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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 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(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 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