Calling all patients who have had a h... - British Heart Fou...

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Calling all patients who have had a heart valve surgery or a TAVI

MarmiteB profile image
14 Replies

Hello lovely ones!

Some of you may know me already - I had a 2x CABG last Jan, aged 34. Well today is my 36th birthday! I am happy and healthy :D

The reason I am posting is that I am hopefully moving in to the world of cardio industry, I was previously in clinical nutrition and artifical feeding. I would like to use my own unique view point for good to increase the understanding from a more patient-focused approach. My job will be to work with surgeons to make sure that they are using the heart valves we are supplying correctly/fitted acurately etc. As you will know every mechanical valve is different, as is the patient it will be used with.

I have an interview on Wednesday and I wanted to have a few patient stories from you guys as you are an absolute WEALTH of information. I genuinely don't know where I would be without the lovely people I have met on here. If there is anything you can tell me about the below I would really appreciate it, I would really love some brownie points in my interview!!

Thank you so much, Rosie x

The positive bits and negative bits

The recovery side of things, how long, what were the complications, is anything on going?

Medication you are now on

If you went biological or mechanical/what your reasons were

Advice you would give someone who was going to have valve work done

How you have found having a TAVI or why you had a TAVI and not open heart surgery

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MarmiteB
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14 Replies
cappachina profile image
cappachina

Hi marmite B Marmite my favourite thing by the way I had a aortic valve replaced by TAVI 10 weeks ago I had rheumatic fever as a child for years which left me with a heart murmer caused by the starting on that valve and was told when I was finally discharged fro the cardiac depth when I was 22 that I would ha ve problems in later life but have led a full life and had 3 children worked and nursed elderly relatives At 65 I had a echocardiogram

done and there was no problems but last year at 74 I had another done which showed severe aortic stenosis which I was told happened to a lot of people who had had rheumatic fever as a child ,bizzarely the scarred mitral valve looked fine I had no symptoms so was just going to be monitored but 3 months I blocked out after that I was permanently exhausted and out of breath so the surgeon ordered a test with the dye and from that he said I needed op sooner rather than later and I was suitable for a TAVI so I could have my choice I picked the TAVI as it was a less invasive option and a faster recovery time and at 75 I knew it would take me longer to recover from surgery TAVIof course is a tissue valve The operation was nowhere near as bad as I thought and I was surprised when he said it was finished .I was only in hospital 2 days .The first 3 weeks I didn't notice much difference but after that my energy returned I leaps and bounds till week 7 when I suddenly felt not right for a few days and ended up passing out and back in hospital They said it was quite common d a good sign the valve was working well but my blood pressure needed to work out where it should be so I was off blood pressure meds for 2 weeks and am now back on a new one. I also have had arthritis and fibromyalgia most of my life due to the rheumatic fever

My meds are now amlodipine, aspirin, omeprozole ,atorvastin and paracetamol

I would certainly reccomend the TAVI to anyone and asghry are now opening up TAVI to younger age groups I think it will become a lot more common in the future

Hope this is of some use to you Good luck and let us know how you get on in the interview

MarmiteB profile image
MarmiteB in reply tocappachina

Hi Cappa!

Marmite is also my fave thing, he is my big black labrador!

Thank you so much for your story, it was fascinating to read. It sent me on google journey to understand all about Rheumatic Fever and why it would lead you to need a heart valve replacment.

Thank you so much! :)

Ageingfast profile image
Ageingfast

dear marmite

Positive,,,fabulous staff, wonderful surgeons. Negative…waiting to go to hospital

Recovery for me was 15 weeks. I felt a little better every two days. Two outbreaks of gout was the bad bits. Prolonged my recovery time by a few weeks.

Ongoing is impossible to know. I had a stroke three years beforeOHS. I have dementia three years later.

Medication maybe for other ailments.

I went biological as I was 72 years old. I made the surgeon decide, which he didn’t want to do.

Private hospital so I had a TAVi surgeon to also advise me. Gist was that a TAVi was possible to fail and so OHS was better option.

My advice is to look forward to getting your life back. Fabulous, wonderful experience. Sensationally brilliant staff and medics. Also do not look on Facebook etc. stick to BHF and NHS sites. I have fond memories of my time in hospital.

