{"id":5121,"date":"2024-12-17T17:19:21","date_gmt":"2024-12-17T17:19:21","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=5121"},"modified":"2025-11-19T16:16:31","modified_gmt":"2025-11-19T16:16:31","slug":"tavr-age-too-old-young","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/tavr-age-too-old-young\/","title":{"rendered":"Transcatheter Aortic Valve Replacement (TAVR) &#038; Age: What Should You Know?"},"content":{"rendered":"<p>Aortic valve stenosis is the most common valvular disease in older adults, according to the National Library of Medicine. By 2050&#8230; It is expected that more than eight million people over 90 will have some form of aortic valve stenosis that developed throughout their lifetime, according to Clinical Cardiology. Unfortunately, there is no known therapy to prevent aortic stenosis and the most recommended treatment is a valve replacement. Without a new valve, patients suffer from debilitating symptoms, repeated hospitalizations, heart failure, and death.<\/p>\n<p>For many years, the only option for aortic valve replacement was open-heart surgery, which was often considered much too risky for many older patients. The emergence of transcatheter aortic valve replacement (TAVR) has shifted the outlook for older patients, allowing many to have their aortic valve replaced at a much lower risk. It has also been a game-changer for younger patients in the intermediate and low-risk category, allowing them shorter hospital stays and less recovery time.<\/p>\n<p>&nbsp;<\/p>\n<h2>Am I Too Old for TAVR? Am I Too Young?<\/h2>\n<p>Patients in our community often ask us questions about age and heart valve therapy. I recently spent time with <a href=\"https:\/\/www.heart-valve-surgery.com\/interventional-cardiologist\/dr-Raj-Makkar-Los+Angeles-California.php\">Dr. Raj Makkar<\/a>, a world-renowned interventional cardiologist at Cedars-Sinai Medical Center in Los Angeles, California. In this video, I had a chance to ask Dr. Makkar about age and TAVR.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/6aaOVc_L02s?si=CjmJwikpRNW6pav3\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About TAVR &amp; Age<\/h2>\n<p>Are there any limitations to age and performing a TAVR?<\/p>\n<ul>\n<li>\u201cFirst, let\u2019s talk about whether you\u2019re too old to have a TAVR,\u201d said Dr. Makkar. \u201cThe answer is, not really.\u201d He explained that if a patient has <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-stenosis-valve-heart-narrowing.php\">tight aortic stenosis<\/a> or a leaky valve but is in good physical condition and takes care of themself, then age alone does not preclude them from having a transcatheter heart procedure. \u201cThe recovery from these procedures is relatively fast, and most patients go home the next day,\u201d he said.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.heart-valve-surgery.com\/interventional-cardiologist\/dr-Raj-Makkar-Los+Angeles-California.php\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full\" src=\"https:\/\/www.heart-valve-surgery.com\/cardiologistProfileImages\/100076_129_162.jpg\" alt=\"Dr. Raj Makkar\" width=\"129\" height=\"162\" \/><\/a><br \/>\n<a href=\"https:\/\/www.heart-valve-surgery.com\/interventional-cardiologist\/dr-Raj-Makkar-Los+Angeles-California.php\">Dr. Raj Makkar<\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Dr. Makkar said, \u201cAs an anecdote, I want to tell you a little story. There was a patient who was 100 years old. He had a tight aortic valve, and he had blockages in critical arteries-the left main and the right coronary artery. This was nearly ten years ago, and when we did his procedure, many people raised their eyebrows and asked why we were doing this on a 100-year-old patient. Guess what? The patient lived to be 106. So, it\u2019s not uncommon for us to do this procedure on patients in their 90s, and we\u2019ve had a few that are 100 or more undergo these transcatheter heart valve procedures. But, the patients need to be viable and able to take care of themselves.\u201d<\/li>\n<\/ul>\n<p>What about TAVR in young patients?<\/p>\n<ul>\n<li>\u201cThe other end of the spectrum is the very young,\u201d said Dr. Makkar. \u201cAnd what is very young? Typically, when people are 65 or older, I think there are no questions about transcatheter aortic valve replacement. We have not accumulated the data in younger patients, and I believe it is important for the heart team to explore all options together. Often, these patients are going to need more than one procedure. So, do you start with a TAVR, then do another TAVR 10 years later, and then do surgery? So you begin with surgery, then do TAVR, and then surgery again? I think these are very individualized decisions.<\/li>\n<li>\u201cThere are situations where we\u2019ve done TAVRs in patients who\u2019ve had prior heart valve surgeries when they were very young, and we ended up doing a TAVR procedure when they were in their 20s. So, I think it is a very individualized, case-by-case decision that takes into account age, anatomy, and other clinical aspects.\u201d<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Many Thanks to Dr. Makkar and Cedars Sinai Medical Center!<\/h2>\n<p>On behalf of patients at HeartValveSurgery.com and patients all over the world, whether they are old or young, thank you, <a href=\"https:\/\/www.heart-valve-surgery.com\/interventional-cardiologist\/dr-Raj-Makkar-Los+Angeles-California.php\">Dr. Makkar<\/a>, for all the incredible work you and your team are doing at Cedars Sinai in Los Angeles!<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/day-life-interventional-cardiologist\/\">A &#8220;Day In The Life&#8221; Of An Interventional Cardiologist with Dr. Raj Makkar<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/interventional-cardiologist\/dr-Raj-Makkar-Los+Angeles-California.php\">See Dr. Raj Makkar\u2019s Interactive Interventional Cardiologist Profile<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2025\/11\/19\/tavr-in-tavr-in-savr\/\">Patient Success Story: Cathleen&#8217;s TAVR-in-TAVR-in-SAVR<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>References:<\/p>\n<p>1. Iung B, Vahanian A. Epidemiology of acquired valvular heart disease. Can J Cardiol. 2014;30(9):962-970. doi:10.1016\/j.cjca.2014.03.022<br \/>\n2. Galatas C, Afilalo J. Transcatheter aortic valve replacement over age 90: Risks vs benefits. Clin Cardiol. 2019;43(2):156-162. doi:10.1002\/clc.23310<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[6],"class_list":["post-5121","page","type-page","status-publish","hentry","category-aortic-valve-replacement"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/5121","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=5121"}],"version-history":[{"count":21,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/5121\/revisions"}],"predecessor-version":[{"id":6284,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/5121\/revisions\/6284"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=5121"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=5121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}