A related discussion, Replacement of arotic valve was started.

my brother 3.5 years my senior, was born with a crushed aorta valve, he had a heart attack at 3 weeks then at 14, the last one, the doctors did surgery and has a darcon tube in place of the arotic valve. he is now age 47 the doctors stated to age 35, so many years after the guess of the end of his life. he will not talk with mom or me about anything, he had said year back, no other heart operations and now, the blood thinner has helped unclog the tube but the lower part is not responding to the thinner, he has an appt with a heart surgeon. if he declins he will die but why not fix if possible with an artificial heart all together, he talks with us ever. i need my brother to be here for me and mom, also the doctors said a few beers can calm him without using and prescribed drugs to an access. what are these doctors telling him, he always had a nac to cause sorrow from us in non important ways, but the look on his face now is no joke, as if to say, it is happening to me, to be out of our world soon, it is not fair to take me.. i am killed by this. his wife supports him totally on his decision, but what is the decision?
i have a strong heart. what can we do? mom and me? thanks for you time, markssister!

me again! markssister, he has had asthma since birth too, and has no blood flow in his legs alot, it is very allarming to mom and me, he use to carry it as to deal with the pain of no circulation, now it is so bad, he works and forces to keep working, but we know he hurts, is there any advice to get him to open up and let us know? i need my brother, kills me to think him gone forever, i get into moods that i cry about it for days. help if you can by explaining his silence? markssister

my brother 3.5 years my senior, was born with a crushed aorta valve, he had a heart attack at 3 weeks then at 14, the last one, the doctors did surgery and has a darcon tube in place of the arotic valve. he is now age 47 the doctors stated to age 35, so many years after the guess of the end of his life. he will not talk with mom or me about anything, he had said year back, no other heart operations and now, the blood thinner has helped unclog the tube but the lower part is not responding to the thinner, he has an appt with a heart surgeon. if he declins he will die but why not fix if possible with an artificial heart all together, he talks with us ever. i need my brother to be here for me and mom, also the doctors said a few beers can calm him without using and prescribed drugs to an access. what are these doctors telling him, he always had a nac to cause sorrow from us in non important ways, but the look on his face now is no joke, as if to say, it is happening to me, to be out of our world soon, it is not fair to take me.. i am killed by this. his wife supports him totally on his decision, but what is the decision?
i have a strong heart. what can we do? mom and me? thanks for you time, markssister!

Dear PR,
In general it is better to wait as long as possible before proceeding with valve surgery.  Even mechanical valves have a certain lifespan so often times repeat surgeries are necessary.  As long as your heart is functioning well and you are not having symptoms close follow-up and medication is usually all that is needed.