Aortic Valve Replacement with TAVR: What is it like?

Posted by karen1945 @karen1945, May 17, 2021

I am 75 years old with severe aortic stenosis. My doctor has recommended a valve replacement with the TAVR procedure. I had a heart catheterization two weeks ago that precipitated a “brain attack” that was terrifying. I spent that night on the neurology floor, and was released the next afternoon after completely recovering from the stroke. Now I am terrified of having them going into my arteries and heart again, for fear of another stroke that could leave me permanently incapacitated, or even kill me. I’m scheduled to have a CT cardiac angiogram exam to see if the TAVR approach is even possible. I don’t know whether to take my chances with the stenosis and let nature take its course, or risk the procedure. Before the stroke I was okay with it, but now it seems that I could be cutting my life short, rather than being able to enjoy what time is left. I cry a lot and pray a lot. I simply have no idea what I should do. My symptoms are mild. I was chalking them up to old age before I was told I had severe stenosis. I’m told the risks of the procedure are small, but if it affects you, it’s 100% 😞

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@amandaa

Hi @yongy and welcome to Mayo Clinic Connect.
@wisco50 and @davej have discussed TAVR here in this conversation so I moved your post here: https://connect.mayoclinic.org/discussion/just-diagnosed-with-aortic-stenosis/ so that you can connect with them.
Are they planning on putting her on Proton Pump Inhibitors? Though it caused stomach issues, has it help her heart issues?

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Te
they thought it was her heart (new TAVR) having problems but it was not it was just 10 months of baby aspirin that caused stomach and esophagus erosion and GERD and terrible chest pains. They put her on enteric coated aspirin but I read where aspirin is just plain bad and even if it is coast because it can cause problems in the small intestines and it still can cause problems once in the blood system. It seems baby aspirin is universal for to help stop clotting but it is all they have even if it causes problems. I read where pine bark extract works just has good as aspirin to help prevent clotting. She never really had heart problems like closed veins or arteries, or heart attacks, etc. just the Aorta valve problem and that the TAVR solved that problem. I do not think she needs any aspirin. Yes she is on the inhibitor plus I give her apple cider vinegar to help reduce the acid and she now sleeps on a bed that raises to help reduce gerd at night and do not eat later the three hours before going to bed. She would not need all of this if it was not for the aspirin causing the problem in the first place. Thanks for asking.

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@davej

<p>Has anyone been treated using a TAVR procedure? Doctor recommended open heart surgery due to my age 58 but if this lasts 10 years what advancements will have been made by then thanks for your input dave</p>

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im 77 years old with severe as. They want to do a tavr. question is how long does the tavr valve last? And when it wears out can they replace with another tavr valve? Doing a tavr in a tavr instead of surgery.

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@phstf1962

im 77 years old with severe as. They want to do a tavr. question is how long does the tavr valve last? And when it wears out can they replace with another tavr valve? Doing a tavr in a tavr instead of surgery.

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https://www.umcvc.org/conditions-treatments/transcatheter-aortic-valve-replacement-tavr

At the link above (University of Michigan), it says:
"The TAVR valve is a biological tissue valve made from cow or pig heart tissue. Because the procedure is relatively new, doctors are not sure how long a replaced TAVR valve will last. Research suggests the valve may last up to 10 years.

If the valve were to fail, our doctors can replace it. This can be done surgically or with a new TAVR valve inserted inside the old one. We have one of the largest programs in the country for removing and replacing TAVR valves.

Younger people should discuss longevity of the valve with their doctor to determine their best option."

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@phstf1962

im 77 years old with severe as. They want to do a tavr. question is how long does the tavr valve last? And when it wears out can they replace with another tavr valve? Doing a tavr in a tavr instead of surgery.

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My wife was going down hill her valve was not working well anymore so they gave her a TAVR. Best thing in the world and within days her energy doubled and she was like a new person. She is 81 and outlook for a TAVR is 10-12 years they told her. No other heart problems just that valve calcifying and not working well slowing her oxygen supply to her blood.

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I’m having my aorta valve replaced using the Tavrs procedure. Are there complications that I need to know about before hand?

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@cathyroc

I’m having my aorta valve replaced using the Tavrs procedure. Are there complications that I need to know about before hand?

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The singular risk in any coronary treatment that is invasive, including catheter use, is going to be the risk of stroke as a result of clots, followed by the risk of undesired bleeding. Both risk assessments fall below the 2% range across populations, generally, although an individual's risk might be higher due to other factors, co-morbitities and treatments/medications that might contraindicate. Reduction of this risk is a primary concern and is addressed during initial consultations and with instructions issued to the patient on preparation immediately prior to surgery.

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@cathyroc

I’m having my aorta valve replaced using the Tavrs procedure. Are there complications that I need to know about before hand?

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Thanks—
Also, will there be a period of rehab after this procedure?

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@cathyroc

I’m having my aorta valve replaced using the Tavrs procedure. Are there complications that I need to know about before hand?

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It's only a guess on my part, but generally no. You would probably be invited, not necessarily encouraged...invited...to rest for a couple of days to get over the trial of it all, maybe get more sleep as well if you've run short working yourself into a knot [ :-)], that kind of thing. But the heart is a working muscle that runs 24/7, and it is robust. You should be able to resume normal activities. One caveat though: if you have let 'yourself go' some because you were reluctant to stress your body or to do much physical activity, you may find that you will need to pace yourself and to build your capacity for endurance and for heavier work over the next months. For example, going for a hike with hills involved might leave you very fatigued, sore, and generally disappointed with the experience. Build yourself back up over several weeks and use your intuition to pace your own recovery.

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@cathyroc

I’m having my aorta valve replaced using the Tavrs procedure. Are there complications that I need to know about before hand?

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Will abide by these suggestions—

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@cathyroc

I’m having my aorta valve replaced using the Tavrs procedure. Are there complications that I need to know about before hand?

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It might give you some peace of mind to know that "Since its first use in 2002, more than 400,000 people around the world have undergone TAVR. In 2019, TAVR became the most common method to replace the aortic valve, with 72,991 TAVR procedures compared to 57,626 surgical valve replacements."

I'm not a doctor. Just trying to help. For general info, take a look at these articles from some well-known, reputable websites. They include general info, as well as risks and recovery info:

https://stanfordhealthcare.org/medical-treatments/t/transcatheter-aortic-valve-replacement-tavr/risks.htmlhttps://www.health.harvard.edu/a_to_z/heart-valve-replacement-a-to-zhttps://my.clevelandclinic.org/health/treatments/17570-transcatheter-aortic-valve-replacement-tavrhttps://www.mayoclinic.org/tests-procedures/transcatheter-aortic-valve-replacement/about/pac-20384698https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/transcatheter-aortic-valve-replacement-tavr

Info about surgical aortic valve replacement (SAVR) vs. transcatheter aortic valve replacement (TAVR):

https://www.nejm.org/doi/full/10.1056/NEJMoa1910555https://my.clevelandclinic.org/health/treatments/23966-heart-valve-replacement

An article I found from 2021 stated the newest aortic valve replacement procedure was TAVR (SAPIEN 3). You should ask your doc if that is what they'd be doing, or something newer.

This website a nice, simple animated video showing the placement of the mechanical valve in the aorta:

https://www.edwards.com/healthcare-professionals/products-services/transcatheter-heart/transcatheter-sapien-3
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