Salvador's Posts

It's definitely a tradeoff. Mechanical valves last for a really long time but require blood thinners for life. Cow-valves don't require blood thinners but wear out in about 15 years. Ross Procedure (if you are a candidate) lasts longer than a cow-valve, doesn't require blood thinners, and has better longevity statistics. However, it is a longer/riskier surgery with a longer recovery protocol. My surgeon wants my BP < 120 for a year while the pulmonary valve gets used to its new home. I'm trying to get used to my baseline BP being in the 100s. Also, if you are under 60, you should think about what your prospective 2nd/3rd procedures look like if you don't get a mechanical valve.

Thanks, Salvador. I chose not to do a mechanical valve for the same reason. I'm active and otherwise healthy. As soon as I'm cleared, I want to get back to trail running and I don't want to worry about falling in the middle of nowhere. Because they narrowed my aortic root as part of my surgery, I should be able to have a TAVR if/when I need another valve.

I will also have a mechanical valve and blood thinners really worry me. At the very least, I won't be able to take a painkiller anymore or I will have to be careful about what I eat. I am already a very anxious person, I think even the slightest bruising will be a nightmare for me.