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TAVR / TAVI

TAVR / TAVI

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive surgical procedure which repairs the valve without removing the old and damaged valve. Instead, a replacement valve is wedged into the aortic valve’s place. This type of a surgery is different from the standard valve replacement procedure and it is approved for people with symptomatic aortic stenosis but won’t be able to sustain an open heart surgery.

Our heart team comprises of Cardiac Surgeons, Cardiologists, Intensivists, Physicians, Cardiac Anesthesiologists and Intensive Care Experts working in synergy providing the best possible outcomes of TAVR and making sure that the patient is benefitted from this surgery.

 

  • Who needs TAVR?
  • How is TAVR performed?
  • Procedure
  • Candidate

TAVR is mostly needed in case of two major conditions

  • Aortic valve regurgitation

    It is a condition in which the heart’s aortic valve does not close tightly. The body does not get enough blood as some of the blood that was pumped out of the heart’s main pumping chamber is leaked back. As a result you may feel fatigued and short of breath along with swollen ankles and feet. This condition may be congenital or aorta may be enlarged due to hardening of the arteries.
     
  • Aortic valve stenosis

  • It is a condition which narrows down our heart’s aortic valve. It prevents the valve from opening properly. This in turn blocks blood flow from the heart into the main artery and onward to the rest of the body and as a result less blood will flow. The signs develop when the symptoms are severe. This condition is caused due to calcium buildup on the valve. It is found in the blood and deposits of calcium can be there as blood repeatedly flows over the aortic valve.

In this procedure, you will be administered general anesthesia. You will be asleep during the procedure and will not feel any pain. To prevent blood clots, medications will be given through an intravenous line. The heart may be accessed through a blood vessel in the leg or it can be accessed by making tiny incisions in the chest and access the heart through a large artery. A hollow tube is then inserted through the access point which is known as catheter. Advanced imaging techniques are used to guide the catheter through the blood vessels to your heart and into the aortic valve. Once the position is precise, a balloon is expanded to press the replacement valve into place in the native aortic valve. As the valve is securely in place, the catheter is withdrawn from its place.

 

You may spend the night in the intensive care unit for monitoring after the procedure. In most cases, you will spend two to five days recovering in the hospital. Blood thinning medications are prescribed to you to prevent blood clots.

This surgery is recommended for people who are in dire need of valve replacement but cannot undergo open heart surgery or considered high risk for open surgery. Unlike open surgery, it is minimally invasive and involves much less recovery time. People suffering from aortic valve stenosis that is severe in nature are suitable candidates.

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