I'm 26 from Indonesia with ToF and pulmonary atresia. I've had 3 OHS, my initial repair at 1, followed by pulmonary valve replacements at 14 and 21. Both valves were bioprosthetic.
I live an active life, but lately I've been feeling more fatigued than usual. My latest MRI also showed a slight decrease in RV function. My cardiologist and surgeon say the valve itself is still working fine, but I'm wondering whether I'll need another replacement in the next 5 years. Bio valves tend to wear out faster in younger patients, so I'm trying to understand my options early.
We have good ACHD specialists here, and I'd be fine with another surgical PVR if needed. But after 3 OHS, I'm aware that adhesions can make future surgeries more complicated, which is why I'm looking into TPVR. I know it's very case dependent and I may not even be eligible, but I want to understand my options.
Unfortunately, TPVR isn't available in here, so I'd have to go abroad. I remember hearing about the Melody valve before my second PVR, but it was too expensive at the time.
For those who've had TPVR, I'd love to know how long you've had your valve, whether you've needed another intervention, where you got it done and, if you don’t mind, how much it cost.
For context, we have universal healthcare here that covers surgery, but the standard valve options are limited. You can pay out of pocket for a more expensive valve while the surgery itself remains covered. A more expensive valve can cost around 5-7k USD.
I'm not planning anything yet, just trying to understand my options before I potentially need another replacement. If I went abroad for TPVR, I'd most likely have to pay for the whole thing out of pocket, so I'm trying to figure out whether it's financially realistic. Would be great to hear from anyone who's been through it!