Пікірлер
@pratapanurag757
@pratapanurag757 2 күн бұрын
Hey, loved the vibe🙌! I'm not really sure if it is the best time to ask but, I was wondering if I could help you create a better distribution by working on post-production like better storytelling through Edits, Keywords, think catchy intros and outros, or even some engaging short clips! Would love to chat if you're interested.
@dianaaros
@dianaaros 2 күн бұрын
Hi I have question can Dilation of Aorta be seen on an Xray ? Also are there any Symptoms with Dilation ?
@paulwalker9732
@paulwalker9732 3 күн бұрын
After the valve has been replaced, how do you return the heart chamber to its proper sized to avoid heart rhythm issues? I was forced to live with my leaking valve from birth until it almost killed me just before I turned 36 37, I have never been able to hold a job because of it, and I am still out of work and waiting on yet another heart procedure to try, no promises, to get my heart beating right again, due to an enlarged heart chamber. My ex-cardiologist knew of the leaking bicuspid aortic valve from the day he took me on as an adult patient, despite this, he left it in me until as I said, it almost killed me via heart failure, my life is a living hell as a result, no job, no money, stuck on benefits, possibly for the rest of my days.
@PeteHob
@PeteHob 7 күн бұрын
Whenever a medical professional tells me something is or might be uncomfortable, I know what the real deal is.
@pauldavidcrisp
@pauldavidcrisp 10 күн бұрын
What about CAT Scan of arteries?
@billcastrodale4793
@billcastrodale4793 11 күн бұрын
What is my BSA 5’8 190 lbs asending aorta at 4.4 would i need surgery
@elenmalone9333
@elenmalone9333 14 күн бұрын
I just had a CTA scan showing 44 mm AA dilation, PFO, normal coronary arteries.Earlier diagnosed with bradycardia, mild fibrotic thickening of all tree leaflets of a tri commissar AV with lack of central diastolic coaptation. App.AV regurgitate orifice area= 10 sq mm. No stenosis, plaque. How bad does it sound to you, Doctor? Thank you!
@billcastrodale4793
@billcastrodale4793 17 күн бұрын
Quick question what is the research we have gotten on this valve today? Im 34
@Thekeyholeheartclinic
@Thekeyholeheartclinic 17 күн бұрын
Here is some data: www.edwards.com/healthcare-professionals/products-services/surgical-heart/inspiring-results Here is the main competitor: europe.medtronic.com/xd-en/healthcare-professionals/products/cardiovascular/heart-valves-surgical/avalus-bioprostheses.html Note that there is also data that indicates improved long term survival in young patients with mechanical rather than tissue valves
@RCINFORMER
@RCINFORMER 19 күн бұрын
Mechanical valves don't necessarily last FOREVER. Yes, they last much longer, however there is the lifetime blood thinner requirement & about a 25 to 30 year lifespan of the valve itself. Other disadvantages to the Mechanical valve for the AORTIC position: if any of the flappers stick due to calcification at an older age, you are now looking at a 30% mortality rate for the emergency operation that you now need asap & it must be REPLACED with a REOPERATION that you may not be healthy enough to endure at an older age.... a Mechanical valve is not a candidate for a valve-in-valve TAVR replacement in the future the way that a tissue valve can accept a future TAVR.... One outstanding valve available for anyone is a Edwards Magna Ease bovine tissue valve...
@billcastrodale4793
@billcastrodale4793 21 күн бұрын
Hey i have bicuspid valve seeing a surgeon in two weekds i have sever regirtitation moderate stenosis with a 4.5 centimeter acending aorta and normal decending aorta thiught on when u think i need surgery and will i be ok up until then I have no symptoms yet amd i workout all the time Thoughts im stressed iut about it My aorta wont rupture at this point right i have a couple months being ok hopefully?? Thanks
@DavidRanalli
@DavidRanalli 22 күн бұрын
I'm 36 years old considering this valve. I personally am really intrigued by the new technology. It does annoy me that we cannot tell with certainty whether younger patients can be stable with this in the long term. However, if combined with regular fasting to clean up the arteries and blood, I don't see why this valve can't last me a long time. There's no cardiologist on the planet who is going to advocate for this regiment, and therefore there are no studies out there that would prove this to be helpful (even though we know fasting is helpful for people in good health). I can't see fasting being good while being on blood thinners, which means my entire body would suffer by not being able to fast. The very reliability of a mechanical valve also means I would have to cut this good lifestyle habit, and this habit could be the thing that helps these new tissue valves last longer. Having a bicupsid valve is super annoying and I'm convinced that no one has the correct answer. Leaning towards what I trust will be good for me and taking the risk of no long term data. I talked to people at Edwards and they claim there's a patient who got a bio valve in the 1970's and it is STILL doing well. What makes this person an outlier? I wish we knew, but lifestyle choices must be a factor!
