Understanding Aortic Valve Replacement Surgery

A Comprehensive Guide for Patients

Cardiac Surgery

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Last updated: Mar 24, 2025

What is Aortic Valve Replacement?

Aortic valve replacement is a surgical procedure to replace a damaged or malfunctioning aortic valve with either a mechanical or biological valve prosthesis.

Why is it Needed?

  • Severe aortic stenosis (narrowing)
  • Aortic regurgitation (leaking)
  • Congenital heart defects
  • Endocarditis complications

Types of Replacement Valves

Mechanical Valves

  • Made of durable materials like carbon and metal
  • Last longer than biological valves
  • Require lifelong blood thinners
  • Usually recommended for younger patients

Biological (Tissue) Valves

  • Made from animal or human tissue
  • Don't require long-term blood thinners
  • May need replacement after 10-15 years
  • Often chosen for older patients

Surgical Approaches

Traditional Open-Heart Surgery

  • Full sternotomy (chest opening)
  • Direct access to heart
  • 4-6 hour procedure
  • 5-7 day hospital stay

Minimally Invasive Options

  • TAVR (Transcatheter Aortic Valve Replacement)
  • Smaller incisions
  • Faster recovery
  • Not suitable for all patients

Recovery and Rehabilitation

Hospital Stay

  • Intensive care for 1-2 days
  • Regular ward for 3-5 days
  • Vital sign monitoring
  • Initial physical therapy

At Home Recovery

  • 6-8 weeks for basic recovery
  • Gradual return to activities
  • Regular follow-up appointments
  • Cardiac rehabilitation program

Potential Risks and Complications

  • Bleeding
  • Infection
  • Irregular heart rhythms
  • Blood clots
  • Valve dysfunction

Long-term Care

  • Regular medical check-ups
  • Anticoagulation monitoring (if applicable)
  • Endocarditis prevention
  • Lifestyle modifications

When to Seek Medical Attention

  • Fever or chills
  • Unusual bleeding
  • Shortness of breath
  • Chest pain
  • Irregular heartbeat

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