1Your Info2About Your Valve3Additional Questions4Confirmation EmailThis field is for validation purposes and should be left unchanged.Progress: 0% What is your name?* First Last What is your email address?* Enter Email Confirm Email What do you enjoy doing? Tell us about yourself:*Example: I was very anxious the time leading up to my aortic valve surgery. There is some much information out there that I wasn’t sure about which choice was best for me. I had a great support group that helped me along the way. Progress: 20% Tell Us About Your First Valve Replacement Please fill out form below. When did you learn you had a leaky/stenotic aortic valve?*Select Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959 or EarlierHow did you feel before getting your valve replaced?*Example: I was very anxious the time leading up to my aortic valve surgery. There is some much information out there that I wasn’t sure about which choice was best for me. I had a great support group that helped me along the way.When did you get your first aortic valve replacement surgery?*Select Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959 or EarlierWhat type of surgery did you have?*Select OneOpen heart surgeryMinimally invasive open-heart surgeryTranscatheter Heart Valve (TAVR / TAVI)What type of valve did you get?*Select OneMechanical ValveOn-X Aortic ValveRoss ProcedureTissue (Bioprosthetic) ValveTranscatheter Heart Valve (TAVR / TAVI) Progress: 50% How has your life improved after your first aortic valve replacement surgery?*Example: My life has greatly improved since my first aortic valve replacement surgery! I am two years out and am back to running and living my normal life.What are your biggest challenges after your first aortic valve replacement surgery?*Example: My biggest challenge was learning how to keep my INR levels in range. It took some time after the surgery to get used to this. I found that a consistent diet has helped me keep my levels stable and I am able to exercise and continue to do the things I enjoy!Are you planning to have another aortic valve replacement surgery?* Yes No Not Sure If yes, how do you feel about having another aortic valve replacement surgery?*Example: I am very anxious to go through the process again. I continue to have a great support group and want to make sure I am making the best decision to avoid re-operations in the future.Please explain why you are not sure.*Have you already had another aortic valve replacement surgery?* Yes No If yes, how many years after your first aortic valve replacement did you get your second surgery?*Select OneUnder 1 year1 year2 years3 years4 years5 years6 years7 years8 years9 years10+ yearsHow did you feel BEFORE your second aortic valve surgery?*What type of valve did you get for your second operation?*Select OneMechanical ValveOn-X Aortic ValveTissue (Bioprosthetic) ValveValve-in-Valve using TAVRHow did you feel AFTER your second aortic valve surgery?* Progress: 80% What was your biggest learning and advice for someone planning for an aortic valve replacement surgery?*Example: Trust in your cardiologist and surgeons! Waiting is the worst part so try not to worry. Sending thoughts your way!Upload your picture herePlease upload a jpeg or png photo of yourself. Maximum file size is 20mb.Accepted file types: jpg, png, Max. file size: 20 MB. Please include your phone number so that we can contact you with questions.Please confirm you have read and agree to our consent.* I have read consent and agree to terms Please confirm you have read and agree to our privacy policy.* I have read privacy policy and agree to terms Opt-in for on-going communication. I would like to receive communication from Cryolife.
