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Aortic valve repair and aortic valve replacement help improve blood flow and reduce symptoms of heart valve disease. The treatments also may prolong life. Aortic valve repair or replacement may be done as an open-heart surgery or as a minimally invasive procedure.
Surgical risk, age, perceived life expectancy, and valve durability influence the choice between surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation. The contemporaneous life expectancy after SAVR, in relation to surgical risk and age, is unknown.
The median survival in patients 65 to 69, 70 to 79, and ≥80 years of age undergoing isolated AVR was 13, 9, and 6 years, respectively. For AVR plus coronary artery bypass graft procedures, median survival was 10, 8, and 6 years, respectively.
Transcatheter aortic valve replacement (TAVR) is a type of heart valve surgery. It's done to replace a narrowed aortic valve, a condition called aortic valve stenosis. A doctor inserts a flexible tube called a catheter into a blood vessel and guides it into the heart.
Aortic valve replacement typically requires open-heart surgery. Sometimes, surgeons can use a minimally invasive procedure called transcatheter aortic valve replacement (TAVR) to replace a narrowed aortic valve with a biological tissue valve. TAVR uses smaller incisions than those used in open-heart surgery.
What does SAVR treat? Surgical aortic valve replacement treats the following conditions: Narrowing of your aortic valve (aortic stenosis). Leaky aortic valve (aortic regurgitation). Mild cases of aortic stenosis or regurgitation typically don’t need surgery.
Surgical aortic valve replacement (AVR) in elderly patients has excellent short-term and mid-term outcomes. The establishment of a robust surgical benchmark of long-term survival after open AVR is of increasing importance, particularly in the era of transcatheter aortic valve implantation (TAVI).
Passing out (fainting) An unpleasant awareness of your heartbeat. If these symptoms are present or get worse, surgery may be needed. Your healthcare provider may recommend the surgery based on testing, such as an echocardiogram (ultrasound of the heart) even if you don’t have significant symptoms.
Health Library / Treatments & Procedures / Aortic Valve Surgery. Aortic valve surgery is a life-saving treatment for aortic valve disease. A surgeon repairs or replaces the valve that connects your heart to your aorta. This improves heart function in people who have a narrowed or leaky aortic valve.
Results. At 5 years, there was no significant difference in the incidence of death from any cause or disabling stroke between the TAVR group and the surgery group (47.9% and 43.4%, respectively;...