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