I never posted my progress yet but I had my tissue AVR on 7/21/16 and feel great except for occasional Atrial fibrillation (AFib). Being that this is a common side effect of heart surgery where 85% are effected, I am wondering why I never seen anyone post about it? Blood thinners are recommended and metoprolol for most for at least 6-8 weeks or more till this nuisance goes away. Can anyone please share if you had gone through this? It would really help as everyone is different recovering from this inflammation side effect (AFib) that is a result of OHS.
The current American Heart Association and American College of Cardiology (AHA/ACC) guidelines recommend that biologic valves are reasonable in patients aged 70 or above (Class IIa recommendation), whereas a mechanical valve is reasonable for patients below 60 years of age (Class IIa recommendation) 1. While the guidelines make clear that patient choice and willingness to take anticoagulation should be the major factor in deciding valve choice, these two recommendations reflect the dominating dichotomy in surgical valve replacement – young patients preferentially receive mechanical valves while older patients receive biologic valves. We provide the rationale for consideration of biologic valves as a primary choice for aortic valve replacement in adults below 70 years of age. Majority of data on biologic aortic valve replacement derives from studies of stented porcine and pericardial valves – we limit this discussion to these valve types. Separate considerations may apply to other biologic valve choices including stentless xenografts, and human valves (autografts and allografts).
Hi Adam and all our friends here! Does anyone know a surgeon who does minimally invasive surgery for an aortic valve replacement and one bypass? Is this still so non traditional and risky that full sternotomy is the only proven method?