Aortic dissection, aortic aneurysm - The aorta - Life after an aortic dissection
just an update for you all on my condition as I haven't been on here in a while.
at the beginning of August I had a nosebleed that wouldn't stop. I went to an ENT doctor who packed my nose and was sent home to recover. The nosebleed didn't stop, so I was admitted to my local hospital while they tried to ascertain the cause and stop the bleeding. The cause was my INR which despite being a week in hospital without taking any Marcumar was still reading over 7.0 (apparently the highest they can measure). Anyway after a week the nosebleed stopped and my INR sort of normalised. However, they sent me for more extensive tests including a PET-CT scan which discovered a bacterial colony on my mechanical valve. They then continued my treatment with antibacterial medication and antibiotics. After 3 weeks the colony showed no signs of being reined in so the decision was made to transfer me to the heart clinic for surgery. The heart clinic treated me with further antibacterial medication for 10 days and scheduled me in for heart surgery beginning of September. The surgical team removed my mechanical valve and replaced it with a bovine valve and I have been recovering ever since.
I come off Marcumar tomorrow for good (3 months post-op, the body will now have covered my biological valve with its own film) and I am recovering much quicker than i did before. They also fixed the alignment issue with my first sternotomy.
no one is sure what caused the spike in INR, least of all me, but I lost a lot of blood over the first couple of days of the nosebleed - so, perhaps it was down to lack of volume of blood in combination with me taking marcumar. anyways, now all is well - touch wood - and I am the "proud" owner of a biological valve. Apparently there is not a lot of tissue left of the heart muscle where the mechanical valve was excised and the biological one was implanted so I have to be extra "careful" this doesn't happen again. in any case i am not plagued by ticking, thumping and clicking any more :)
hope all are well,
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