Transcatheter Aortic Valve Replacement
For patients with severe aortic stenosis, Transcatheter Aortic Valve Replacement (TAVR) is a less invasive approach to aortic valve replacement compared to open heart surgery. Our structural heart team is trained and highly experienced in this potentially lifesaving procedure.
What is aortic stenosis?
Aortic stenosis is a slow progressive valve disease that occurs over time. It occurs when valves, which are actually flaps called “leafelets,” become stiff and their ability to fully open and close is reduced.
Aortic stenosis can have several causes, but most often it develops later in life. It is most often caused by calcium deposits that build up and narrow the valve. There are a few other possible causes that include: radiation therapy, birth defects, infection of heart and rheumatic fever.
A provider may notice a heart murmur and orders tests, or you may not have any indication until the condition is advanced. Symptoms can include:
- Chest pain that worsens with activity, causing the chest to feel tight or squeezed.
- Pain in the arm, neck or jaw.
- Difficulty breathing during activity.
- Becoming tired easily.
- Feeling the heartbeat (palpitations).
- Fainting, weakness or dizziness.
About TAVR
TAVR procedure uses a thin tube (a catheter), that is threaded through the artery to reach the heart valve. Then, a new valve is inserted into your aortic valve through the catheter and pushes the diseased valve’s leaflets (the flaps that open and close, allowing blood to flow through the valve) aside. It does not remove your old valve; the calcium on the leaflets help to “cement” it in place.
How does the procedure work?
TAVR can be done through a tiny incision in the leg (called transfemoral), in the neck (called carotid), or under the collarbone (called subclavian). Your provider will decide the best approach for you.
Your coordinator will talk to you about how to take care of yourself before, during and after the procedure. Your safety, comfort and positive outcome are our top priorities.
Frequently Asked Questions About TAVR
How is the TAVR valve delivered?
TAVR valves can be delivered through multiple approaches. The most common technique is through a small incision in the leg at the groin.
What tests are needed to determine if I am a TAVR candidate?
- Echocardiogram
- Cardiac catheterization
- CTA scans of chest, abdomen and pelvis
What happens once all the testing is complete?
The TAVR team will meet and review the test options. They will determine from the test results if the TAVR procedure is right for you.
How long does the TAVR procedure last?
Usually about 1-2 hours.
How long do I stay in the hospital?
Typically 1-2 days after the procedure, depending on how your recovery is progressing.
Will I have much pain after the procedure?
You may have some discomfort, however, since this is a minimally invasive procedure you can expect less pain plus quicker recovery time.
When can I drive after the procedure?
In about a week, however, exact timing will be determined by your physician. Most people start to drive once they are no longer taking pain medications. Your TAVR team will discuss this with you.
About our team
It’s best to be treated by a multidisciplinary team with extensive experience with aortic stenosis and its treatment. Beacon has the experience and technology you’re looking for, close to home.
Some facts about our TAVR program:
- Beacon was the first program in Michiana to introduce the TAVR procedure.
- Elkhart General Hospital was the first hospital in Michiana to perform TAVR.
- Memorial and Elkhart General hospitals earned certification from the American College of Cardiology for the TAVR program.
- Elkhart General Hospital’s TAVR program earned the highest rating of 3-stars from The Society of Thoracic Surgeons and the American College of Cardiology.
- Elkhart General Hospital performed it’s first TAVR procedure in 2014
- Memorial Hospital of South Bend performed it’s first TAVR procedure in 2017
