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Do I need a fourth open heart operation?  

I have had three previous AVR surgeries. I currently have a human aortic valve xenograft that was implanted 19 yrs ago. I have developed an ascending aortic aneurysm (6cm). My aortic valve has an ejection fraction of 62% and L atrial volume index of 31.3 ml/m2. I've been told I need surgery again to repair the aneurysm and have my AVR for the fourth time. Do you agree with this recommendation?

submitted by Richard from Montana on 2/11/2013


by Texas Heart Institute cardiovascular surgeon, David A. Ott, MD  

David A. Ott, MDIf the valve has to be replaced, you may be a candidate for a percutaneous valve [Edwards Sapien or Medtronic Corevalve].  If the aorta has been enlarging, then an open sternotomy operation will be required to replace the segment of the aorta and the valve.    

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Updated February 2013
Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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