Stroke after aortic valve replacement
Common Questions and Answers about Stroke after aortic valve replacement
stroke
The perioperative mortality rate is higher for patients undergoing aortic valve replacement combined with CABG than for those undergoing aortic valve replacement alone (4 to 6% for patients in their mid-70s, 10% for patients in their 80s). The mortality rate for patients undergoing multiple valve replacements is also considerably higher than that for patients undergoing one valve replacement.
The postoperative morbidity rate is higher for elderly patients than for younger patients.
I had an aortic valve replacement in June of 2010. By the end of July, my heart rate, after being in the 60's-70's all my life, jumped up to 109 and has stayed high ever since. It is always higher in the morning. My cardiologist dismisses my concerns...what should I do? See another cardiologist? I am currently on Metaprolol. I thought the HR would go DOWN after the surgery, but it seems to be getting worse. Thank you for answering my question!!
He then had a stroke in Dec. he just got out of the hospital after a week of tests. The valve is not working properly. It has to be replaced. It will be done Nov. 2 . We are not happy this has to be done , but have gone to a different hospital and feel confidant in there team of doctors.Is this normal? Or should I ask does this happen very often. I feel that his suffering over the past year and the replacement .is horrible.Could this have been avoided?
Hi there,
I suspect that you had "Bicuspid aortic valve disease" and another type of aortic defect. Normally the Surgeons would replace the Aortic valve during the 1st Surgery, but I am sure they had good reason to do the Surgery/replacement in two parts.
The normal Valve-replacement surgery (open heart - full sternotomy and on cardio-pulmonary bypass) would leave the Surgeon with a heart that is not pumping and should take from 3-6 hours to complete.
Looking for an opinion on performing both mitro and arotic valve (valve-in-valve possible?) replacement on a heathly 90 year old white female. She had mitro valve replacement approx. 10 years ago and recovered extremely well. No other health issues- very active, not diabetic and mentally sharp (taking care of bed-ridden husband and 97 year old sister in her home-does all shopping, paying bills, setting up home care, etc. Suffering from adema and shortness of breath.
Its not life threatening. Aortic stenous restricts the amount of blood pumped into circulation with each stroke causing stress to the heart with exertion. The heart has to work harder to meet the oxygen demand that a heart without stenous can easily meet, and if not treated the pressure and overwork will cause the heart to increase in size. An oversized heart loses its ability and strength to contract effectively and that will lead to heart failure.
Hi,
While doing an aortic valve replacement, there are critical electrical fibers which run quite close to the aortic valve and these fibres may be damaged while doing the replacement. Hence, after an aortic valve replacement a defibrillator is put to ensure that in case some abnormal rhythms originate, they are suppressed by the defibrillator. Usually, these abnormal rhythms are transient and don’t last for a long time but still can be life threatening and hence the defibrillator.
Valve replacement. In many cases, the aortic valve has to be replaced to correct aortic valve regurgitation. In valve replacement surgery, the leaky aortic valve is replaced by an artificial (prosthetic) valve. The two types of artificial valves are mechanical and tissue. Mechanical valves are made from metal and are durable, but they carry the risk of blood clots forming on or near the valve.
have a ques guys... i had a Aortic Valve replacement in 1990 and it needs to be done again so have a qes on the kind of Aortic Valve we have now ..... i know there are two metalic and tissue and tissue is a better option but doc says that the one have tissues valve have to go through replacement after 10 to 15 yrs ..... n the one with metalic have to take med till end but no replacement .....
My cardiologist is certain that I shall need aortic valve replacement but either did not know or did not want to answer my question on long-term prognosis.
Does anyone know what things look like in the long-term? Does anyone know what long-term statistics say? Do people with my age and condition tend to die from this and if so, how long?
All the readings that are upbeat cite prognosis for 5 to 10 years.
1) an aortic valvuloplasty where the surgeon does a “plastic surgery” on her valve to try to tighten it up so it does not leak as much, 2) a Ross procedure where her own pulmonary valve may qualify to replace her aortic valve, but a homograft/tissue valve needs to be placed in the position of the of pulmonary valve, and 3) replacement of her aortic valve with a homograft or tissue valve.
Hello! My dad had a Mechanical Aortic Valve Replacement 15 yrs ago. He has been taking Coumadin since then. After visiting a naturist doctor that advised him to stop taking the Coumadin for one reason or other, he dimy father stopped taking it and a while ago he suffered a Stroke. Luckily it was caught and treated in time and he is now in recuperation. My doc says his INR should be between 3.0 and 3.5 - Other people w/the same history have advised me that his INR should be at 2.
I had the same thoughts of wondering whether my life -- either my life as I knew it or my life, period -- was over. There is life after aortic valve replacement, and there is also a lot of support available for you from people who have gone through it. We'll be here for you. You've been directed toward some good resources, and you can come back here as much as you want. I'll look forward to hearing how things go.
I have had two opinions that said I need aortic valve replacement surgery. My question(s) concern minimally intrussive aortic valve replacement surgery. How many are performed in the US each wear? What is the success rate? What hospitals or medical centers specialize in this procedure?
i had an aortic valve replacement 7 years ago. they did several ultra sounds before leaving hospital.I didn't know that was uncommon. i am now being told the leak is getting worse and am having echos every 6 months. I am having another in 2 weeks. the dr. said it will have to be replaced. is this a surgeons error or the valve. how common is this? what should I ask at my appointment for the latest echo results.
As a general rule, replacement of the aortic valve should be done soon after your aortic stenosis begins producing symptoms - shortness of breath, chest pain, or dizziness or syncope. Once any of these symptoms develop, the average life expectancy without valve replacement is two or three years. Valve replacement significantly improves this prognosis.
My Mitral Valve was replaced in 1991 with a St June Valve. I am on Coumadin and aspirin. I am 83 years old, in generally good health and exercise daily. I am now told I will need an Aortic Valve replacement within two years. What complications should this make? What are my odds of surviving in good condition with a remaining quality of life? What would be my life expectancy after the surgery? I need the facts as I must plan for my family.
He has type 2 diabetes and is hyper tensive. He is asked to have a bypass and valve replacement. What are the risk factors involved and is there anything to worry about??
Can someone please give views?
I cannot comment on the orthopedic issues, but about the aortic valve replacement there are some percutaneous approaches to replace the aortic valve. First one needs to ***** his surgical risk. I would suggest the opinion of a high volume center such as ours in doing this, a place where high risk patients are usually operated on with few complications. If at such a place he is deemed to be a very high surgical risk then one can start thinking about percutaneous aortic valve replacement.
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