@DavidRanalli
@DavidRanalli 22 күн бұрын
I want this guy to read me bedtime stories. Great voice
@katylowe3504
@katylowe3504 23 күн бұрын
Duh. Fruit is XXX. Sugar is responsible for diabetes and my heart disease. Almost zero carbs, oily fish, red meat, fatty chicken and skin. Sugar will kill you, good fats won't.
@Heinrich99
@Heinrich99 24 күн бұрын
The statin my Dr. wanted me to take causes memory loss in some patients. I was thinking I don't need memory loss when I'm driving out in the middle of nowhere.
@PankajKumar-ub2bo
@PankajKumar-ub2bo 26 күн бұрын
Bicuped valve age 32 mild mr arota size 36mm l need surjery
@Agastya.sameera
@Agastya.sameera 26 күн бұрын
My age 28 year old pls suggest me best valve
@Thekeyholeheartclinic
@Thekeyholeheartclinic 26 күн бұрын
Thanks for your question. If you wish to start family warfarin can be dangerous for baby in the first 3 months of pregnancy. Why are you needing surgery?
@Agastya.sameera
@Agastya.sameera 26 күн бұрын
@@Thekeyholeheartclinic sir m male
@Agastya.sameera
@Agastya.sameera 26 күн бұрын
@@Thekeyholeheartclinic sir pls tell me best valve
@Agastya.sameera
@Agastya.sameera 26 күн бұрын
@@Thekeyholeheartclinic sir pls send me ur WhatsApp number m send you reports
@Agastya.sameera
@Agastya.sameera 26 күн бұрын
@@Thekeyholeheartclinic sir pls send me ur WhatsApp number m send you my report
@t-entertainment1186
@t-entertainment1186 29 күн бұрын
Hi doctor and thank you for the precious informations , regarding these new valves will there be a possibility to use them to replace the mitral valve ? or is there any mitral specific clinical trial currently . Thanks
@Thekeyholeheartclinic
@Thekeyholeheartclinic 28 күн бұрын
There are equivalent valves for the mitral Position but the data is early and we await longer term verification of durability. If your mitral valve can be repaired then this is the better solution to replacement
@t-entertainment1186
@t-entertainment1186 9 күн бұрын
Hey doc thank you again for your reply, could you please do a review on the Foldax permanent valve? They've been using it in the aortic position for quite a while now and recently enrolled many patients for the mitral valve clinical trials. Thanks
@Alan-gx8gf
@Alan-gx8gf Ай бұрын
I am 65 and had a AAA Scan a week ago , all is ok . My friend is 63 and has had two aneurysms , he can no longer drive etc .
@brian5030
@brian5030 Ай бұрын
I had a bicuspid aortc valve and was persuaded to get it replaced at 61. My symptoms now are constant fatigue, dizziness, chest pain & when I push on, I have fainted once. Pre surgery I was asymptmatic. Worst thing I ever did was to get my good valve removed and had a valve downgrade.
@Thekeyholeheartclinic
@Thekeyholeheartclinic Ай бұрын
What size valve was inserted? What type of valve? Has someone done a 14 day Holter to check your heart rhythm?
@architsharnagat8525
@architsharnagat8525 Ай бұрын
Beautiful
@BillGreenAZ
@BillGreenAZ Ай бұрын
I really like the ability to go through the groin area to put in the valve.
@billcastrodale4793
@billcastrodale4793 Ай бұрын
Im 35 and want this valve is that too young If it last 20-25 years its worth the risk for me Can this valve be put in for open heart surgery??? I need a new aortic valve would love to take a risk and see if it does last for 20-25
@Thekeyholeheartclinic
@Thekeyholeheartclinic 28 күн бұрын
The data still suggests that mechanical is the preferred choice in young age. Having said this your comments are very good and many younger patients are preferring to follow tissue valve by mini surgery between ribs, and TAVI or traditional mini breastbone repeat surgery in later life depending upon clinical suitability
@nx6677
@nx6677 Ай бұрын
Could you please explain this : the minim invasive procedure, how far it can go ? It is only for an isolated aortic valve replacement or it can be used for aortic root issue, or fix ascending aneurysm....
