Transcatheter Aortic Valve Replacement, also know as TAVR or TAVI is the least invasive approach to Aortic Valve Replacement. TAVR is performed on patients that are too high risk for Surgical Aortic Valve Replacement (SAVR). Surgical teams from the operating room, cardiac catheterization lab, anesthesia, and perfusion services are present during the procedure. A team approach between the Cardiac Surgeon and Interventional Cardiologist is used to provide the best outcomes and highest standard of care. TAVR is not performed in all centers that perform heart surgery.
Sarasota Memorial Hospital has a vast experience in the TAVR technique with proven outcomes and was the first hospital in Southwest Florida to earn TAVR Certification from the American College of Cardiology.
From a small incision in the groin, a tube is threaded through the femoral artery to the heart. A balloon expands the narrowed, diseased valve in order to secure the new valve. With the new valve confirmed to be working properly, the deflated balloon is removed with the catheter and a small bandage is placed on the leg. Average hospital stay is two to three days.
What is TMVR?
Mitral regurgitation (or insufficiency) occurs when the mitral valve’s two flaps (leaflets) don’t close completely, allowing blood to flow backward through the valve into the left atrium and back into the lungs. Degenerative mitral regurgitation can be related to age, a birth defect, or underlying heart disease. Functional mitral regurgitation occurs when the heart muscle is weak and enlarged, usually from a heart attack. Symptoms can include shortness of breath (especially during exercise or lying flat), fatigue, cough, rapid or irregular heartbeat and awaking short of breath at night.
If medication can’t control symptoms, the mitral valve must be repaired or replaced. For patients who may be too sick or fragile for open surgery, Transcatheter Mitral Valve Repair (TMVR) is a minimally invasive option that has proven effective.
Areas of Focus for Dr. Hoffberger and his team:
One of just three cardiac programs in the United States and Canada, in 2019, Sarasota Memorial Hospital earned the highest 3-Star rating from The Society of Thoracic Surgeons (STS) for patient care and outcomes in all five adult cardiac surgery procedures STS measures - Isolated Coronary Artery Bypass (CABG), Isolated Aortic Valve Replacement (AVR), AVR + CABG, Isolated Mitral Valve Replacement/Repair (MVRR) and MVRR + CABG.
Denoting the highest category of quality among hospitals, the cardiac surgery team is among the top performers of more than 3,800 participating cardiothoracic surgeons.
Founded in 1964, STS is a not-for-profit organization representing more than 7,600 surgeons, researchers, and allied health care professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lungs, and esophagus, as well as other surgical procedures within the chest.
Jonathan D. Hoffberger, DO, FACOS, FACS
1540 S. Tamiami Trail, 303, Sarasota FL