TAVI information please (I'm new on here)

[louisemc21]

My 73 mum has severe aortic stenosis and needs a heart valve replacement. They have given the option of a TAVI or open heart valve replacement but we don't know enough about the pros and cons of each to make an informed choice. Does anyone have any experience in this/ have had to make the same choice? Doctors haven't been too helpful and left it to her to decide.

[BobD Volunteer]

We are basically a forum for people with atrial fibrillation so not sure anybody has such experience. Have you looked at any other forums on healthunlocked?

[rosyG]

You need to talk to your doctors again about your mother's overall condition as TAVi is used as a less invasive technique when the total valve replacement might pose a risk, mainly in the elderly. It's like putting a stent into an artery - it pushes through and holds the valve open. I don't think you can decide yourself without a lot of information so advise you go back to the doctors for more information - you need to ask which operation is most effective and which would be best, given your mother's overall health- let is know how you get on

[southerngirl]

My 81 yr old husband is having that procedure on Wed. He is basically in good health other than aortic valve stenosis. He is a good candidate for the TAVR, since he had his sternum split in the past for bypass surgery. The recovery period for open heart surgery is much longer than for the TAVR. But, have your mother talk with doctors who refer to surgeons who have performed many of both types of surgeries that have been suggested. They will help her make the decision. Best of luck to her.

[seasider18]

When I needed my aortic valve replaced in 2011 (age 79) I was keen on the less invasive option. My surgeon said that as I was quite fit the normal operation was my best long term option and TAVI was for less fit patients who the normal surgery would be more risky for.

AF is a fairly common result in any patient undergoing bypass or valve surgery. About 30% have it post surgery. Some revert in a few days others have a successful cardioversion and others like me slip back into it again.

[marjory246]

Hello LouiseMC21, I would strongly recommend your Mum has a new valve, the sooner the better. ! I speak from experience here when my aortic valve became moderate to severe stenotic two years ago. The valve calcifies over the course of time and will quickly cease to operate properly. A new valve will give your Mum a new lease of life be assured !!! As an example I am 74 and with a new replacement bovine aortic valve; plus a new replacement ceramic hip, now cycle up to 150 miles weekly. So tell your Mum to go for it, life will take on a new meaning !!

All the best, and good luck, Chris. X

[Buffafly]

Have a look at the British Heart Foundation website, lots of information and I think there is an option to speak to a nurse.

[ILowe]

Sorry I do not know about TAVI. But I do know that replacing a valve is nowadays a standard operation which means that teams have built up great experience. Yes, there are risks. The death rate can be as high as 5% if I remember. But, for those who survive it, as I did, it is a wonderful operation. Few experience major pain. Most pain is in the shoulders where you get cramps, especially at night in the first week or so. It is normal, and passes. The quality of life afterwards is good/excellent. In other words, there is a high probability of excellent results and benefits which could last over 20 years. At her age though, 73, you might want to discuss the options within the replacement valve option. I am glad I was given the metallic valve since they are expected to last a lifetime. I know someone whose valve has lasted 30 years.