@Thekeyholeheartclinic
@Thekeyholeheartclinic Ай бұрын
We can certainly perform minimal access aortic root surgery both for aortic valve and root replacement as well as aortic valve sparing root replacement where the aortic valve can be repaired (David Procedure)
@DavidRanalli
@DavidRanalli 20 күн бұрын
@@Thekeyholeheartclinic My heart surgeon at Northwestern in Chicago claims that I cannot do minimally invasive if my root is above 4.5cm (because he cannot do keyhole to replace the root). I'm at 4.4! Is this a rule across the board, or something his personal preferences as a surgeon?
@lesg5260
@lesg5260 8 күн бұрын
​​​@@Thekeyholeheartcliniccan the aortic root repair be performed with the keyhole surgery when I already have a mechanical aortic valve? Thank You Doctor. Your information is much appreciated.
@VINCENTOCONNOR
@VINCENTOCONNOR Ай бұрын
Thank you.
@Thekeyholeheartclinic
@Thekeyholeheartclinic Ай бұрын
You're welcome!
@billcastrodale4793
@billcastrodale4793 Ай бұрын
Im 35 years old and need a new aortic valve can i get this valve even being that young Really love the inspirus valve and what it stands
@ellenbrown9048
@ellenbrown9048 Ай бұрын
Do you have low blood pressure due to leaky mitral valve?
@Thekeyholeheartclinic
@Thekeyholeheartclinic Ай бұрын
Not usually
@dongambino6571
@dongambino6571 Ай бұрын
Yess...How old is he ?
@lorenzomag100
@lorenzomag100 Ай бұрын
I am nearly 75,After hospital tests,I was told I had a leak in my heart valve,and was told they will send for me in 2 years for another test,Is this normal to wait that long?
@Thekeyholeheartclinic
@Thekeyholeheartclinic 27 күн бұрын
Good question. It depends upon how severe the leak is.
@lorenzomag100
@lorenzomag100 27 күн бұрын
@@Thekeyholeheartclinic they said is was mild to moderate ,So can it get worse before the 2 years is up,which is 17 months away now
@margaretnorvell9555
@margaretnorvell9555 Ай бұрын
Great teaching!
@brian5030
@brian5030 Ай бұрын
3:04 I had this valve fitted in Feb 2021. It was still in the clinical trials phase. Nice that I wasn't even asked to participate, just found out 4 weeks after surgery. I had been asymptomatic prior to surgery but post surgery, I was hit with multiple symptoms from dizzyness, constant fatigue, breathless and even fainted. So much for a advanced valve. If Edwards want their donkey valve back, they can take it any time. My experience is nothing but negative. I wish that I never gave my ill informed consent.
@Thekeyholeheartclinic
@Thekeyholeheartclinic Ай бұрын
This is unusual and you should look to your clinicians for a full check
@michaelandlucifer
@michaelandlucifer Ай бұрын
Swelling on my right ankle when I consumed atorvastatin even in small dose of 5mg. Now consumed fibre such as chia seeds and oat as alternative in controlling cholesterol.
@sheikhwaheed6420
@sheikhwaheed6420 Ай бұрын
Hello dear sir I'm Sheikh Waheed from Pakistan my son 27 year old hi bicuspid aortic valve moderate regurgitation how many years can safer he feel weakness no further symptoms no breathless
@Thekeyholeheartclinic
@Thekeyholeheartclinic Ай бұрын
Has he undergone aortic size estimate to exclude aortic aneurysm. If not then this is important to do with contrast CT scan
@MehhhBushka
@MehhhBushka 2 ай бұрын
41. 160LB. Nerve damage. Got a 4.4 moderate...... is that bad ??? I have to wait 30 days for ct scan.
@user-zt1rv5ye5e
@user-zt1rv5ye5e 2 ай бұрын
wish I would have done this cleveland said they couldnt do it so they cut my chest in half and their supose to be number 1 what a joke
@honeym6873
@honeym6873 2 ай бұрын
Hi doc my height is 161cm and weight is 70kgs im 28 years old and my cardiologist says my aorta is bigger than normal and has grown i found out more this week about my results from my CT scan wondering where on the chart you may think i may be at? Please
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
Hello. Do you know the aortic root size and how much it has grown and in what time frame?
