Mechanical Valve in young adult

[Jerry2410]

Hi,

I had my aortic valve replaced just over two years ago with a St. Jude mechanical valve, I was 23 at the time. My general health is fine and my INR levels have (finally) stablised to the point where I only have to have them checked every month/six weeks. I came through the operation with no complications and managed to remain positive and even happy throughout (although the latter is probably because I had just met a wonderful woman who helped me through it all and is now, I am proud to say, my wife). Recently, however, I have become anxious about my long-term health and what will happen in the future regarding my aortic valve. I realise that this is silly and no one can predict the future, but I was just wondering if anyone can tell me what the prognosis for somebody like myself is? Fingers crossed the valve lasts 20-30 years (or more), can it just be replaced again, and last for just as long?

Thanks, (and best wishes to everybody who has undergone or will be undergoing heart surgery!)

[Jerry_NJ]

The bad news is:  I don't think mechanical valves last as long as you stated, but I could be wrong, hope so.  The good news is: it is common practice to replace mechanical valves when they start wearing out....that said I don't know how one knows, I suppose one gets an echocardiogram or similar every few years.  Of course this means one needs to have open heart surgery on that schedule, whatever it is.

The bottom line as I see it is, enjoy life, it should last a long time even if you  have to have a "valve job" every 10 years, or whatever.  Time will likely see improvements in the mechanical valves.

I have a repaired mitral valve myself, and was happy the surgeon didn't have to replace it with a mechanical one.  That was the plan had the repair not been possible.

Best to you and your wife, live happy!