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Aortic Stenosis and the TAVI Procedure: Insights from a Cardiologist 

Talking With Docs
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Welcome to our channel! In this video, we discuss a procedure known as Transcatheter Aortic Valve Implantation (TAVI), a minimally invasive technique used to treat aortic valve stenosis. Whether you're a patient, medical professional, or simply curious about cutting-edge cardiovascular procedures, you'll find valuable insights here.
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5 сен 2024

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Комментарии : 89   
@stevenslater2669
@stevenslater2669 Месяц назад
My mother-in-law had the TAVOR procedure done. I took her to follow up appointments with her surgeon every three months. There were about a half dozen patients who all had the procedure done at the same time because we all got to recognize each other. We went to the surgeon’s office, then down 3 floors to get echocardiograms. Then we’d meet again in the hospital lobby waiting for the valet parking folks to retrieve our vehicles. I was just a driver but I spoke to a patient who had a very satisfactory result. He said he was back to his old self, feeling great. He asked how my mother-in-law was doing post-procedure. I told him that she was one of the unfortunate ones who didn’t show much improvement. She died a few years later, but 93 is a long life.
@corkion
@corkion Месяц назад
rip to your mother in law
@Beezign
@Beezign Месяц назад
Now that is a good cardiologist! He explained things so well. ❤
@TalkingWithDocs
@TalkingWithDocs Месяц назад
We agree!👍
@zaplaabs
@zaplaabs Месяц назад
I had an open heart surgery to fix my aortic regurgitation in 2017. It was a bovine valve which failed in only 3 years. With COVID my diagnosis was delayed and by the time they found my valve was failing my heart was at 25% efficacy. I had a TAVR and it’s been fine so far 👍🏻❤👍🏻
@user-tv9dl4sj1y
@user-tv9dl4sj1y Месяц назад
This was one of your better videos. The guest cardiologist was allowed to talk. And he did talk - explained things very well; at a level that most people would understand. Not simple, just thorough. Good job on this one
@mikemac7163
@mikemac7163 Месяц назад
I'm 75 and had a TAVR 7 months ago and it has been wonderful! For a year prior I would get a bad headache upon any exertion but have not had a headache since and I exercise 6 days a week. None of my doctors had ever heard of the headache symptom
@rdmckeever7645
@rdmckeever7645 Месяц назад
Father-in-law had TAVR at 90+ years of age. He did need a pace maker later but went from critical care to golf course in just over a month. Miraculous development in medical procedure not just for life saving but for quality of life.
@billwTCan
@billwTCan Месяц назад
Honourable memtion to Dr. John Webb, a canadian pioneer in Vancouver with TAVI valves.
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Very cool
@billwTCan
@billwTCan Месяц назад
An important point about valves is that related heart failure is fully reversable after a new valve.
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Yes it is
@JimFikes
@JimFikes Месяц назад
I'm 73 and live in Texas and watch most of your episodes. I had coronary bypass surgery in 2001 and a mitral valve repair in 2008. and have been struggling with Congestive Heart Failure for more than 10 years. I sincerely appreciate the information you are putting out there for us.
@markbeauchamp2053
@markbeauchamp2053 Месяц назад
I had my aortic valve replaced with a bovine valve in 2016 at age 59. Full procedure with the sternum cracked open. It was 3 months before I could lay down to sleep. My surgeon at the time told me that by the time that valve would need service/replacement again, the procedure would probably less invasive. Sounds like he was correct.
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Hope you are doing well!
@markbeauchamp2053
@markbeauchamp2053 Месяц назад
@@TalkingWithDocs Thank you. Just buffed out my Mustang GT today. Only a couple of rest breaks needed. I follow my doctors' recommendations, take my meds and get seen often. Thanks to docs and science, I'm still here. Life is great!
@maryhightshue7866
@maryhightshue7866 Месяц назад
I had aortic stenosis. Back in 2015, I had the TAVR PROCEDURE DONE! I went home the very next day!! Here it is 2024, and I'm still going strong!! I Praise the Lord that this type of procedure was available for me. I'm so thankful that I didn't have my rib cage cracked open in order to put a new aortic valve in. Thank God for the knowledge these Surgeons have. They went about placing the new valve in by going thru my leg! Sort of like where I've had a heart catherization.
