I'm looking for people who have experience and/or info on this topic.
After my TAVR [Edwards] mid February and a second TAV balloon expansion in early April I still have mild/moderate regurgitation due to my large, oval and calcified aortic annulus.
I've elected not to have a ViV procedure.
Is it possible for symptoms to gradually improve?
Is the valve lifespan compromised?
Thanks, Ken
Adam Pick Hi Ken, I just put your first question into our new AI Heart Valve Chatbot. This is how the Chatbot r ... Read more
Adam Pick Hi Ken, I just put your first question into our new AI Heart Valve Chatbot. This is how the Chatbot responded:
Transcatheter Aortic Valve Replacement (TAVR) in patients with bicuspid aortic valves can present unique challenges, including the risk of paravalvular leaks (PVLs). Bicuspid valves often have an oval shape, which can make it difficult for the circular TAVR valve to seal properly, leading to leaks around the edges. This risk is particularly heightened in the presence of heavy calcification. While TAVR can be a safer option for high-risk patients compared to open-heart surgery, the potential for PVLs and the need for permanent pacemakers are considerations that need to be discussed with a heart team. It's important for patients to have a thorough discussion with their physicians to weigh the benefits and risks based on their specific condition.
Adam Pick As for your other questions, I would encourage you to discuss this with your medical team. Typically ... Read more
Adam Pick As for your other questions, I would encourage you to discuss this with your medical team. Typically, once a valve is compromised, the functioning of the valve does not improve which can cause the symptoms. As for the lifespan, I'm not sure there is much research for BAV and TAVR yet to answer that question.
Adam Pick If you would like to ask our new Chatbot any additional questions, please click this link to learn ab ... Read more
I'm looking for TAVR patients who had a larger annulus than spec'd for the largest Edwards Sapien valve, i.e. >28 mm. My cardiologist says he can expand ...Read more
I'm looking for TAVR patients who had a larger annulus than spec'd for the largest Edwards Sapien valve, i.e. >28 mm. My cardiologist says he can expand the balloon larger than spec'd and make it work in my 33 mm annulus. Thanks, Ken
Dr. Gerdisch is a world-renowned heart valve surgeon that has performed over 4,000 heart valve repair and replacement operations that include minimally-invasive techniques.
I am from: Santa Barbara
I'm looking for people who have experience and/or info on this topic.
After my TAVR [Edwards] mid February ...Read more
I'm looking for people who have experience and/or info on this topic.
After my TAVR [Edwards] mid February and a second TAV balloon expansion in early April I still have mild/moderate regurgitation due to my large, oval and calcified aortic annulus.
I've elected not to have a ViV procedure.
Is it possible for symptoms to gradually improve?
Is the valve lifespan compromised?
Thanks,
Ken
Transcatheter Aortic Valve Replacement (TAVR) in patients with bicuspid aortic valves can present unique challenges, including the risk of paravalvular leaks (PVLs). Bicuspid valves often have an oval shape, which can make it difficult for the circular TAVR valve to seal properly, leading to leaks around the edges. This risk is particularly heightened in the presence of heavy calcification. While TAVR can be a safer option for high-risk patients compared to open-heart surgery, the potential for PVLs and the need for permanent pacemakers are considerations that need to be discussed with a heart team. It's important for patients to have a thorough discussion with their physicians to weigh the benefits and risks based on their specific condition.