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    4. Transcatheter Aortic Valve Implantation (TAVI) Management

    Transcatheter Aortic Valve Implantation (TAVI) Management

    At Mayo Clinic Healthcare, our internationally trained cardiac team uses the latest imaging and technology to assess your need for a TAVI and can evaluate effectiveness after the procedure to ensure lasting performance. After a transcatheter aortic valve implantation (TAVI), careful monitoring and supportive care help ensure a smooth recovery and long-term valve function.

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    • TAVI (transcatheter aortic valve implantation) is a minimally invasive procedure used to treat severe aortic stenosis (the narrowing of the heart valve that controls blood flow out of the heart). Instead of open-heart surgery, your care team places a new valve in your heart using a thin tube (catheter).

      The new valve is guided into place inside your heart. It then expands and begins to take over the work of your damaged valve.

      As minimally invasive aortic valve replacement does not require open heart surgery, it reduces recovery time and complications for suitable patients. For many, it lowers the risk of complications such as stroke and reduces recovery time.

    • Patients with severe aortic valve narrowing (aortic stenosis) are typical candidates for TAVI, particularly if traditional surgery carries higher risks.

      Your care team may suggest TAVI if you have:

      • Severe aortic stenosis, a condition where the aortic valve becomes thick and stiff, restricting blood flow from the heart to the rest of the body.
      • A replacement valve made from tissue that is no longer working properly.
      • Another health problem, such as lung or kidney disease, makes open-heart surgery too risky.

      TAVI also may be considered for some people with aortic regurgitation, where the valve does not close fully and allows blood to flow backward into the heart.

      You may benefit from evaluation for minimally invasive aortic valve replacement if you experience symptoms such as:

      • Shortness of breath during activity
      • Chest pain or pressure
      • Fatigue or reduced exercise tolerance
      • Dizziness or fainting
      • Heart palpitations

      Many patients with aortic stenosis may not notice symptoms initially, which is why careful cardiac assessment is crucial to find out if TAVI procedure is the appropriate treatment for you.

    • Understanding what a TAVI procedure is begins with understanding the condition it treats. The most common cause of aortic stenosis is age-related calcification, where calcium deposits gradually stiffen the valve. Other causes may include:

      • Congenital heart valve abnormalities
      • Rheumatic heart disease
      • Previous chest radiation therapy
      • Inflammatory or degenerative heart conditions

      Over time, the narrowed valves force the heart to work harder to pump blood, which can eventually lead to heart failure if untreated. Minimally invasive aortic valve replacement through TAVI can restore normal blood flow and significantly improve symptoms.

    • Our team of experts at Mayo Clinic will talk you through your options, listening carefully to your questions and concerns prior to the procedure.

      To decide if TAVI is right for you, your care team may recommend tests such as:

    • A TAVI procedure usually takes one to two hours and is typically done while you’re awake with sedation and local anaesthetic, though general anaesthetic is sometimes used.

      During the procedure, you’ll lie on your back. A local anaesthetic numbs an area in your upper leg or under the collarbone, where a thin tube (catheter) is inserted into an artery. The catheter is guided to the aortic valve, where a replacement for the valve is placed. The new valve either expands on its own or with a balloon.

      Because this is a minimally invasive aortic valve replacement, most patients experience:

      • Shorter hospital stays
      • Faster recovery compared to open surgery
      • Reduced risk of surgical trauma

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    Private health insurance

    Mayo Clinic Healthcare works with many major private health insurance providers, including AXA PPP, Aviva, BUPA, Health Group Partners, Vitality Health, and WPA. Self-pay options are also available for patients seeking specialist assessment.

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    At Mayo Clinic Healthcare in London, our heart specialists focus on expert evaluation for people who may need TAVI and aftercare. Our priority after this minimally invasive procedure is to support your recovery and safeguard the long-term health of your new valve. Through careful monitoring and personalised follow-up, our expert cardiac team supports your ongoing heart health and long-term well-being.

    Request an appointment online or call us at +44 (0) 207 871 2575.

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    4. Transcatheter Aortic Valve Implantation (TAVI) Management