24
May

Ok so i am 16 years old, i was born with Aortic Stenosis, and a Bicuspid aortic valve, and then later in life(at 10 and 14) i developed Aortic Regurgitation and an Enlarged aorta. I’m possibly getting my surgery(Aortic Valve Replacement) toward the end of the month( i see my cardiologist Might 29th and they will tell me then if i need it) So what i am wondering is what type of Valve/procedure should i get? i know there are Tissue valves(if this which one?), mechanical valves, and the Ross procedure. I know the cardiologists and physicians will speak to me about it, but i just want to go in knowing a general idea of what i want. I've been thinking about the Ross procedure, but im not sure so i thought i would get peoples thoughts and info. Stories on Surgery's and things would be helpful also, so i know what to anticipate :)

Thank You!


Answer:
If you can find a cardiac surgeon who can do the ross procedure that’s your ideal option hands down. It's a bit more intensive but for a younger person with a growing heart it's the best. It's limited by cadaver availalility for the pulmonic valve and cardiac surgeon expertise, as well as the view of the surgeon on it's effectiveness (hard to comment on as it's different for each physician)

The next best option is mechanical, even though it means a life of anticoagulation, the mechanical valves hold up better over time.

The biologic valve tends to break down the fastest, and introduces the need for multiple reoperation, which is a headache especially for a young person

Good luck


Answer:
Disadvantages of Ross procedure:-
* Single valve disease (aortic) treated with a two valve procedure (aortic and pulmonary).
Xenotransplantation (xeno- from the Greek meaning “foreign”) is the transplantation of living cells, tissues or organs from one species to another such as from pigs to humans
Tissue valve (pig valve) will have only 15 years of working condition. There are some risks associated with a Xenograft such as the human body's tendency to reject foreign material. Medication can be used to retard this effect, but isn’t always successful.

Answer:
I would go with a mechanical…also I ahve a mechanical and the warfarin is a non-issue…I do everything the same as before my surgery and so does each one I know who has one…the Ross op is one option I would not consider.

Try these sites for a lot more info…

http://www.valvereplacement.com/
http://www.bicuspidfoundation.com/

lots of stories and lots of info about the operations and choices on both sites…

I’m also curious as to howcome they are not adressing the issue of your enlarged aorta?…is it not at aneurysm size yet?…in Bicuspid's it is reasonably common for us to develop aneurysms of the ascending aorta requiring a dacron replacement aorta…I had my aorta and bicuspid valve replaced in the one operation…its called a Bentall's procedure.

Also your Bicuspid valve and aneurysms is an inherited condition so all your blood relatives should be screened for it.

This entry was posted on Sunday, May 24th, 2009 at 4:23 am and is filed under Heart Diseases. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or TrackBack URI from your own site.

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