Broken valves and strokes: HelloI'm... - British Heart Fou...

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Broken valves and strokes

woodlandwonders profile image
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HelloI'm just wondering if any folks on here have/have had a severe valve regurgitation (mine is aortic but any of the 4 will do) and have suffered a stroke without any other risk factors eg smoking, high blood pressure, high cholesterol.

Thanks for reading and have a lovely day

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woodlandwonders
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Paperlover profile image
Paperlover

Yes! I had a mitral valve prolapse with severe regurgitation. At some point, I had a silent stroke, which came up on an MRI for something unrelated, but was then assumed to be caused by my heart problems. I also had a TIA about 9 months before my op to repair the valve. I have had nothing since and am approaching 3 years since my heart surgery.

woodlandwonders profile image
woodlandwonders in reply toPaperlover

Thank you for taking the time to reply :) Mine was a very loud stroke but they treated me for Migraine for two weeks in the hospital and said I was over-reacting. It was in the cerebellum so not your usual symptoms. Did they operate because of your stroke risk ? My valve is severe but my heart is coping so they won't. But I'm so scared I will have another one

Paperlover profile image
Paperlover in reply towoodlandwonders

I think the stroke and TIA clearly played a part in the decision to operate, but I think probably only a minor one given that the first was silent and left no after effects. I had been monitored by my cardiologist for a couple of years because although I had severe regurgitation, I had no symptoms. I went to the gym 5 times a week and felt fine. Whilst I was keen to have the repair whilst I was young and able to recover, he was of the view that any operation is risky and should be delayed. He did agree to do a stress test because my fitness level and activities were at odds with the severity of the prolapse and regurgitation. That was just before the first lock down and I was supposed to see him to get the results, which were “better than expected”. Rather than see me he said he would refer the results to a surgeon for an opinion. Next thing I know, I’m talking to the surgeon about having an operation within 3 months because I was at the top of his list, and if I wasn’t so fit, I wouldn’t be able to get dressed without being breathless! I had my repair, ablation and ligation via a minimally invasive procedure and am back to a normal life now. I had a good relationship with my cardiologist and was able to email his secretary about my concerns eg when I reacted badly to my first blood thinner medication. If you don’t have one you can trust, could you ask your GP to refer you elsewhere?

woodlandwonders profile image
woodlandwonders in reply toPaperlover

Such a positive story and thank you for sharing. I had my stroke in November last year but it wasn't acknowledged until February of this and I do have complications unfortunately . I think they take silent stroke just as seriously. A stroke is a stroke! My cardiologist is kind but evasive and talks at you. He monitors me yearly with echo but we talk on the phone now - COVID I guess. It does worry me though as it was a consultant that knew me well who ordered more tests when he saw me after the hospital discharged me and he could see how different I was. Sometimes you need to physically see people to know things are off. In all fairness he probably doesn't know about the stroke, my nurologist has written so we will see. I just wanted to know others experience so I have a better formed opinion when I do have an exchange with him.

Thanks again

Anon2023 profile image
Anon2023

hi. I had severe mitral valve regurgitation and had my first replacement in sept 21. Unfortunately I then contracted endocarditis (not diagnosed until Dec 21) and had a major stroke in nov 21 when part of the infection broke off and travelled to my brain. I was lucky to have a thrombectomy but the endocarditis meant that I needed a further valve replacement in Jan 22. I was told by the stroke consultant that I had no other risk factors and that the stroke was purely as a result of the then undiagnosed endocarditis. I needed a 2nd valve replacement in Jan 22 and was told that they normally leave it 3 months after a stroke but in my case they did it as an emergency.

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