Should I choose a mechanical or tissue valve replacement?

In younger patients (<50–55), mechanical valves are often chosen for durability, provided you can manage anticoagulation. In older patients (>65–70), tissue valves are preferred to avoid warfarin. The gray zone (55–65) requires individualized discussion.

Lifestyle factors also matter: pregnancy plans, playing contact sports, or living far from medical care may push the choice toward tissue despite higher reoperation risk.

For more detailed information, you may read our article, "Mechanical vs Tissue Valves".