Thomas's Journal

I been informed by my surgeon the only two valves he currently uses for aortic replacement is the Avalus as part of a trail or the Trifecta valves. I am trying to get up to speed on these quickly since I am currently scheduled for surgery on 5/1/19. Any experience or data you can share would be very helpful.

I will be having my second Sternotomy in 10 days. How is the second one compared to the first? Any advise on the recovery or issue related to having a second.

I have been doing a lot of homework on valve types. I have not made a decision yet but I seeking information on the Edwards Inspiris Resilia prosthetic aortic valve. The claims of lower potential calcium build up over time is interesting development. If anyone has additional information on this tissue valve type I would love to hear.

I had Quad by-pass surgery about 12 years ago on my left side. I am doing fine and the by-pass is functioning well. However over time my aortic valve started to leak and finally reached the point of needing replacement. am 60 years old, in good physical condition and show no symptoms from the aortic regurgitation. I am struggling with the decision on which type of valve to use, a tissue bio-mechanical or a On-X mechanical valve. My surgeon is recommending the On-X valve while my cardiologist is pushing going with the tissue valve. The cardiologist's concern is potential issues with blood thinners long term (Coumadin). The surgeon believes that i would only require minimal doses and that a Plavix/aspirin option is forth coming. I read much on the On-X valve and feel it is a quality product. My largest hang-up is the long term effect of the blood thinners over time coupled with a change in my lifestyle. I am slightly leaning towards a bio-mechanical valve, knowing that i will have need a TVAR procedure in my 70's. My surgery scheduled for 4/30/19. I would appreciate any opinions or experience you wish to share. Tom Barton (tlb1@ti.com)