The question that needs to be asked is whether there is an indication for me to undergo a TAVR. TAVR was introduced as therapy for aortic stenosis in patients who were too sick to undergo conventional aortic valve replacement surgery using the heart-lung machine.
Most patients who undergo TAVR are too sick or frail and have multiple co-morbidities which places them at a high risk to undergo open heart surgery. More succinctly put it is indicated in old patients, patients who have chronic lung disease, those who have undergone a previous heart surgery and are high risk for redo aortic valve surgery or a combination of these conditions.
Once considered for TAVR – the members of the heart team – cardiac surgeon, TAVR co-ordinator and the cardiologist will meet with you and having gone through all reports will decide if you meet criteria for a TAVR and the preferred route of access for the same.