@wfpbwfpb
@wfpbwfpb Месяц назад
There is no such thing as a lord
@paulinelitalien7746
@paulinelitalien7746 Месяц назад
Thankyou for this informative video! I’m a 78 year old female who had a TAVR procedure this past April. I came home the next day wearing a ZIO patch for 14 days to make sure that my heart was beating normal. I have been going to cardio rehab which I find to be really helpful. The program runs for 12 weeks and there are different classes you can attend. I’m hoping to live until I’m 100! I feel good and I don’t consider myself old! I enjoy watching your videos, they are very informative. Keep up the good work!
@jerrylavalley32
@jerrylavalley32 16 дней назад
I have been diagnosed with severe aortic stenosis from my last echo a few weeks ago, been monitoring this for a few years with my cardiologist, and just beginning the journey to fix it, I am 73 years old, 5'11" tall and weigh 172 pounds and in excellent shape, so I am hoping that the TAVR will work for me, we shall see, but this video was a great help to me, thank you.
@KayNyswonger
@KayNyswonger Месяц назад
I am having TAVR in 2 days, have severe Aortic stenosis. Innocent heart murmur for 82 years. Asymptomatic. Thank you for this video!
@lindamartin6860
@lindamartin6860 Месяц назад
I’m 74, just had ECHO. Two leaking heart valves & aortic stenosis, but asymptomatic so far. Otherwise very healthy & active. Hopefully I won’t need TAVI any time soon. Great video, so informative.. thank you!
@terrygreenlaw4234
@terrygreenlaw4234 Месяц назад
I'm now 72, had TAVI 2 years ago and it was great! I also have COPD and my aortic stenosis was severe so my O2 levels were bad, had to stop 3 times to catch my breath walking 1 1/2 blocks to the bus stop! No issues for me at all, no pacemaker,or any other negatives, if you have aortic stenosis and are eligible for TAVI I highly recommend it, I had the procedure one day, went home the next day, and the day after that had a few pints at the pub with friends! I had some tenderness in the groin but very mild, not painful or uncomfortable, again if you have the TAVI option go for it!
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Wow thanks for sharing!
@barbaraebner5889
@barbaraebner5889 Месяц назад
Dr. Heffernan should teach. He is very knowledgeable and his explanations are very clear. I wish you were my cardiologist. Move to the USA.
@danbro1970
@danbro1970 Месяц назад
All of your videos are so informative, and you don't speak over my head, but in terms that I can understand. I had an Edwards TAVR procedure done 2 years ago at age 75. You are totally right, I had no idea how much I had slowed down until after my TAVR. I had SO much more energy. What amazed me most about the procedure was the fact that I was awake all the time they were inside my heart while implanting the new valve. It was painless and took less than an hour. I went home the next day. I also saw on the internet somewhere (so it must be true) that Arnold Schwarzenegger and Mick Jagger have had TAVR procedures.
@MuffieMcAuliffe
@MuffieMcAuliffe Месяц назад
I had open heart in 2006 to replace a bicuspid aortic valve and fix an aortic aneurism, very painful and long recovery. In 2019 I had a TAVI to replace the replacement valve and got upset with the anesthetist because he wouldn't let me walk back to my room after the procedure. :)
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Oh man
@keenanlapierre6712
@keenanlapierre6712 Месяц назад
I had open-heart surgery eleven years ago at the age of 67. They installed a mechanical valve and while inside they did four bypasses. I had no symptoms. I'm now 78 and continue to have an excellent quality of life. Warfarin every day, Metoprolol and a few others and a recent ablation for arythmia. The cardiologists follow me but I still have no symptoms. Life is good thanks to modern cardiovascular practice.
