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Minimal-invasive Bio valve? open heart Mechanical valve?

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We are devasted as my sister (36 years old) is diagnosed with Severe Mitral Regurgitation and Flail PML. There were no symptoms but doctor advised to do echo cardiography screening as they heard murmuring sound from her heart. After considering couple of cardiac specialists, they both have suggested two complete different options for valve replacement. One of them suggested to go with open heart Mechanical valve replacement surgery as the doctor has more experience in it and the valve has 20-30 years lifetime. Another specialist suggested to go with Minimal-invasive Bio valve replacement as my sister has also got nerurofibroma and blood thinning required for mechanical valve replacement may affect her neurofibroma or during any related future treatment. But the life for bio valve seems to be around 10-15 yrs.

We are very confused and deeply worried which option to take? My sister is in a horrible state and in more concern about her future and family.Can you please help? Thanks

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replied July 4th, 2015
Heart Disease and Heart Attack Answer A52868
Hello and Welcome

I appreciate your concern

Opting minimal invasive surgery (MIS) or open heart surgery (OHS) can be at times very confusing because both of these procedures have their own risks and benefits.
Studies have shown that, the survival rate of patients undergoing MIS is almost similar to those who underwent OHS. However, there are certain areas where MIS has shown some improvement as compared to OHS, e.g, there is decreased risk of atrial fibrillation, bleeding, sternal wound infection, ventilation time, hospital stay time, patient’s dissatisfaction. However, they come with an increased risk of stroke, aortic injury, phrenic nerve injury, groin injuries, longer hospital stay etc. you are suggested to consult your sister’s primary oncologist and discuss the possible impact of blood thinning, which is required after MIS, on her treatment of neurofibroma

Wishing you best of health


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