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then periodic lifelong surveillance."}}],"indications":["Severe symptomatic aortic stenosis","Severe aortic regurgitation with symptoms or left ventricular dysfunction/dilation","Severe aortic valve disease in patients undergoing other cardiac surgery","Aortic valve endocarditis with structural damage or heart failure","Failed or degenerated prior aortic prosthesis in selected cases"],"main_risks":["Bleeding requiring re-exploration","Stroke or other embolic events","Atrial fibrillation","Heart block requiring pacemaker","Infection including sternal wound infection or prosthetic endocarditis","Acute kidney injury","Prosthesis-related problems: thrombosis, structural valve degeneration, paravalvular leak","Anticoagulation-related bleeding with mechanical valves","Death"],"pain":"Moderate to significant sternotomy pain for the first days to weeks, controlled with analgesics; gradually improves over several weeks.","preparation":["Cardiac assessment with echocardiography, often coronary angiography or CT","Blood tests, ECG and chest imaging","Dental assessment to exclude infection sources","Review of current medications with the surgical team","Fasting before surgery as instructed","Smoking cessation and infection screening","Discussion of valve type (mechanical vs bioprosthetic)"],"recovery_timeline":[{"phase":"Intensive care and ward (days 0-10)","description":"Monitoring in ICU, removal of drains and pacing wires, early mobilization, then ward care.","restrictions":["No driving","Sternal precautions"]},{"phase":"Early home recovery (weeks 1-6)","description":"Gradual walking increase, wound healing, sternum bone healing, anticoagulation monitoring if needed.","restrictions":["No lifting over about 5 kg","No pushing or pulling with arms","No driving until cleared"]},{"phase":"Return to activity (weeks 6-12)","description":"Return to desk work and light exercise; cardiac rehabilitation commonly attended.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Full recovery (3-6 months)","description":"Return to full activity and maximum symptomatic benefit.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated sternotomy valve replacement, including walking program and cardiac rehabilitation."},"result_longevity":"Depends on prosthesis type: mechanical valves are very durable but require lifelong anticoagulation; bioprosthetic valves typically last roughly 10-20 years depending on age and other factors.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Reintervention on the valve within 10 years; higher for bioprostheses in young patients."},"scars":"Midline sternotomy scar about 20-25 cm on the chest; smaller scars from drains. Minimally invasive approaches give shorter scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under one admission."},"stages":[{"code":"valve_replacement_surgery","label":"Aortic valve replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One-stage standalone surgical aortic valve replacement."},"success":{"metric":"Survival 5 years after isolated surgical aortic valve replacement","value":88,"unit":"percent","horizon":"5 years","population":"Adults with severe aortic stenosis undergoing isolated surgical valve replacement","evidence_status":"limited"},"techniques":[{"name":"Conventional surgical AVR via median sternotomy with bioprosthetic valve","suits_whom":"Typically older patients or those who wish to avoid lifelong anticoagulation.","recovery":"Hospital stay about 5-10 days; return to normal activity about 6-12 weeks."},{"name":"Conventional surgical AVR with mechanical valve","suits_whom":"Typically younger patients able to take lifelong anticoagulation.","recovery":"Similar to bioprosthetic, with ongoing anticoagulation monitoring."},{"name":"Minimally invasive AVR (partial sternotomy or mini-thoracotomy)","suits_whom":"Selected patients with suitable anatomy at experienced centers.","recovery":"May allow somewhat faster recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operating time for isolated conventional surgical aortic valve replacement; excludes anesthesia preparation and ICU monitoring."},"initial_assessment_documents":["Recent echocardiogram report","Coronary angiography or coronary CT report","Cardiologist's letter or discharge summary","Chest CT or aortic CT angiogram report","Resting ECG tracing","Current medication list including anticoagulants"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; 5-10 days in hospital plus about 1-2 weeks nearby before flying. Follow-up echocardiography can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always 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warmth","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/a/article/aorticvalvereplacement","host":"111.wales.nhs.uk","quote":"you have throbbing or cramping pain, swelling, redness and warmth in a leg or arm","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Sudden breathlessness with sharp chest pain","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/a/article/aorticvalvereplacement","host":"111.wales.nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in) and a cough or you are coughing up blood","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Coughing up blood","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/a/article/aorticvalvereplacement","host":"111.wales.nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in) and a cough or you are coughing up blood","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Difficulty speaking or moving an arm or leg","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/a/article/aorticvalvereplacement","host":"111.wales.nhs.uk","quote":"you have difficulty speaking or moving your arm or leg, or your face has dropped on one side","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Face dropped on one side","urgency":"emergency","general":false,"source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/a/article/aorticvalvereplacement","host":"111.wales.nhs.uk","quote":"you have difficulty speaking or moving your arm or leg, or your face has dropped on one side","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs the extra blood-thinning medicine to continue treatment","document":"medication list","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-tavi-procedure-8414","host":"plymouthhospitals.nhs.uk","quote":"As well as your usual medicines, you will usually be discharged with an additional blood thinning medicine.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've 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