Stroke after heart valve replacement
Common Questions and Answers about Stroke after heart valve replacement
stroke
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!!
Extended long-term survival and symptomatic relief in a symptomatic elderly patient (even in a nonagenarian) with severe valvular heart disease are usually obtained using aortic valve replacement. The long-term survival rate with valve replacement--about 70% at 5 years--appears far superior to that attainable with drug therapy alone. The survival rate for elderly patients undergoing successful operations is similar to that for an age-matched population without valvular disease.
I have been advised to undergo 2nd open heart surgery for mitral valve replacement (artificial valve) and tightening of the tricuspid valve opening.What are the pros and cons of this surgery? Artificial valve does not need replacement but I have to be on lifelong warfarin medication. What will happen if I choose not to do it? What are the side effects of LT warfarin?
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.
These blood clots can break off and cause a variety of problems such as a stroke and malfunction of the heart valve. Bioprosthetic or tissue valves have low risk of clot formation but with limited life spans. Valve repair, rather than valve replacement, should be done whenever possible. A cryopreserved human heart valve also does not require blood thinner and has a long life span. the decision is ultimately yours alone. Discuss the pros and cons with your doctor for the valve suited for you.
He stated that he felt it had been there since the valve replacement and probably will stay there, but of course if it moves she will have a stroke. I asked him why wouldn't he remove it and he replied that he felt it would be best to leave it there. I do not understand why leaving a clot in the heart is the best thing to do. And of course no shock for the atrial fib because of the clot. That I understand, but why leave the clot. Can you please help me?
You are absolutely right, open heart surgery can and does result in some mental confusion. In my case, after the procedure, I was afraid a car would hit me during my walks in the hospital hallway, and assumed the nurses were trying to kill me when they restricted my water intake. That being said, there is a risk of stroke after valve surgery, and I'd read the procedure report as soon as it is available. The fact she is out of ICU is a wonderful sign.
Keep us informed.
I posted this for those of you who do not know what mitral valve prolapse is SHALIM you answer is at the bottom
Treatment
Most people with mitral valve prolapse, particularly people without symptoms, don't require treatment.
If you develop symptoms, your doctor might prescribe certain medications to treat MVP-related chest pain, heart rhythm abnormalities or other complications. Some medications you might be prescribed include:
Beta blockers.
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?
After considering couple of cardiac specialists, they both have suggested two complete different options for valve replacement. One of them suggested to go with open heart Mechanical valve replacement surgery as the doctor has been doing it for many years and the valve has 20-30 years lifetime.
only you can make this decision..I went thru the same doubt that you are, but between taking the medication and having other surgery in 15 years I chose to take the medication..
Sir here one doctor say that i have moderate heart failure and i need both valve replacement in near future, another says I can wait for few years.Now a days I am feeling palpitaion daily.I am taking 25 mg metopropal, dytor plus 10. how much time I can wait for valve replacement? both valve can be replaced at once?wtah would be the cost?and wahts is the expexted life expectancy after valve replacement?
When you have an irregular heartbeat, you have a higher chance of having a blood clot and possibly a stroke. My dad's heart beats sometimes 34 per minute, sometimes 110 per minute. He takes Coumadin to reduce his chance of stroke as stroke runs in his family history. If you have heart failure, the Coumadin may not be the answer as it may be too strong. Plavix might be a better answer if you are not already taken it.
HI
My Dad had major heart surgery almost 3 months ago, it was his second, this time a bypass and valve replacement. He had a heart bypass in the 90's also. However this time he seems to have changed since the surgery, we keep thinking he is depressed about life, but he seems to have no energy, he has lost interest in things he used to love doing and even his voice is like a whisper most of the time.
My father had bypass and valve replacement surgery on friday. They kept him sedated and on heart pump til wednesday, saying his blood pressure was too low and needed to make his heart stronger before allowing him to wake up.
He was allowed to wake up on Thursday and they took the ventilator out on Thursday afternoon.
On that Thursday and now Friday and Saturday, he is acting like a little child.
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. Your surgery was done over 12 hours! thus it must have been a very complicated case and very rear.
I am very glad to hear that you have survived all of this and life after a new valve/repaired heart sure is much better!
I am 59; had St. Jude Mitral Valve Replacement 20 years ago following Acute Bacterial Endocarditis (had pre-existing Mitral Valve Prolapse, exact etiology of this incident never identified). Have been on Coumadin, well-controlled, with INR 2.5-3.5 throughout, with no significant incidents.
Normal Sinus Rhythm. Normal Echo and Left Atrial dimensions. Mild HBP, well controlled, Cholesterol 166 with Lipitor 10mg QD.
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.
My husband had an aortic valve replacement and a mitral valve repair in late March. The mitral valve repair didn't work and he had to have it replaced in late September. Then in February he had surgury to bring down a paralyzed diaphragm that way lying on his lung. Since the suregery in September, he has complained about an extreme tightness in his chest, to the point where he is miserable. He is tough and not a complainer. No one seems to have any idea why he has this tightness.
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