My op was observed by a small group of staff. They confirmed I had just weeks to live.

Sooty

MarmiteB profile image
MarmiteB

Oh wow Mel, what a journey you have been on! Just really poor luck with getting such a nasty sounding blood infection leading to all sorts of trouble. I am really glad that you are getting back on your feet now and slowly recovering.

Do they think having a heart valve op in the first place contributed to such a nasty reaction to a blood infection/simple tooth removal or was it just rotten luck?

Rosie

MarmiteB profile image
MarmiteB

I'm glad you have had a good story to go with your valve replacement. 15 weeks recovery at 74 is really fantastic, well done you!!

MarmiteB profile image
MarmiteB

Thank you lovely, I will! xx

Anon2023 profile image
Anon2023

hi. I’ve had 2 ohs to be fitted with mechanical mitral valves within 4 months of each other. I was 50 and my heart problems were caused by rheumatic fever as a child. I don’t want to scare people but the first ohs was truly horrific due to very poor hospital care after the op and afterwards I got sepsis, C. difficile, had a stroke, got endocarditis and nearly died. It took months to discover the endocarditis although I was high risk. My last mitral valve was fitted 18 months ago and the damage caused to my heart through endocarditis has left me with heart failure. My surgeon was amazing but my inpatient hospital care was terrible and has left me terrified of ever being admitted again. Sorry to sound so negative but the first ohs and the resulting complications was something I wouldn’t wish on anybody.

MarmiteB profile image
MarmiteB

I am really sorry to hear that you went through such an incredibly hard time, crikey, you have really been through the ringer. Your story should be used in case study as should countless others no doubt. It's really good advice to hear and understand about going to the dentist. Thank you so much for sharing your story. It's truly unfortunate to hear about the impact of endocarditis on individuals with prosthetic valves, and the increased risk associated with dental procedures.

The statistics you shared highlight the importance of taking precautions, such as antibiotics prior to invasive dental work, to minimize the risk of infection. It's alarming to think that the change in guidelines in 2008 resulted in a significant increase in infections, leading to needless deaths.

The fact that the infection can attach itself to the valve and cause organ failure throughout the body is truly devastating. I can only imagine how challenging it must have been for you to experience the effects on multiple organs. It's heartbreaking to hear about the lives lost due to such preventable circumstances.

Thank you again for sharing your story. It serves as an important reminder for everyone to prioritize their dental health and to advocate for appropriate precautions to avoid potentially life-threatening complications.

Take care of yourself,

Rosie x

Leonardo1 profile image
Leonardo1

hi I had a biological valve 18 months ago - I couldn’t have mechanical as I am allergic to Asprin . I’m on blood thinners but couldn’t tolerate warfarin . So the choice of valve

I had never been in hospital prior to my heart problems at 63 I was smug about my health no smoking drinking veggie diet I even had home births of two huge 10lb babies . So to suddenly require ohs was a huge shocker . I didn’t do sick !!! But I was totally crocked I couldn’t put my pjs on without gasping for breath . So a replacement valve was required . The actual surgery was a car crash but recovery amazing ! 3 months I was back to work feeling zingy !!!and life has gone from strength to strength .

I say a silent prayer for my valve everyday I am fit and well I may have to have the mitral replaced in a few years but it holds no fear - incredible medical marvels ! Replacement heart valves thank you !! I can never thank you enough !

(As a life long veggie I struggled with the biological valve - but my family and friends didn’t and I am and will forever be thankful . )

MarmiteB profile image
MarmiteB in reply toLeonardo1

Hi! It's wonderful to hear about your positive recovery and how well you're doing after your heart surgery. It must have been quite a shock, but it's inspiring to see how you've embraced the experience and are grateful for the medical marvels that have improved your health. Keep staying strong and appreciating each day. Sending you best wishes and continued good health!

Bobbymrg profile image
Bobbymrg

My name is Steve nearly 6 years ago I had a mechanical Aortic valve fitted after suffering heart failure and finally being investigated that I had in fact have had a Bi-cusp it aortic valve since birth.

Came as a surprise and was kept on medication for a few years until the valve was slowly getting worse.

