On-X Education Center

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Benefits of The On-X® Valve

The On-X® valve offers many advantages over other mechanical and tissue valves:
  • Better material. The On-X® valve is the only pure pyrolytic carbon valve.
  • Better design. The On-X® valve's length is nearly natural with a unique inlet flare.
  • Better lifespan. The On-X® valve is made from On-X® Carbon that can last a lifetime.
  • Fewer complications. The On-X® valve provides the possibility of fewer side effects and lower mortality rate.
On-X® Valve
Source: HealthCentral.com

The charts below will help you and your physician discuss the best option for you.

Pro for Replacement* Con for Replacement*
Mechanical Tissue On-X® Valve Mechanical Tissue On-X® Valve
Lifetime durability 50% or more of patients do not need blood thinner (anticoagulant) Lifetime durability Must take blood thinner (anticoagulant) Up to 50% or more of patients eventually must take blood thinner (anticoagulant) Must take blood thinner (anticoagulant) but it could be reduced for some patients.
Lower reoperation rates Quiet-do not usually make noise Lower reoperation rates Make a clicking noise that is bothersome to some patients Decreased survival rates Many patients report not hearing the valve click
Better survival rates Only homografts are efficient in small sizes Better survival rates Increased chance of bleeding Repeat operation every five to fifteen years with associated risks, discomfort and recovery Potential for reduced bleeding through patient self-testing of INR
Better efficiency in small sizes ---- Possibility of reduced blood thinner ---- Increased chance of bleeding for patients taking blood thinner ----
---- ---- Best efficiency in small sizes Can cause stroke Can cause stroke Can cause stroke
---- ---- Lower complication rates Scar tissue (pannus) ingrowth Less efficient in small sizes ----
---- ---- Quiet design ---- Scar tissue (pannus) ingrowth ----
---- ---- Scar tissue ingrowth not observed