I could have chosen a mechanical replacement with a life expectancy for many decades but then I would have to rely on anticoagulants for the rest of my life. No, thanks.
An interesting quirk of living with this in Japan is that if you have a valve replacement you're eligible for the highest grade of 身体障害者手帳 (official recognition as physically disabled) which struck me like 🤯 . After all I underwent this surgery to become as healthy as possible again, not officially disabled.
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