Heart-Valve Surgery!

nikkit · 07-09-2002, 02:55 AM

Hello anyone.....I'm new to this site and would greatly appreciate any advice! In March of 2002 I was diagnosed with severe mitral regurgitaion 4+, as a result of my phen-fen use. (2 years...never weighing over 118lbs.) My heart is enlarged, blood pressure sky high and I am limited in so many activities. I have a tentative surgery date to replace the Mitral Valve in Sept. My dilemma is this: I'm only 28 years old, single and need some expert advice on the type of valve that is best for someone who's goal in life is to have children. I have only a short time to make these decisions and would love some help. Since March I have educated myself as much as possible regarding this matter. I have two wonderful attorney's who are representing me w/ the class-action and pray I will be compensated! I would welcome anyone's experiences, advice and prayers on this matter! Thank you in advance!

nikkit · 07-17-2002, 04:13 PM

Anyone there?

cat-cpa2b · 07-18-2002, 12:19 PM

Can't help you but I will Pray for you!

Cathy

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God grant me the Serenity to accept the things I cannot change; Courage to change the things I can; and Wisdom to know the difference.

nikkit · 07-19-2002, 01:14 AM

Thank you for your support! My surgery is Sept. 24th.......

bird123 · 07-19-2002, 02:34 AM

I am not an expert in cardiovascular surgery. Both mechanical and porcine valves can be used in pregnancy. The mechanical valve is more durable whereas the porcine valve might need replacement in about 10 years. Mechanical valve requires continuous anticoagulation. It means you will be taking Coumadin pills and checking you blood every few weeks until rest of your life. Since Coumadin is contraindicated in pregnancy, be ready to switch to Heparin or Lovenox or Fragmin injections while you are pregnant.
The risks of fetal loss, hemorrhage, prolonged hospitalization, and possibly teratogenesis associated with mechanical valve replacement and anticoagulation during pregnancy remain considerable. (From Duke University Medical Center.)
Therefore, the answer to your question is: Bioprostheses (porcine valve) remain the devices of choice for young women willing to trade earlier reoperation for the opportunity of pregnancy.

[This message has been edited by bird123 (edited 07-19-2002).]