@honeym6873
@honeym6873 Ай бұрын
@Thekeyholeheartclinic it's now 4.7 centimeters and when I found out last year October it was 3. something
@Badboyotr23
@Badboyotr23 2 ай бұрын
Hello doctor. I am a 29 year old male. I am 180cm tall and 89kg. This year i was diagnosed with a dilated ascending aorta at 4.2 cm. At first my doctor told me its normal amd that its because of bodybuilding and heavy weights. I did not like the response i got and i went to another doctor. He did an echogram and told me that i had an biscupid aortic valve which for the moment works fine and that caused my dilation. He also recommended a ct scan. I did one which showed my ascended aorta at 4.16 cm with no calcifications and no sign of disection. The doctor told me to excercise reguraly(running,sqimming,cycling,walking and moderate lifting). I have 2 queations 1- is it considered aneurysm at 4.2? 2- is having sex dangerous because it can spike your blood pressure for a certain amount of time?
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
Is the aortic valve working normally? You can live a relatively normal life but you need long term followup with echo and ct
@Badboyotr23
@Badboyotr23 2 ай бұрын
@@Thekeyholeheartclinic thwy told me for the moment it's fine. I just need a follow up every six months for now and if it stays the same i can do it every year after that. Is it ok to run, play football, sex, etc?
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
@@Badboyotr23 you should Check with your supervising Dr specifically But given the info you have shared live a normal life
@crimsonpearl4686
@crimsonpearl4686 2 ай бұрын
7 1/2 years ago, a CT scan to find my calcium score (which was 0) showed a mildly dilated aortic root of 3.8cm and after adjusting for my height, weight and body mass, was told I am simply at the "outer limits of normal". This was confirm with a follow up CT scan one year later, this time with and without contrast and stable, not growing. I was told we can just follow with echo every 2,3 years. Just had a echo last week, and after 7 1/2 years, still stable at just 3.8cm and was told this probably is just normal for me and very unlikely I would ever need any surgery. Rest of echo, completely normal. Blood pressure is normal at 115/76. Lipid blood work is optimal. Do you agree?
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
You may well be fine. It is normal size.
@kikiob3628
@kikiob3628 2 ай бұрын
Last year I had a cardiac score test performed. Not needed, the local hospital had a special for heart month, and I just wanted to see how I scored. It was perfect! They did notice that my ascending aorta was dilated at 4.4 cm. My doctor said it wasn't of concern. At this years physical I reminded my doctor so she decided to send me for another scan to see if there were any changes. I just got my results back today and the number has not changed. Still 4.4 cm. I haven't spoken to my doctor yet about the results, but when she gave me the scan referral earlier this year, she said I could have been born with this. Is this true? Can people be born with this condition? For reference I'm a 48 y/o female. No family history of heart conditions.
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
What is your aortic valve anatomy: bicuspid or tricuspid
@hamadalkahly9219
@hamadalkahly9219 2 ай бұрын
Hallo doctor ihave had AR associated with vsd and reduced EF with dystolic dysfunction my mPAP is 20 I did surgery 7month ago repair the valve and closing vsd after operation mild ar with redual vsd EF around 50 but my blood pressure is 140 o 60 now on medication bisoprolol 5mg and sprinolacton 12.5 and half foursmid and 160 mg valsartan twis bid but still my bp is 140 over 60 and ihave mild dyspnoea what do you think is operation results is bad and what can ido please tell me doctor im 26 years age thanks ❤❤❤❤❤
@hamadalkahly9219
@hamadalkahly9219 2 ай бұрын
Doctor please give me an answer for my above comment ❤
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
Have you had a repeat echo since surgery
@hamadalkahly9219
@hamadalkahly9219 2 ай бұрын
@@Thekeyholeheartclinic yes echo show mild AR with small shunt of vsd from left to Right but my problem here is even with treatment my pulse pressure is high 140 over 60 my pap near normal what do you think
@hamadalkahly9219
@hamadalkahly9219 2 ай бұрын
Please give me a answer for my above comment
@hamadalkahly9219
@hamadalkahly9219 2 ай бұрын
Hallo doctor what do you think about the new triflo heart valve that may eliminate blood thinners
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
Dear Sir Triflo is clever but is only just in use in human trials It will likely be many years before we know the answer
@hamadalkahly9219
@hamadalkahly9219 2 ай бұрын
​@@Thekeyholeheartclinic do you think is better for patients to choose the triflo valve because is mechanical so it most be durable and keep on blood thinner if the valve show efficiency in blood coagulation or not the patient didn't loose think do you agree with my opinion
@amandajeanmich
@amandajeanmich 2 ай бұрын
Hello thank you for your knowledge and time, unsure if I need second opinion they did multiple tests and this is what was determined. Would like to note this was found in occasional testing for something else.. Mildly enlarged mid ascending aorta diameter of 36mm. Everything else was normal on echo when later checked. I am 31, 5'9". Healthy but slightly on the heavier side 180lbs. Was told it could be due to biking? And was told to continue my normal exercise? Anything else it could be? Was told to check it again in a year or two.
