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If my Doctor was more honest with me about the after effects of this surgery I would have gone for a third or even fourth opnion. He gauranteed twenty years extra to my life, but I feel older and more useless now than before my Aortic Valve Replacement. I was diagnosed with Aortic Stenosis in February of 2003 (age 34), I had to go for surgery in March 2003. I did not have time to even blink or think about this as the calcification of the heart valve was so severe my doctor wanted to operate the day after he saw the results. Up to that time I did not even feel ill, the only reason I ended up with the cardiologist was due to the heart murmur picked up by my house doctor after a bout of flu. It was a major adjustment and I had to reinvent the wheel around my family and work to fit this op into my schedule. But to get back to the question of how I feel after the op? Well there is alot of things I cannot do now but had no problem doing it before and a silly example if working with hands above my head, e.g. packing cupboards etc. I am out of breath more easily than I was before. I cannot play squash or tennis without feeling like I am going to die. I was very active before the op, but no more. My lifestyle was not that extreme before the op (parties etc) but even less now. I perspire like a running tap permanantly and generally feel up to crap. Going for INR tests every two and having needles stuck in your arm is also not fun anymore. Generally if there is an alternative to replacement especially mechanical then please find out more about it. I feel like an old women and and have just turned 40.

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Q: How do i feel after replacement of the aortic valve for a mechanical one?
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DefinitionBlood flows out of your heart and into the aorta through a valve. This valve is called the aortic valve. It opens up so blood can flow out. It then closes, keeping blood from flowing backwards.Aortic valve surgery is done to either repair or replace the aortic valve in your heart.An aortic valve that does not close all the way allows blood to leak back into your heart. This is called aortic regurgitation.An aortic valve that does not open fully will restrict blood flow. This is called aortic stenosis.In open surgery, the surgeon makes a large incision (cut) in your breastbone to reach the heart and aorta.See also: Aortic valve surgery - minimally invasiveAlternative NamesAortic valve replacement; Aortic valvuloplasty; Aortic valve repair; Replacement - aortic valve; Repair - aortic valve; Ring annuloplasty - aortic valveDescriptionBefore your surgery you will receive general anesthesia. This will make you unconscious and unable to feel pain.Your surgeon will make a 10-inch-long cut in the middle of your chest.Next, your surgeon will separate your breastbone to be able to see your heart and aorta (the main blood vessel leading from your heart to the rest of your body).Most people are connected to a heart-lung bypass machine or bypass pump. Your heart is stopped while you are connected to this machine. This machine does the work of your heart while your heart is stopped.If your surgeon can repair your aortic valve, you may have:Ring annuloplasty -- The surgeon repairs the ring-like part around the valve by sewing a ring of metal, cloth, or tissue around the valve.Valve repair -- The surgeon trims, shapes, or rebuilds 1 or more of the 3 leaflets of the valve. The leaflets are flaps that open and close the valve.If your aortic valve is too damaged, you will need a new valve. This is called replacement surgery. 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These include the Ross (or switch) procedure, the David procedure, and a graft of the ascending aorta.Why the Procedure Is PerformedYou may need surgery if your aortic valve does not work properly. You may need open-heart valve surgery for these reasons:Changes in your aortic valve are causing major heart symptoms, such as angina (chest pain), shortness of breath, syncope (fainting spells), or heart failure.Tests show that changes in your aortic valve are beginning to seriously harm how well your heart works.Your heart valve has been damaged by endocarditis (infection of the heart valve).You have received a new heart valve in the past and it is not working well, or you have other problems such as blood clots, infection, or bleeding.RisksRisks for any anesthesia are:Reactions to medicinesBreathing problemsBlood clots in the legs that may travel to the lungsInfection, including in the lungs, kidneys, bladder, chest, or heart valvesBlood lossPossible risks from having open heart surgery are:Heart attack or strokeIncision infection, which is more likely to occur in people who are obese, have diabetes, or have already had this surgeryPost-pericardiotomy syndrome, which is a low-grade fever and chest pain. This could last up to 6 months.Memory loss and loss of mental clarity, or "fuzzy thinking."Heart rhythm problemsBefore the ProcedureAlways tell your doctor or nurse:If you are or could be pregnantWhat drugs you are taking, even drugs, supplements, or herbs you bought without a prescriptionYou may be able to store blood in the blood bank for transfusions during and after your surgery. Ask your surgeon about how you and your family members can donate blood.For the 2-week period before surgery, you may be asked to stop taking drugs that make it harder for your blood to clot. These might cause increased bleeding during the surgery.Some of them are aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve, Naprosyn).If you are taking warfarin (Coumadin) or clopidogrel (Plavix), talk with your surgeon before stopping or changing how you take these drugs.During the days before your surgery:Ask your doctor which drugs you should still take on the day of your surgery.If you smoke, you must stop. Ask your doctor for help.Always let your doctor know if you have a cold, flu, fever, herpes breakout, or any other illness in the time leading up to your surgery.Prepare your house for when you get home from the hospital.The day before your surgery, shower and shampoo well. You may be asked to wash your whole body below your neck with a special soap. Scrub your chest 2 or 3 times with this soap. You also may be asked to take an antibiotic, to prevent infection.On the day of your surgery:You will usually be asked not to drink or eat anything after midnight the night before your surgery. This includes chewing gum and using breath mints. Rinse your mouth with water if it feels dry, but be careful not to swallow.Take the drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureExpect to spend 5 to 7 days in the hospital after surgery. You will wake up in the intensive care unit (ICU) and stay there for 1 or 2 days. Two to 3 tubes will be in your chest to drain fluid from around your heart. These are usually removed 1 to 3 days after surgery.You may have a catheter (flexible tube) in your bladder to drain urine. You may also have intravenous (IV, in a vein) lines to deliver fluids. Nurses will closely watch monitors that show information about your vital signs (your pulse, temperature, and breathing).You will be moved to a regular hospital room from the ICU. Your nurses and doctors will continue to monitor your heart and vital signs until you are stable enough to go home. You will receive pain medicine to control pain around your incision.Your nurse will help you slowly resume some activity. You may begin a program to make your heart and body stronger.A temporary pacemaker may be placed in your heart if your heart rate becomes too slow after surgery.Outlook (Prognosis)Mechanical heart valves do not fail often. However, blood clots develop on them. If a blood clot forms, you may have a stroke. Bleeding can occur, but this is rare.Biological valves tend to fail over time. But they have a lower risk of blood clots.ReferencesFullerton DA, Harken AH. Acquired heart disease: valvular. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 62.Chiam PTL, Ruiz CE. Percutaneous transcatheter aortic valve implantation: Evolution of the technology. American Heart Journal. Feb 2009;157(2).Otoo CM, Bonow RO. Valvular heart disease. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 62.


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