@bruceall2001
@bruceall2001 Месяц назад
I had open heart surgery almost two years ago now. I must say it was a new lease on life. Wouldn't be writing this without it. I'm able to exercise every day and feel totally normal. I'm 73 years young.😃
@Beruthiel45
@Beruthiel45 Месяц назад
My husband had the tavi procedure with a bovine replacement at age 78, but he did not do well. He seemed to have stroke symptoms the day after but they said there were no signs of stroke. The nurse called me at home to ask if there was any mental impairment previously, and there was not, but he couldn't remember things she had just told him. He never really recovered from that mental confusion and researching that, I found that this result in seniors was not unknown after surgeries. He passed away on December 23rd last year after two years, and one of the symptoms he had at the end was edema in his legs, so his heart was failing. The death certificate stated heart. He also had stage one Parkinson's, diagnosed at the same time as his heart issue, but his mental decline was sudden and immediate post tavi. He was 80 when he passed. We were together for 60 years. The procedure gave him 2 years but his quality of life was not really improved. I'm still grateful to have had him with us for those 2 years.
@noidnomis
@noidnomis Месяц назад
I miss him so much, not a day goes by that I don't think of him and the great Dad he was to us kids. Even with his own health issues, he was always there concerned about my own health problems. I Love you Mom.💗
@Beruthiel45
@Beruthiel45 Месяц назад
@@noidnomis 💖
@LoriNuttall
@LoriNuttall Месяц назад
My mom had a pig valve. Lived it long life. Thank you for the explanation! So interesting!
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Glad you enjoyed it!
@kriscarrender2112
@kriscarrender2112 Месяц назад
Thank you so much for this video! My Mom is going through all the steps to hopefully have the Tavi done instead of open heart. I needed to understand the why and the how so the education you provided was absolutely perfect!!
@vickiepatterson1748
@vickiepatterson1748 Месяц назад
This was a very interesting video! I learned so much and appreciate the fact that we have improved medical procedures drastically in this century! You two are so good at explaining things and your guests are as terrific as you! I hope I'm never in a position to need this procedure but I actually feel better by just knowing about it. You're doing a great job!👍 Thanks for sharing another great video!
@cherylsmith2345
@cherylsmith2345 Месяц назад
As are both of you, Doctor Heffernan is a Gent and a Scholar. Such a kind, thoughtful pleasant demeanour and great explanation. Thank you !
@rontiemens2553
@rontiemens2553 Месяц назад
Excellent presentation. Thank you.
@News4Joe
@News4Joe Месяц назад
As a recipient of a TAVI procedure I can honestly say that I feel very lucky. I did wind up with a pacemaker and it appears to be working out just fine. The confirmation that TAVI within TAVI is now within the realm of possibilities gives me great comfort. The only issue omitted from this video was lifestyle and the cause of aortic stenosis. Otherwise a great video. Thanks for covering this issue.
@Buddyman1225
@Buddyman1225 Месяц назад
Had a tissue Aortic valve put in and two bypasses 1/12/12. In Sept 2022 had heart attack due to bypasses occluding . They were scented and also had second aortic valve put in by Tavr . Doing good two years later on medication prescribed.
@gordmcdonald2807
@gordmcdonald2807 Месяц назад
My Dr. moved to the states 32 yrs ago. Haven't had a Dr. Since. So you guys are my adopted Dr's. I've been watching you a few yrs now. Now I'm 67 and need a doc. Most of the public walk in clinics don't want you there for a full physical which is what I would love. Wife died at a young age so live alone. I try to follow your advice. Thank you for your channel. I try to follow most of your advice. I don't eat the whole cow now.
@lindathompson3109
@lindathompson3109 Месяц назад
Very good video excellent guest !
@melissabrown6254
@melissabrown6254 Месяц назад
It amazes me all the things that can be done to help people. Don't have this issue but it was fascinating listening to all that can be done. Dr Heffernan is awesome at explaining things.
@DrSteveQatar
@DrSteveQatar Месяц назад
Perfect explanations, excellent information delivered by the cardiologist with confidence. I hope I don’t ever need a TAVI but amazing development of a heart treatment.
@vickischuring6296
@vickischuring6296 Месяц назад
Great interview! Thank you. Now a video on what causes the stenosis😊
@cris_miko
@cris_miko Месяц назад
Thank you for this great information!
@MynewTennesseeHome
@MynewTennesseeHome 26 дней назад
Had a bicuspid Aortic valve and it was replaced when I was 59. Then after five years it got a tear and had to be replaced again. They tried using the less invasive but couldn't get all the way to my heart and had to fall back to the traditional and crack open my sternum. 2nd one they didn't even try.
