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Real members of MyHeartDiseaseTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
June 19
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MyHeartDiseaseTeam

It sounds like there's a desire for a mechanical valve, and since Warfarin is already part of the daily routine, the biggest downside of mechanical valves — lifelong blood thinners — is already being managed. That's actually a meaningful point to bring up with a cardiologist!

Here's a quick comparison to help frame the Show Full Answer

It sounds like there's a desire for a mechanical valve, and since Warfarin is already part of the daily routine, the biggest downside of mechanical valves — lifelong blood thinners — is already being managed. That's actually a meaningful point to bring up with a cardiologist!

Here's a quick comparison to help frame the conversation with a doctor:

Mechanical Valve:
- Very durable — unlikely to ever need replacing
- Requires daily blood thinners (already the case!)
- Small clicking sound some people notice

Biological (Tissue) Valve:
- Typically recommended for people over 65
- Usually lasts 10–20 years, may need replacing
- Often doesn't require blood thinners Since Warfarin is already being taken, a doctor may be more open to considering a mechanical valve even at 75. Surgeons typically lean toward biological valves for people over 65, but individual health, lifestyle, and medication needs all factor into the decision.

The most important step is having an open conversation with a cardiologist about this preference — they'll weigh all the personal health details to recommend the best option.

June 19

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