I’ve been very fortunate to see Dr. Castro operate before. Whit’s life was going full speed–until his aortic stenosis forced him to stop. When the valve is faulty and the aorta has enlarged to greater than 4.5 cm, we repair the aorta at the same time we repair or replace the valve. Aortic valve repair or replacement surgery is a highly complicated treatment process but there are technologically sound ways to reduce the risks associated with the process. But then other times you think, this is awesome, you’ve got a second chance, so make the most of it. This patient's guide to aortic valve replacement post op will explain what can be expected immediately following surgery, the hospital stay, recovery at home and life following replacement surgery. All of those risk percentages, which were low anyway, would be working in my favour. Your aortic valve opens and closes to let blood flow from your heart. I’m almost 4 weeks post op from aortic valve replacement surgery.. What an adventure!! Now health professionals will sit down and draw you diagrams, show you pictures, and explain what’s going on and discuss treatment options. Risks of Heart Valve Repair or Replacement. I have always been fit and active and to discover I had a leaking valve came as a huge surprise - I had no idea. “It’s great to be an encouragement to others beginning or progressing on a heart journey of their own”. They prompted me to read my story posted ‘back in the day’ it seems now. Lisa Coombe from Dr. Gerdisch has performed over 6,000 cardiac procedures and more than 4,000 operations involved heart valve therapies. Luckily we live in a country with a great health system! Mort asked me, “Adam, Will long distance bicycle riding – approximately 12 hours a week – prematurely wear out an aortic or mitral valve replacement made from porcine tissue?”. “You go through different emotions. Thank you! It was in 2005, five years after he started cycling, Pete started having problems during hill climbs. They were interested in my heart journey and how I was going. The replacement is done at the time of aortic valve repair or replacement. There have been times after open heart surgery when I’ve thought that life isn’t going to be the same again and my best years are behind me.”, “You have just got to talk to yourself and say that was then and this is now. Aortic stenosis refers to a condition where in which there is a narrowing of the aortic valve opening, usually due to calcium build-up. “They were really, really good, the whole team, I couldn’t fault them. “I remember him telling me they would use a machine to pump and oxygenate my blood with a possible side effect of hallucinations. However, as with any surgery or procedure, complications can occur. Most cardiothoracic surgeons prefer to repair the native valve (your own valve) if feasible since there is less risk of rejection. “I can empathise with people who do experience some depression. Aortic valve replacement is surgery to put a new aortic valve in your heart. Nearly18% of those who sustain aortic dissection die before arriving at the hospital,and 21% die within 24 hours if they don't have surgery. If you didn’t know, Dr. Castro is a heart valve guru who has performed over 5,000 cardiac procedures and specializes in minimally-invasive procedures including mitral valve repair. But with a TAVR aortic valve replacement, he was able to get back to go-go-go. This … reasons for a heart valve replacement vary slightly, depending on which of the four heart valves is involved The underground power service boxes on property boundaries became my best friends, being ideal rest stops. The cardiac liaison nurses were particularly valuable to me both in the lead up to surgery and during recovery. The National Heart Foundation of New Zealand is a registered charity (CC23052) under the Charities Act 2005. At times, he noticed his heart rate monitor showed exactly 222 beats per minute. It was my main motivation for sharing it. Your breastbone will … Lastly, Dr. Castro provided a final, encouraging thought for Mort: I hope that helped Mort (and perhaps you) learn more about the durability of heart valve replacements, exercise and biking. Athletes with a bicuspid aortic valve and aortic root diameter >40 mm should avoid sport with a strong isometric component even with minimal valvular dysfunction. Find answers to common questions concerning aortic and mitral valve replacement surgery, including information on getting an MRI scan and other post-surgery concerns. In 2006, Adam founded HeartValveSurgery.com to educate and empower patients. Don’t be a heroine, just use the pain pump and stay comfortable.You’ll have a win-win if you asķ lots of questions as your team will appreciate patients who are interested in their treatment and recovery ...... and you will be so much better informed.Wherever you are in NZ you’ll be in good hands but I’ll pray for you anyway. It is safe to say that most tissue heart valves do not last one billion beats. I know it helped me! Next, Dr. Castro explained how exercise may (or may not) impact the durability of heart valves: The amount of time we spend exercising with an elevated heart rate above 100-150 (<2 hours a day) is far less than we spend at a resting heart rate between 55-75 bpm (>22 hours per day). Adam Pick is a heart valve patient and author of The Patient's Guide To Heart Valve Surgery. I’m pleased that you are falling in love with your reconditioned heart and that you have forgiven it for nearly letting you down. Thanks for taking a look at our personal stories pages, could you please spare a few moments to tell us what you think? Then, Dr. Castro provided fascinating data about how many times the heart beats during our lives and how that relates to tissue heart valves: If we calculate out how many heartbeats we generate in a lifetime, we can state that on average, we experience approximately 36 million beats per year, which equates to almost 1 billion beats every 25 years. "Aorticdissection is a life-threatening issue up front. Pete explains that sometimes after heart surgery emotions can be conflicting. My