@TalkingWithDocs
@TalkingWithDocs 26 дней назад
Hope you are ok now
@edpopkie5719
@edpopkie5719 Месяц назад
Great video...keep it up Dr's
@corkion
@corkion Месяц назад
love the good humor with the docs
@richardbrewis436
@richardbrewis436 Месяц назад
Thanks to Talking with Docs.. Grateful for your professional vlogging on these medical questions. Long time fan, keep up the channel's vlogging; it's great!
@barbarak8158
@barbarak8158 Месяц назад
What a nice doctor!
@breeze5378
@breeze5378 Месяц назад
Question. How often should you have your valve checked (ultrasound) after you have TAVR?
@ozzielinkin
@ozzielinkin Месяц назад
Great episode Docs !!!!!! Thx.
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Glad you enjoyed it
@MsSparky321
@MsSparky321 Месяц назад
Have you done videos on how to read and understand your blood test results? Could be very helpful.
@GreggBB
@GreggBB Месяц назад
excellent information on this. Does life style issues contribute to this, or is it strictly your genetics?
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Yes lifestyle contributes but we understand its role less for valvular disease
@lindanorton5436
@lindanorton5436 Месяц назад
Thanks for this very informative video!
@grannyjclay-joannieholdhus925
@grannyjclay-joannieholdhus925 Месяц назад
Thank you so much for this explanation. I think you are talking about me. I am 74 and a little over 2 yrs ago experienced a “brown out” while riding in the car with my husband. I was in the hospital overnight and that’s when they found out that my aortic valve “doesn’t close all the way”. Does that sound familiar? The cardiologist said they wouldn’t do anything unless they needed to????
@47retta
@47retta Месяц назад
My mother was told she had aortic stenosis and a bicuspid valve at the age of 90. How did she live that long with a bicuspid valve? They were going to replace it with TAVR procedure but she was diagnosed with kidney cancer and died at 91.
@rejeanbrochu9801
@rejeanbrochu9801 Месяц назад
Thank you good information my wife his on waiting list for that big valve be done in London ontario
@OccamShavr
@OccamShavr Месяц назад
In 2012 while still in middle age I had open heart aortic valve replacement. The porcine valve was defective and had to be replaced immediately. Seven years later that valve needed to be replaced. This time I was a candidate for TAVR. The work-up was more extensive than Dr Hefferman describes but seemed to go well. At the last meeting of the team I was told that TAVR was no longer an option. A cogent reason was never given. After watching this video I wonder if the problem wasn't that the two previous trimmings of the aorta did not leave enough clearance for the coronary arteries. My doctors are hinting that another valve replacement could be sooner than later. I guess I will learn the answer then.
@cherylrobbins9926
@cherylrobbins9926 Месяц назад
My 85yr old father went through TAVR surgery in early June 2019. We did all the pretest to make sure he qualified. CT scan, chest x-ray, a stress test etc. One day after surgery, he went into AFib. Immediately rushed him to the hospital and the next day they put in a pacemaker.Two weeks later he was hospitalized. His oxygen saturation levels were extremely low. The lowest he got was 82. His CO2 levels were off the charts. He was eventually moved to ICU and had to endure ABG's every 2 hours. He went home from the hospital on hospice..By the last week of June he had passed away. My doctor's mother had the same surgery the month before my father. She died the month after my dad because her lungs filled up with fluid so bad. I know of three people in 2019 that died after they had TAVR surgery. Hindsight is 20/20, but if my dad had not had the surgery and would have lived 3 years longer at least we would have had him with us. We miss him everyday.
@TalkingWithDocs
@TalkingWithDocs Месяц назад
So sorry to hear this. It certainly is not without risk.
