Transcatheter Aortic Valve Replacement

The New Gold Standard for Aortic Valve Replacement in Elderly Patients

Treatment for Aortic Stenosis:

Therapy is based on the degree of aortic stenosis and the feasibility of various treatment approaches.

Medical management and follow up is indicated for patients with a mild degree of aortic stenosis. This is by routine follow up clinic visits and echocardiograms at these visits.

Patients with symptomatic or a severe degree of aortic stenosis are recommended aortic valve replacement.

Patients who are symptomatic from severe aortic stenosis have a 50 % probability of survival at 2 years.

Surgical aortic valve replacement is performed using either a conventional sternotomy or one of the minimally invasive approaches.

TAVR or TAVI is indicated for those:

  • Who are too frail to undergo open heart surgery
  • Have multiple co-morbid conditions rendering open heart surgery extremely high rish
  • Have had a previous heart surgery
  • Have had a previous aortic valve replacement (biologic/ bioprosthetic) and the valve is failing
  • Whose heart function is significantly depressed to withstands open heart surgery
Tags: Aortic Stenosis Treatment TAVR – TAVI – Minimally invasive surgery