Transcatheter Aortic Valve Replacement (TAVR), also sometimes called transcatheter aortic valve implantation (TAVI), is a groundbreaking minimally invasive procedure for replacing a narrowed or malfunctioning aortic valve in the heart. This procedure offers a new lease on life for patients who may not be suitable candidates for traditional open-heart surgery.

Understanding Aortic Valve Stenosis:

The aortic valve is located between the heart’s left lower chamber (left ventricle) and the aorta, the body’s main artery. When this valve narrows (stenosis), it restricts blood flow from the heart to the rest of the body. This can lead to various symptoms like shortness of breath, chest pain, fatigue, and even heart failure.

Who is TAVR Right For?

TAVR is a particularly attractive option for patients with severe aortic stenosis who are considered high risk for traditional open-heart surgery due to age, underlying health conditions, or frailty. Recent studies suggest that TAVR is also a reasonable option for patients who are low or intermediate risk for open heart surgery as well.

The TAVR Procedure:

TAVR is a minimally invasive procedure typically performed in a cardiac catheterization lab. Here’s a simplified breakdown:

• An access point is created in the groin, arm, or chest, depending on the approach chosen by your interventional cardiologist.
• A catheter containing the replacement valve is inserted through the access point and guided towards the heart using X-ray imaging.
• Once positioned correctly within the narrowed aortic valve, the new valve is deployed, expanding it to open the passage and improve blood flow.
• The catheter is then removed, and the access point is closed.

Benefits of TAVR:

• Minimally Invasive: Compared to open-heart surgery, TAVR offers a quicker recovery time and less pain.
• Reduced Risk for High-Risk Patients: TAVR provides a valuable treatment option for those deemed unsuitable for traditional surgery.
• Improved Quality of Life: By relieving symptoms of aortic stenosis, TAVR can significantly improve a patient’s quality of life and life expectancy.

TAVR Considerations:

• Consultation is Key: Discuss your specific situation with your cardiologist to determine if TAVR is the right treatment for you.
• Ongoing Care: Even after TAVR, regular follow-up appointments with your cardiologist are essential for monitoring your progress.

Led by Drs. Chirag Shah, Edward Tuohy, Marc Krichavsky and Matthew Seigerman, patients at Cardiac Specialists are offered premier care for severe aortic stenosis.

TAVR are performed at Bridgeport Hospital as part of Yale-New Haven Health, the first and only health system in Connecticut to receive Transcatheter Valve Certification by the American College of Cardiology (ACC). Initial certification at Bridgeport Hospital is affirmation of the expertise, quality and safety of care, and outstanding outcomes achieved in treating patients who need transcatheter valve replacement.

TAVR has revolutionized the treatment of aortic valve stenosis, offering hope and improved outcomes for many patients. If you have been diagnosed with severe aortic stenosis, talk to your cardiologist to see if TAVR might be a life-changing option for you.