Surgeon Q&A: SAVR vs. TAVR for Aortic Regurgitation

What should patients with aortic regurgitation know about the differences between transcatheter aortic valve replacement (TAVR) and surgical treatment? In this video, Dr. William Brinkman, Director of the Thoracic Aortic Clinic at Baylor Scott & White The Heart Hospital – Plano, discusses how advancements in TAVR technology are expanding treatment options for patients with leaking aortic valves. He explains why TAVR can be particularly beneficial for older patients at higher surgical risk, while younger patients may have better long-term outcomes when their natural aortic valve can be surgically repaired rather than replaced.

Dr. Brinkman also discusses the importance of aortic valve durability, particularly for younger patients who may outlive a replacement valve. He explains how surgical techniques such as valve reimplantation and remodeling can preserve a patient's natural valve, especially when aortic regurgitation is accompanied by an enlarged aorta. Additionally, Dr. Brinkman emphasizes the importance of obtaining a second opinion from a surgeon experienced in aortic valve replacement before deciding on TAVR or surgical valve replacement. (Video posted on October 19, 2026)