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
36mm aorta is likely normal but worth a repeat measurement in 2-3 years to ensure no growth. Is the aortic valve normal and trileaflet?
@lilymarcayda397
@lilymarcayda397 2 ай бұрын
Amazing video, very informative. My dad will be having the procedure done in a week or so.. with your explanation I feel more comfortable. Thanks a lot
@karunakaranveerabadran293
@karunakaranveerabadran293 2 ай бұрын
Dr Does Mitral valve prolapse lead to sinus tachycardia?
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
It can. Over time it also creates a serious heart rhythm disorder called Atrial Fibrillation which can cause stroke and heart failure
@karunakaranveerabadran293
@karunakaranveerabadran293 Ай бұрын
Thanks Dr for your clarification
@christospip5312
@christospip5312 2 ай бұрын
I’m 27 . I’m 1.88cm and 86 kg . I used to lift weight for 16 years . I have bav and aortic root 4cm but I have this exact measure for 8 years and is stable. I stopped wight training . Can I continue weight training but with moderate weight doing 10-12 reps ?
@karunakaranveerabadran293
@karunakaranveerabadran293 2 ай бұрын
Dr .very useful vidieo on MR. Does dehydration cause Mitral valve prolapse.Is Mitral regurgiation trivial cause of concern
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
Hello and thanks. Dehydration no but low blood volume can create a condition called systolic anterior motion producing leak which is correctable with proper correction. Mild leak needs to be monitored.
@karunakaranveerabadran293
@karunakaranveerabadran293 2 ай бұрын
Dr Thanks for the clarification onMR with respect to dehydration. In the clarification you had said low volume of blood creates leak and can be corrected.Can it be corrected by medicines and magnesium rich food?.Regarding trivial regurgiation you had indicated to be monitored. How to monitor at home?. Kindly clarify.Regards,V.karunakaran
@karunakaranveerabadran293
@karunakaranveerabadran293 2 ай бұрын
Dr your comments required on the above query
@diren1271
@diren1271 2 ай бұрын
I have a bicuspid aortic valve and 48,5 mm aorta. Am 41 years old. İ think surgery is coming. :/
@BillGreenAZ
@BillGreenAZ 2 ай бұрын
This is great news! While I have a mitral valve prolapse, it's not serious enough to need surgery. It's comforting though, that it should ever get to that stage that I could have this lesser invasive surgery. My Dad had the breast bone surgery on his mitral valve and it left a big scar of course.
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
Thanks for sharing
@zargulkhan7
@zargulkhan7 2 ай бұрын
This is interesting,,,I had elongated papillary muscles, went for mitral valve repair(splitting and shortening of papillary muscles with patial annuloplasty). I might need another surgery as as it's regurgutating mildly again. Is minimal invasive re-repair possible in my case??
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
Thanks for sharing. Yes sir. If you has breastbone before then the easier method to get the the mitral valve is by keyhole
@ChameeraGeeth
@ChameeraGeeth 2 ай бұрын
about 15 years ago i have done a echo test and there I found that I have a mvp positive...! I feel that i m suffering of over tiredness or something like inactive (difficulty in working). Do i need to check again...? :( (my age is 31)
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
You should Require regular echo Followup for your prolapse for life so Yes you definitely need an echo Now
@timiadetunji1707
@timiadetunji1707 2 ай бұрын
Such an informative episode!
@Thekeyholeheartclinic
@Thekeyholeheartclinic 2 ай бұрын
I am delighted to hear this. Many thanks Inder Birdi
@lenboyd8119
@lenboyd8119 2 ай бұрын
Thank you for an excellent explanations I have a 4.8 aneurysm at present
@BillGreenAZ
@BillGreenAZ 2 ай бұрын
I like the idea of taking action when a person's aortic valve gets to be 5.0 cms instead of 5.5 cms like before, especially in an aorta that has experience progressive diameter increase. Why wait until the aortic valve gets to be 5.5 cms? The patient can have a better experience at 5.0 cms and if the diameter is increasing it's rather certain that it will get to 5.5 cms eventually.