@renel7303
@renel7303 Месяц назад
Yikes. In February my cardiologist ran tests after I was having palpitations for several weeks and I was a bit more light headed than usual. Decided I was basically fine, the palpitations had stopped and less incidence of lightheadedness. He mentioned that I had a very mild aortic stenosis but that it had changed slightly from the previous echo. So he referred me for a test, said if there was a "problem" with the valve it was an easy fix. Really downplayed all of it, no sense of urgency from them. Said the testing facility would call me in a week or two and if not to give them a call. Still no call. I had looked at the paperwork. The code was for a TAVR/TAVI evaluation. 😮 Wasn't mentioned to me. I got really busy with other stuff, as one does, and just kept forgetting to call. After watching this I'll be calling Monday. I have heart failure with a thickened left ventricle that they believe was caused by a really nasty virus that went around this area about 10 years ago. It's well compensated, yay me, I do what I'm supposed to do. So I don't retain fluid or get short of breath except when I play lumberjack in the yard and then it's well earned. My cardiologist is top notch. I trust him with my life. Thanks for this timely but frightening information today.
@jag.v6163
@jag.v6163 Месяц назад
thank you docs
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Welcome 🙏
@lindacoffin5110
@lindacoffin5110 Месяц назад
Lots of very good information!
@stevestill388
@stevestill388 Месяц назад
I am 75+ echo showed moderate stenosis. I feel normal. Is there any estimate in the number years before I will need a new Valve----understand this is hard to answer!!
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Yes almost impossible to give a number sorry!
@bobcalder724
@bobcalder724 Месяц назад
Wow! Very informative .. thanks
@annmlj
@annmlj Месяц назад
67 and recently diagnosed with bicuspid valve and moderate stenosis I am vegan and exercise 6 days a week cardio and weights in very good health no symptoms at this time. How to I slow down the progression best? Exercise and nutrition?
@oldschooljeremy8124
@oldschooljeremy8124 Месяц назад
If you used a mongoose valve, it would be a Rikki Tikki TAVI...
@joanwood9480
@joanwood9480 Месяц назад
😂
@elainehignett3840
@elainehignett3840 Месяц назад
Thank you for this info. I'm a bicuspid in Canada. It's good to get Canadian info.
@julianp.1713
@julianp.1713 Месяц назад
I have been diagnosed with aortic stenosis. First time about 6 years ago. I had an Echo cardiogram with an EKG during a stress test. O2 level was 99% at the test, ejection fraction was 66%. I have no symptoms of anything but had the test out of curiosity. I was checked again two years ago had no change. I had another Echo cardiogram this past June 2024. during another stress test. my O2 level was 98% and ejection fraction was 95%. I'm 74 YOA, is it possible that I may have had this issue for a long time and could this continue as is for some time? Some Doctors miss it unless I have them listen again or tell them the Cardiologist hears it. Diagnosis was mild stenosis
@mackenziescott2217
@mackenziescott2217 Месяц назад
Hi doctors? I'm 28 years old and have a family history of heart disease, and I've noticed that in the past maybe 2 weeks I've been noticing my chest area and left arm has a burning sensation that travels down my left arm and up the left side of my neck. Do you have any advice as to what I should do? The burning sensation comes and goes all the time
@Joy21090
@Joy21090 Месяц назад
My heart echo from a year+ ago says "sclerodegenerative valve disease". I got the echo because i have abnormal EKGs again and again. I do find it very hard to climb stairs. It's 2 flights to my office at work and by the time I get to the top, I have to stop to catch my breath. Am I just very out if shape (yes) or do i need another cardiac echo?
@TalkingWithDocs
@TalkingWithDocs Месяц назад
Hmmm hard to say. Worth a chat with your doc
@user-np8nb9rg1m
@user-np8nb9rg1m Месяц назад
I am way off topic here, sorry, but my brain burped and I am curious if body parts can be 3d printed ?
@BethMcCall-wb7wf
@BethMcCall-wb7wf Месяц назад
Can the Surgeons also use like heart stents for these type of conditions, as well?
@billwTCan
@billwTCan Месяц назад
The .minimally invasive TAVI/TAVRvis on a stent navigated via your leg femoral.
@dianna4543
@dianna4543 Месяц назад
Is this same as aortic ulcer? I have one that is 7mm.
@wehyper3661
@wehyper3661 Месяц назад
Looking for an professional editor?
@prakashvardhani2010
@prakashvardhani2010 29 дней назад
????
@prakashvardhani2010
@prakashvardhani2010 29 дней назад
Vall p Lz veliditi
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