical valve or Ross procedure with Ascending Aorta replacement.
I am looking for answers related to the same.
1) What are the lifestyle restrictions post having a mechanical valve. Seeing my list of activities bcoz of the blood thinners.
2) Ross procedure, can it be performed along with ascending Aorta replacement.
A) what are the chances of the doner pulmonary valve needing a reOperation due to calcification in the future. Is a TAVR a possible procedure for the same.
B) what are the chances of the aorta root furthur dilating.
C) what are the chances that my pulmonary valve cannot do proper function as a Aortic valve.
1) Low impact activities only. Biking (with helmet), walking, swimming, yoga, strength training. Anything like horseback riding where you could sustain a significant impact, especially to the head, would be too dangerous. Sharp objects are a definite no. Your diet will also be affected.
2) Yes, the Ross Procedure is a complex surgery already (I've had it) and adding in the additional component of the Dacron graft for the aneurysm repair complicates it even further. Only go to a surgeon who has done a high volume of these surgeries.
A) Unclear as to whether you are asking about the aortic position or the pulmonary position so I'll answer both. The pulmonary valve (yours) in the aortic position can last for decades. Your own tissue valve in that position has a low rate of calcification risks. Having your aneurysm repaired now makes you one of the lucky ones since an aneurysm appearing in the future is what has led to many Ross Procedures requiring intervention and replacement of the aortic valve again (that happened to me - see My Story). The Dacron graft on your aorta can last for your lifetime (my Bentall was done in 2005). TAVR is amazing and is an option later for the valve. The cadaver donor valve in your pulmonary position can also last a lifetime. I have had mine since 1993 with no complications (from my Ross). The pressure put on that valve is very low. IF it were to have issues significant enough to require surgery then TPVR is now becoming an option (Transcatheter Pulmonary Valve Replacement).
B) If you're having the Bentall procedure now (through the arch), the chances of it further dilating are very low. That will be a non-issue.
C) The pulmonary valve functions very well in the aortic position. They are both semilunar valves. The added benefit is that low risk of calcification on the valve I mentioned earlier because it is your own tissue. My Ross Procedure aortic valve (my pulmonary valve in the aortic position) was still doing incredibly well, with no calcification, at year 11 until my new aortic aneurysm stretched it apart. If not for the aneurysm, it was on course to last another 15 years easily. So your aneurysm surgery happening simultaneously is fortunate.
**There are also new bioprosthetic aortic valves in development (Inspiris Resilia) that are very promising for longevity of TAVR in the future.
I am from: Mumbai, India
I am contamplating between a Bentall with mechanical valve or Ross procedure with Ascending Aorta replacement.
I am looking for answers related to the same.
1) What are the lifestyle restrictions post having a mechanical valve. Seeing my list of activities bcoz of the blood thinners.
2) Ross procedure, can it be performed along with ascending Aorta replacement.
A) what are the chances of the doner pulmonary valve needing a reOperation due to calcification in the future. Is a TAVR a possible procedure for the same.
B) what are the chances of the aorta root furthur dilating.
C) what are the chances that my pulmonary valve cannot do proper function as a Aortic valve.
I would highly appreciate prompt response
Thanks and Regards
ID
1) Low impact activities only. Biking (with helmet), walking, swimming, yoga, strength training. ... Read more
1) Low impact activities only. Biking (with helmet), walking, swimming, yoga, strength training. Anything like horseback riding where you could sustain a significant impact, especially to the head, would be too dangerous. Sharp objects are a definite no. Your diet will also be affected.
2) Yes, the Ross Procedure is a complex surgery already (I've had it) and adding in the additional component of the Dacron graft for the aneurysm repair complicates it even further. Only go to a surgeon who has done a high volume of these surgeries.
A) Unclear as to whether you are asking about the aortic position or the pulmonary position so I'll answer both. The pulmonary valve (yours) in the aortic position can last for decades. Your own tissue valve in that position has a low rate of calcification risks. Having your aneurysm repaired now makes you one of the lucky ones since an aneurysm appearing in the future is what has led to many Ross Procedures requiring intervention and replacement of the aortic valve again (that happened to me - see My Story). The Dacron graft on your aorta can last for your lifetime (my Bentall was done in 2005). TAVR is amazing and is an option later for the valve.
The cadaver donor valve in your pulmonary position can also last a lifetime. I have had mine since 1993 with no complications (from my Ross). The pressure put on that valve is very low. IF it were to have issues significant enough to require surgery then TPVR is now becoming an option (Transcatheter Pulmonary Valve Replacement).
B) If you're having the Bentall procedure now (through the arch), the chances of it further dilating are very low. That will be a non-issue.
C) The pulmonary valve functions very well in the aortic position. They are both semilunar valves. The added benefit is that low risk of calcification on the valve I mentioned earlier because it is your own tissue. My Ross Procedure aortic valve (my pulmonary valve in the aortic position) was still doing incredibly well, with no calcification, at year 11 until my new aortic aneurysm stretched it apart. If not for the aneurysm, it was on course to last another 15 years easily. So your aneurysm surgery happening simultaneously is fortunate.
**There are also new bioprosthetic aortic valves in development (Inspiris Resilia) that are very promising for longevity of TAVR in the future.
Hope that helps!