Admitted Patient
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Overview
TAVR is a minimally invasive procedure performed through a thin tube (catheter), usually inserted via the artery in the leg. The new valve is placed inside the old one without the need for open-heart surgery.
Key benefits of TAVR:
Shorter hospital stay (1–2 days) and faster recovery
Less bleeding and lower rates of new atrial fibrillation compared to SAVR
Preferred for older patients (≥75–80 years) or those with high surgical risk
Suitable for patients with prior chest radiation, frailty, or other medical conditions that make surgery risky
Limitations and risks of TAVR:
Higher chance of needing a permanent pacemaker (about 15% vs 6% with SAVR)
Greater risk of mild valve leak (paravalvular regurgitation)
Long-term durability data limited to about 10 years
Key services
Our Approach
SAVR is the traditional open-heart surgery. The surgeon removes the old valve and replaces it with either a tissue (bioprosthetic) valve or a mechanical valve.
Key benefits of SAVR:
Proven durability, with tissue valves lasting 15–20 years and mechanical valves lasting a lifetime
Lower risk of valve leakage and pacemaker requirement compared to TAVR
Preferred for younger patients (<65 years) or those undergoing other heart surgeries at the same time
Limitations and risks of SAVR:
Longer hospital stay (about a week) and longer recovery (3–6 months)
Higher risk of bleeding and new atrial fibrillation
More invasive, requiring open-heart surgery
Conclusion
The choice between TAVR and SAVR is complex and highly individualized. A second opinion can help patients and families:
Clarify risks and benefits of each procedure
Understand how age, anatomy, and health conditions affect outcomes
Gain confidence that the chosen treatment aligns with their goals and values
At Tidbit Health, we connect patients with leading U.S. heart specialists who review your case and guide you through this important decision with clarity and compassion.
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