new valve has been ticking away for nearly 14 years now. and live a normal life again afterwards. “One of the highlights for me was that no less than three of them said, “This is really cool, when I go back to work I’ll be able to tell my patients about you. I am going in on Friday to have mine done - and it is awesome to know that you can “get back on the bike” (literally for you!) That felt like a demotion but the staff said it can just be part of the deal.”, Back on the ward Pete felt “pretty wasted” for a couple of days, but still enjoyed the camaraderie of his fellow cardiac patients. I just received a great question form Mort about exercise, biking and heart valve durability. The timing for repair of an aortic aneurysm is critical. There is an association between mitral valve … The David procedure allows surgeons to repair the aortic valve … Most of us are not extreme athletes. Hi Alexis - Thanks for your comments. First, Dr. Castro provided some great counsel about life after heart valve surgery. Sometimes you think that you don’t seem to be afraid of death any more. Close Cookie Statement. Any thoughts on best practices for cardiac rehab after Aortic Valve Replacement. “You feel like you want to do a lot of things. When this valve opens, blood goes from your heart into your aorta (the largest artery in your body) and on to the rest of your body. He was reassured by wearing a portable ECG machine allowing nurses remote monitoring of his heart, even when going for a shower. The following short video shows a 3D animated video of aortic valve replacement … Learn about recovery times, activity limits and life with a biological or mechanical aortic valve replacement. After a night in ICU, Pete was closely monitored in the Step Down Unit for a further two days before progressing to the ward. medicina Article Early Hemodynamics after Aortic Valve Replacement Serik Aitaliyev 1,* , Egle Rumbinaite˙ 2, Karolina Melinyt˙ e-Ankudavicˇ˙ e˙ 2, Rokas Nekrošius 1, Vytenis Keturakis 1 and … A number of people in the aortic aneurysm community, who had open heart surgery for valve repair during ascending aortic aneurysm correction, have written to me for advice. The St Jude Medical has a short and informative article on surgery options. He was a real comedian so I needed a spare pillow to hold against my chest. I did 12 weeks of rehab which consisted of exercising at a heart rate not above 135. You just have to help yourself and slowly build up without overdoing it and remember to stay active.”. TAVR … © Heart Foundation 2020. Pete joined the ride for Nelson – Murchison – Hanmer – Christchurch stages, raising $10,000 to help the Heart Foundation establish a permanent cardiovascular research programme at Auckland University. Thanks for sharing your experience - it has given me inspiration! I am determined to make a full recovery just as you have and lead an active life again. I was the only ex-patient in the ride, and the friendly cyclists would ride and chat with me. It can also depend on whether the patient undergoes transcatheter aortic valve implantation (TAVI) or open heart surgery. Pete managed to sneak in his third 101km Malborough Grape ride just two days before his surgery, making sure he rode at a sensible pace governed by a heart rate monitor. Laughing was about as uncomfortable as coughing, but it was great being in a room of six guys.”. This book has helped over 47,000 patients and caregivers from diagnosis to recovery. You came close to dying anyway and so what does it really matter. I have tried to start … When your aortic valve does not open or close as it should, the amount of blood that your heart can pump to your body decreases. But as you age, the valve's leaflets may stiffen and become clogged with calcium deposits, restricting blood flow. “But he said not to worry, I was only in my 50’s and so was considered a ‘young man’. But I’ve always done cycling/tennis/football – can’t I do this instead? If they need similar surgery I’ll tell them a guy with a new valve biked from Nelson to Christchurch with me.” They said it would be a good example to use. As I recently became a Peloton spinner, I was really curious to learn more. You inspired me to crunch some numbers and sometime over this summer my mitral valve will have opened & shut (without leaking) 400 million times.By the time you see this your excellent surgeon may have gifted you a life membership into the ‘Zipper Club. California says, Hello dear brothers and sisters of the heart. I could sit and look around while hopefully disguising how munted I felt. In addition… Dr. Castro has successfully treated many, many, many patients from the HeartValveSurgery.com community including Shelly Gould, John Ehret and Salma Halteh. Search Heart Hospitals • Divide your time and spread activities throughout … “One day they gave me an afternoon pass so Sheryl and I went on the bus into the city which was quite interesting, because I was thinking, people don’t bump me, I’m pretty fragile.”, Pete spent three nights out of hospital but still in Wellington while his medication was finalised, before finally flying home to Nelson. How to Care for Yourself after Transcatheter Aortic Valve Replacement (TAVR) -3-• Limit the number of times you take the stairs until you are feeling well. If the aorta has enlarged but the valve is still good, the optimal time to repair … Pete was impressed with the care he received from his medical team. They undid me, fixed me up and put me back together, in about the same time as I could install two or three power points in someone’s home.”. All Rights Reserved, See Dr. Castro’s Interactive Surgeon Profile, Discover the Sequoia Heart & Vascular Institute Heart Valve Microsite, Watch My Interview with Dr. Castro About Heart Murmurs After Surgery, Download Dr. Castro’s eBook, “Heart Valve Surgery: What To Expect?”, The Patient's Guide To Heart Valve Surgery. I say I had a leaking valve and now it’s fixed just like a plumber fixes your tap, it’s fixed and it doesn’t have to be fixed again,” says Pete. Hi Jeanette. 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