Warfarin after mitral valve repair su... - British Heart Fou...

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Warfarin after mitral valve repair surgery

Johnnyp123
Johnnyp123

Morning

I was diagnosed with mitral valve regurgitation world 10 years ago ,after a yearly ecg this time the cardiologist decided I need to get my mitral valve repaired ,I don't have any symptoms but from the ecg he could see it was getting worse . After seeing the surgery he said he was to try and repair it but if this was not possible a new mechanical valve would be fitted after which I would be on warfarin for rest of life ,can anyone tell me if a repair is successful how long I would be on warfarin for as I believe it won't be for life ?

17 Replies
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MichaelJH
MichaelJHHeart Star

Hello and welcome to the forum! A friend's wife has a tissue valve replacement and two other valves replaced. My understanding is that Warfarin may be required for 3 - 6 months depending on the valve(s) worked on. Your cardiologist should be able to give you specifics.

Many thanks for the info 😊

HiJohnnyp123,

I can’t answer your question but I can tell you that I have been taking Warfarin since 1982, when I had my aortic valve replaced, and have had no issues.

Best wishes.

Many thanks 😊

I had my aortic valve replaced and am on warfarin for life, but I don’t think that’s the case for the mitral valve. Your cardiologist will be able to tell you. I haven’t had any problems with it, so nothing to worry about.

Wendy

Many thanks will have to talk to cardiologist 😊

If a mechanical valve is fitted you will need to go on warfarin for life.. It will dramatically reduce your chance of a stroke. I take warfarin, it can be thought of as a very cheap and easy insurance policy?

Johnnyp123
Johnnyp123
in reply to Ianc2

Thanks for your reply 😊

Johnnyp123
Johnnyp123
in reply to Ianc2

Looking at your profile photo you like to walk and exercise , had taking warfarin effected your life much ?

Ianc2
Ianc2
in reply to Johnnyp123

As far as I can tell it hasn't affected me at all. I have been slowly but surely getting fitter since I had my valves fixed. The only problem is remembering to take them on time.

Johnnyp123
Johnnyp123
in reply to Ianc2

Was it valve repairs or replacement valves you had ? There was no mention by the surgeon about warfarin if he manages to repair my mitral valve but if he has to replace with a mechanical valve I’m on warfarin for the rest of my days . Many thanks for your reply’s .

Doodlebug63
Doodlebug63
in reply to Ianc2

Sorry to jump in on this post but regarding taking your medication on time; I set up a great free app on my husbands phone (& mine) called Medisafe. Free app and it reminds him to take his Warfarin each evening and other meds each morning. If he forgets and doesn’t respond to the apps reminder I get a warning. I hope this might be useful to you.

Several valves repaired, heart remodelled and an annuloplasty ring fitted to my mitral valve. Fitted in May 2014. I was 69 at the time and was advised to commence warfarin immediately as a protective measure.

As part of the briefing beforehand a mechanical valve was discussed and it was explained to me that essentially blood sticks to mechanical valves and that warfarin would be essential in that case.

I agreed that the surgeon would decide after opening up my heart and inspecting it what course of action would be followed, either a repair, a biological valve or a mechanical valve.

A repair was possible and was completed successfully. I regard taking warfarin as an effective insurance policy to minimise the chances of a stroke if possible. An influencing thought was the fact that the effects of warfarin can be rapidly negated by the application of the antidote vitamin K.

Johnnyp123
Johnnyp123
in reply to Ianc2

Many thanks Ianc2 for sharing that with me 😊

Doodlebug63
Doodlebug63
in reply to Ianc2

Good to read your positive outcome/outlook. My husband is due Mitral Valve surgery next week so we are obviously both nervous but really keeping our fingers crossed it goes ahead now after a wait of 13 months since diagnosis of Severe Mitral Regurgitatation, with AF. The wait has seen a deterioration in his health so we are hoping once the op is done and he recovers from the operation he can get back to his previous fitness levels. He will be 69 soon too.

Thanks for sharing!

Hi Johnnyp123

I had my mitral valve repaired in Nov 2018 after a severe MVR and I was only on warfarin for a few days after surgery while in the hospital, I wasn’t prescribed it when I left. Hope that helps.

I’m looking at repair surgery early next year and due to possible restrictions at my workplace being on warfarin could be a big issue . Hopefully a repair is possible and surgeon says he’s confident he can so fingers crossed , thank for the information 😊

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