Iam owner, labourer and dogs body in a Landscape Gardening business and slowly ground to a halt and closed my business.

I like to get things done and when I got that call from my cardiologist that they were to operate it was a relief mixed with hesitation and fear so suitcase in hand I went to hospit.

A mechanical valve was used due to my age and all is well after 6 years. The care I got from the Hospital was second to none. After surgery I woke and was amazed that I could breathe fully again.

I still take a lot of medication mainly for a diagnosed Atrial Fib. I’m back with my landscaping and obviously not doing to much heavy work.

It’s a daunting experience having such a big op but reassuring that there are many others that have been though the same.

I now support as much as I can the BHF and am more than happy to assist with any info I can.

If you are about to go for surgery it’s totally normal to feel apprehensive the benefits massively out weight the negatives.

I saw many people go into surgery grey and tired and come out like a spring flowers with colour back in there face.

I’m happy to list meds i’m on as follows.

Carvedemol

Digoxin

Sacubitril plus Valsartan

Eplerenon.

If you need any more info please message me.

Thanks

Steve

near Edinburgh.

Winterwalker profile image
Winterwalker

Hi Marmite,

I had my aortic valve replacement done last June, I’m 33 years old. I had bicuspid valve identified when I was 11 years old with very mild aortic stenosis. I sort of got lots to follow up on the NHS when I transitioned to adult services and was not reviewed with echo for a number of years- a move to London from Northern Ireland probably didn’t help with this! Anyway I’d had no restrictions as a child and really wasn’t aware as an adult that this was something that would ever deteriorate or require intervention- probably naively so. I became pregnant in April 2020 and during my standard booking appointment in London I was referred for an echo- much to my shock it showed moderate to severe aortic stenosis and I was told I would likely require surgery not too long after my pregnancy. I moved back to Northern Ireland shortly before I gave birth- aside from extra scans and foetal medicine appointments to check babies heart all went very smoothly. I booked a private cardiology appointment and echo around 6 months post birth and at that stage my aortic stenosis was considered severe- I was referred to the regional heart surgery mdt and thereafter placed on the list for urgent valve replacement surgery. Even with this I waited 8 months for a date for surgery. At the initial stages I was told that there was a possibility of repairing the valve but that in the event that they went in and couldn’t during the op I would have to decide on mechanical or biological valve. It wasn’t an easy choice as at my age the thought of lifelong anti-coagulants an d the fact this was contraindicated with having any further children was very hard. In the end I chose the mechanical valve- I didn’t like the thought of going through further open heart surgery in another 10 years or so- I was told given my age I would effectively burn out a biological valve very quickly. Also my son needs a healthy mum here for a long time more than he needs a sibling! I had the onyx valve fitted which I believe is one of the newer generation valve- I take warfarin and that’s all I take- I had a hard time at the start getting my INR up to target range- for the first three weeks post discharge tested at the local GP surgery every day and had to double up with clexane injections twice a day. Apart from that my recovery was pretty straight forward apart from managing an 18 month old but I had good help from family. The advice I would give is to think long term- I’m a big believer in innovation and developments in technology in healthcare- I think it’s pretty Amazing that I’ve basically a new lease of life hopefully for many decades and I barely think about it day to day. I can hear the ticking of the mechanical valve but I actually find this quite comforting just like a ticking watch!

MarmiteB profile image
MarmiteB in reply toWinterwalker

Hey WW! You did indeed have a new generation of valves, the On-X! It's a unique valve because it means you can manage with a lower INR compared to other patients with mechanical valve. Good for you :) How are you getting on with your warfarin now?

Astronomyrules profile image
Astronomyrules

Hi MarmiteB, firstly happy birthday. I had an aortic valve replaced by transapical TAVI in 2020. I already had a CABG 17 years earlier and the surgeon was reluctant to do a second. I have severe PAD and so groinal access was not an option. There are dangers such as disruption of the heart rhythm, requiring a pacemaker, but my op was fine. Post op I had 10 days of feeling I had broken ribs, but the rest of the recovery was fast compared to OHS. I was 69 and my arteries are in such a poor condition because I inherited FH from my mother who died as a result, aged 58. The NHS has given me 20 extra years and hopefully quite few more. Good luck your new career.

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