19 years ago i had a valve repair and now im due to have heart valve replacement. I heard that the metal valve make noise has anyone who has had the metal valve have this type f problem or any other problem with the metal valve it would be a great help if anyone could answer
I've had a couple of patients tell me they could hear their metallic valves in the quiet of the night. It isn't something that would bother you all the time. The anticoagulant needed makes a lot of people choose the pig valve, but the latter will wear out and need replacement periodically. Lewis Grizzard, who died from complications of his fourth valve replacement, wrote a book They Tore Out My Heart and Stomped That Sucker Flat, that was half about his aortic valve and half about his love life, the author having had as many ex-wives as heart valves. It may be difficult to find a copy now, but it's a book you'd enjoy reading, and contemplating it (and him) might help you decide.
Do you want to have kids or have more kids? This is going to be the biggest question you have to answer. The tissue valve will require no treatment after the replacement, other than another replacement in 10-15 years or whenever the valve starts to fail. The mechanical valve will most likely last the rest of your life, but will require the use of anticoagulants that would make any future pregnancy extremely risky. As to the sound many patients complain about hearing the valve clicking in times when it is very silent (dead of night etc.) Most find that keeping a Radio or tv on at a low level solves the problem, Id say in my experience about 50% of patients complain about hearing the clicking. The other issue is that using tissue valves, it is a slightly riskier operation every time you re-open someones chest, due to scar tissue formation. So instead of say 1-3% risk it might be 5% if the person is young and healthy. This is important since the tissue valve will only last 10 maybe 15 years. The atrial thrombus complicates matters, however which valve are they replacing? It might be possible to remove the thrombus at the same time as doing the valve. If not, mo matter what you will be taking warfarin, so the vavle choice really will not matter that much.
mechanical valves last longer where as a tissue valve will require replacement down the track. mechanical valves require blood thinners to prevent clots - long term warfarin therapy is most common - stroke is a risk and pregnancy is contraindicated. the 'clicking' is often audible by stethoscope but not without one. it is likely you could feel it 'clicking' shut and its possible you would hear it - never thought to ask any of my patients that...
tissue valve is better because you will need long term warfarin with metal one. metal ones have other drawbacks like amaemia too
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