Gina


Personal story of my Mitral Valve Replacement on March 17, 1999

By: Gina

Sometime around age 8 at a routine pediatric exam a heart murmur was detected. Upon further examination it was found that I had MVP "Mitral Valve Prolapse. My family was told that this is a very common condition and many people have it and "live a normal life". The only concern "I should have" is premeditation for invasive procedures to protect myself from Bacterial Endocarditis. Surgery was not mentioned and I went on with my life.

As the years passed had no noticeable symptoms. Though, would have to say I lived that way for so long....that did have a string of symptoms and just thought it was normal to feel that way. Would have occasional panic attacks and was very short tempered at times. Later found out that this had something to do with the electrical impulses/circulation in the body and was somehow related to my regurgitating valve. Have not felt that way since my surgery.

Fast forward to the birth of our daughter. She was a healthy 8lb- 10oz baby. Proceeding the delivery my blood pressure dropped to a dangerously low level and the hospital personal flipped the bed back so the blood could get oxygen to my brain. Was fully alert the whole time and the worst part were the shakes that lasted two hours afterwards. Asked if it had anything to do with my regurgitating valve, answer "oh no your heart is fine". The blood pressure machine must be broken. Luckily they had the common sense to place me on an IV antibiotic, or I could have obtained an infection. Failed to mention the cyst they removed by hand instead of taking me to surgery. Was insisting that I had serious problem. My feet and ankles blew up and could not even get a slipper on nor walk across the floor for a week after the birth. Also gained 60 pounds during my pregnancy. I am not an overweight person. Was actually, underweight prior to my pregnancy. Lost 45 pounds of water weight in one week. Should have been a red flag to those doctors. I was trusting them.

Two years passed....we relocated and I obtained a cold.... could not shake it. Went to my new doctor and he listened to my chest and said very impressive. Are you aware of your very pronounced heart murmur? Proceeded to inform him that I hadMVP but was told not to worry about by my former doctors. They sent me for an echo and a cath and determined that it was at the upper limits of regurgitation, 4+. Surgery would be scheduled.

Noted by two of my doctors at the time was the following comment "we are absolutely astonished that you have been walking around for 2+ years with this amount of regurgitation." And how on earth my daughter and I survived the birth. God was by my side, along with my guardian angel which I am persuaded to date she or he does exist!

My family arrived in preparation for surgery. I would like to mention before I go on.... could not have gotten through it without you. Love you all. My Husband, Dad, Mom and Sister :*).

My mother stayed with us for six weeks and held down the fort. If anyone deserves a gold star, it's her.

The big day, March 17th. We went on to the hospital and I was prepped for surgery. It was understood that if my valve could not be repaired......they would use a mechanical implant. Understood the lifelong need for anticoagulation, i.e., Coumadin. Not as well as I do now. Was willing to deal with the life style changes and gave up the possibility of having additional children. In exchange.....received a shiny new titanium Medtronic Hall Mitral Valve with a lifetime guarantee! And a new lease on life!

Surgery and the recovery period went well. It was not until three weeks post op when my problems surfaced. I bled out due to cardiac tamponade. This was proven to be brought on by mismanagement of my Coumadin dosage. Was tested at a 4.0 and was informed not decrease my dose. At that time I was ignorant to the fact. Within a week I was a 14 and hemorrhaging from every vital organ, taken back to surgery to drain fluid and was fully transfused. No external signs of bleeding at first, no bruises, nose bleeds, etc. Was just very pale and towards the end I was short of breath and collapsed on the floor. My mother called an ambulance.

Arrived at the hospital vomiting blood. My family was informed that I would probably not pull through the surgery. If I did would be incapacitated. Luckily, had an excellent surgeon to pull me through and God was by my side.

It's been 3 years since my surgeries. Though what happened to me is unfortunate and very rare, I take the Coumadin very seriously. Also do not let doctors have complete control of my situation. If something it not to my liking, I request changes.

To date finally regulated on my Coumadin. This took over a year. Was watching everything. Found with more flexibility in my diet, I am more regulated.

Also, with all the new advances in patient home testing for INR monitoring for blood thinners I am free from the hassles of lab appointments. I own a Coaguchek and self regulate in the privacy of my home. It has already been proven that I have tighter control of my INR levels. This makes me feel good and above all makes my travels a breeze!

Feeling wonderful and hope and pray for many more years of service from my valve.

Warm wishes to all and keep on ticking,

Gina

MVR, 3-17-99

Daily meds, Coumadin 6-1/2 mg

Inderal LA 60mg

Last updated: March 24th, 2002