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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64618
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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When you have been diagnosed with a mitral heart disease,

Customer Question

when you have been diagnosed with a mitral heart disease, mitral heart prolapse, and mitral valve regurgitation, and was told that you need to have a valve replacement, what is the best kind of valve should you replace it with? I am 62 years old.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Good question.

We go by the age, quality of life, other comorbidities.

Two types of valves are available.

Biosprosthetic valve ( pig valve for example) and mechanical valve.

Bioprosthetic valve needs to be replaced every 10-15 years.

Mechanical valve lasts forever.

Mechanical valve requires lifelong anticoagulation, but bioprosthetic valve does not.

Given your age, it is better to go for the mechanical valve which will obviate the need for another surgery in your life time.

Anticoagulation should not be a problem given the fact newer agents are available nowadays.

Best wishes,
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Expert:  DrRussMD replied 1 year ago.

Hello

I am a double board certified US doctor.

Guidelines from the American Heart Association and American College of Cardiology for valvular heart disease recommend mechanical prosthetic valves for patients under age 60/

Over age 60 and it is going to depend on many factors.

mechanical valves have certain higher risks, particularly of bleeding.

Discuss this carefully with your surgeon.

Find me, Dr. Thomas, any time for correct answers in medical.

I am a double board certified US doctor.