You mentioned a leaky valve and having surgery. I had mitral valve replacement and opted for the mechanical valve since this was my second surgery. If I had known what I know now I would have gotten the tissue valve again. Even though you have to eventually have the surgery again due to the life of the tissue valve, I would gladly have done it. The mechanical valve is so restrictive. With the mechanical valve you have to take a blood thinner every day for the rest of your life, which I knew and is not a problem, but I didn't realize how hard it would be to regulate my coumadin and how restrictive it is when it comes to the types of food you can eat. Even herbs will effect the blood thinning medicine as well as vitamins. Don't even try to eat healty, because the amount of lettuce as well as the kind of lettuce you eat can thicken your blood and this can cause a clot snd certain types of beans. Garlic and cherries will make your blood to thin and could cause you to bleed. Not to metion grapefruit, tofu, soy, broccoli, cinnamon and pratically anything that is green and high in vitamin k.I can't even take vitamins because it effects me and I end up having to either increase or decrease my meds. Unless you intend to eat some of the foods that I mentioned at least 3 times a week for the rest of your life you may want to get the tissue valve. Oh, and did I mentioned that some medicine that yo may need will also effect your blood thinning medication. No medicine with aspirin in it. In the beginning I had to have my blood taken every one to two weeks for a long time and occassionaly still do if I get sick and have to take medicine. Good luck
Has your cardiologist told you that your rib cage has been modified by the enlargement of your heart?
This sounds extrange to me.
I do not know what sort of operation are you thinking about, but if your heart is so much enlarged, I think that the rib size is the small of your problems... I would think to recover your heart before going in cosmetic operations.
Jesus