Heart Valve Durability Insights: Epic Plus Biological Heart Valve Replacement with Dr. Sultan

www.Heart-Valve-Surgery.com - The durability of a heart valve replacement should be a critical consideration for patients selecting a new heart valve. According to Dr. Ibrahim Sultan, Surgical Director of the Heart Valve Center at the University of Pittsburgh Medical Center, "Patients need to consider to durability research. The Epic valve, for example, has great long-term results with 96% freedom from reoperation at 10 years."
To learn more about the durability of biological heart valve replacements, we interviewed Dr. Sultan, who has performed over 2,000 heart valve operations including open heart, minimally-invasive and non-invasive transcatheter procedures.
Key questions answered by Dr. Sultan include:
1. Why and when do patients need a heart valve replacement operation?
2. What are the different approaches used to access the heart and replace a diseased heart valve?
3. How long do heart valve replacements last? Is durability different for mechanical and tissue valve replacements made from cow and pig hearts?
4. For patients who do not want to be on blood thinners (e.g. warfarin), are new technologies enhancing the durability of tissue valves? If so, what are those technologies?
5. The Epic Plus is the next generation of the original Epic valve that has already been implanted in over 250,000 patients around the world since 2008. What is the expected durability of this biological heart valve replacement over a 10-year period?
6. Is it true that 96 out of 100 patients did not have deterioration of the Epic mitral valve 10 years after implantation?
7. Are there other innovations in the Epic Plus valve that patients should know about specific to durability of heart valve replacements and the lifetime management of heart valve disease?
8. How are "Valve-in-Valve" therapies providing patients a new path to better manage the lifetime management of heart valve disease? Is the Epic Plus surgical valve designed for re-operations without the need for open-heart surgery using transcatheter valves?
9. How are radiopaque markers helping cardiologists and surgeons perform Valve-in-Valve procedures?
10. What is Dr. Sultan's number one piece of advice for patients needing a heart valve replacement?
To learn more about the Epic Plus Valve, please visit www.EpicPlusValve.com.

[@patfox6366]

I had a new biological heart valve in July this year. Here in the UK it meant just 1 week in hospital. I’m 75 and feel very well now. I’m very lucky and my scar is much shorter than I expected!

[@brianhogan386]

Awesome coverage of this very important issue which I am in the process of repairing a mitral valve prolapse !

[@LearnSpanishwithIsabel]

Thank you so much Adam. Always such great information for us patients! I have an Inspiris 25 Aortic tissue Valve that replaced my Bicuspid Aortic Valve, 4 months ago , and I’m doing great!

[@HeartValveSurgery]

Great to hear Isabel!!!

[@arbolitos]

As usual, thank tou for sharing such educational videos!

[@baseballDUDE32]

I’m on my 10th year with my mitral valve “Medtronic mosaic porcine” replacement. So far so good…. Love the info. Thanks 😊

[@HeartValveSurgery]

Glad it was helpful!

[@melekkuru1762]

Dr kaç yıl dayanır dedi bu kapağın markasını atarmisiniz

[@melekkuru1762]

Kapak 10 yıldır takilimi

[@melekkuru1762]

Kapakta herhangi bir bozulma varmi

[@maciek-wl7yp]

that's a biological one?

[@maciek-wl7yp]

is it a good idea to have a biological aortic valve ? Im 18 and really want to start doing some sports finally

[@sugarray29]

Great information, thank you

[@marianmartin9441]

I've already had three valve replacements. How many times can you do this? What is the most replacements done on a patient on record so far?

[@rajdevtanu]

My mum got permiount magna ease bioprostrtic value it was told durabilty of 25 years. ... after 12 years showing degeneration and told to redo surgery

[@mcgragor1]

Adam, another great video! If you could follow up with him on what age groups for what valves, for example I am 53, would he only recommend mechanical for me and also, he mentioned the 96% for mitral valve, does he have a % for aortic valves? Thanks

[@HeartValveSurgery]

McGragor, Great questions. I can send you some information about this. I don't have your email address. Please email at [e-mail]. I'll get back to you asap!

[@mcgragor1]

@@HeartValveSurgery Adam, that email did not work, maybe do a video on that info or something, thanks!

[@JourneyWithJalaj]

Useful

[@HeartValveSurgery]

Glad you think so!

[@garyjene9146]

I understand there are different sized valves from 19 to 25 mm. If I had a 23 mm bio prostetic valve implanted in the aortic position and it starts to fail after 10 years, can a 21 mm valve be inserted on top of this? If not, How easy would it be to remove the 23mm and replace it with another 23 mm? Adam, can you do a video that compares the Edwards Inspiris Resilia (which claims a lifespan of 15 to 20 yrs because of the way it was treated) with other valves that have been treated the same way or undergone a different procedure to make it last just as long or longer.

[@HeartValveSurgery]

Hi Gary,
You raise a really great, interesting and specific question about valve size and the possibility of valve-in-valve re-operations using either transcatheter or surgical approaches. As each patient case is unique, we would encourage you to discuss this question directly with your medical team if-and-when your bioprosthetic valve begins to fail. That way, you will have the best possible information specific to you.
Also... You might want to watch these videos which are all about heart valve re-operations:
Dr. Nimesh Desai: th-cam.com/video/qsRRdEc-Mqk/w-d-xo.html
Dr. Anelechi Anyanwu: th-cam.com/video/7cmvHgNZ20E/w-d-xo.html
Dr. Jason Rogers: th-cam.com/video/zKa3jmkzs3Y/w-d-xo.html
Hope that helps!