I had a change of heart.

Cardiovascular care in Palm Beach County

JFK Medical Center is part of a select group in the U.S. approved to offer transcatheter aortic valve replacement (TAVR) and the first hospital in Palm Beach County to perform the procedure. Until recently, many older patients only had the option to undergo physically demanding open-heart surgery to repair or replace narrowed valves. TAVR provides an alternative, minimally invasive way to treat moderate to severe structural heart disease in medium or high-risk patients.

Transcatheter Aortic Valve Replacement (TAVR) or Transcatheter Aortic Valve Implantation (TAVI)

TAVR is performed through a small puncture in the groin or upper thigh, where a catheter is inserted into the femoral artery. Imaging helps the physician guide the catheter through the femoral artery to the diseased aortic valve. The new valve is crimped down to a diameter smaller than a pencil and guided through the catheter with image-guidance until it reaches the diseased aortic valve. Once it reaches the diseased aortic valve, the new valve is expanded into place and allows blood to flow through the aortic valve naturally.

Although patients will need to remain in the hospital for a few days following the replacement, the actual procedure typically takes between one to two hours. Compared to a lengthy heart surgery and a recovery that spans several months, the transcatheter aortic valve replacement demands a much smaller interruption of life activities.

To learn more about TAVR procedure at JFK Medical Center, please call our Consult-A-Nurse® team at (561) 548-4535.

What is aortic stenosis?

In a healthy heart, blood flows through the aortic valve and into the aorta (the body's main artery). For patients with aortic stenosis, the aortic valve narrows and does not fully open – causing decreased blood flow and dangerously increases pressure. Signs and symptoms of aortic stenosis may include chest pain, shortness of breath, fatigue, fainting, and swelling of the legs. Advances aortic stenosis is extremely dangerous and should not be left untreated.

Benefits of TAVR

Unlike traditional open-heart surgery, the TAVR procedure does not require opening of the chest, stopping the heart, or use of a heart-lung machine.

What to expect

If it is determined TAVR is right for you, your doctor will give you instructions on how to prepare for the procedure. It is important to feel safe and comfortable – always talk to your doctor if you have any questions.

Before the procedure

Your doctor will provide you with guidance on when to take your regular medications or other medications you need to begin, when to stop eating or drinking, and what you should prepare to bring before the procedure.

When packing for your hospital stay, it is recommended to bring:

  • A list of the medications you usually take
  • Eyeglasses, hearing aids, or dentures
  • Personal care and hygiene items
  • Comfortable clothing to wear when you are discharged
  • Items that may offer relaxation or entertainment while you recover

When coming in for the procedure, it is best to avoid wearing jewelry, denture, or nail polish.

During the procedure

You will receive sedation or general anesthesia during the TAVR procedure, usually through an IV. The team will monitor your blood pressure, heart function, and rhythm, and watch for any changes that can be managed as needed.

After the procedure

You may spend the night in the intensive care unit for monitoring after your procedure. Generally, you will spend about two to five days recovering in the hospital. You will need to follow-up with your doctor regularly, especially if you notice any new or worsening symptoms.

You may need to take certain medications after your procedure, such as blood-thinners, to prevent future clots. Your doctor will explain how long you should take these medications.

For your safety, always take your medications as prescribed. Follow any guidance regarding lifestyle changes, diet, exercise, weight control, and smoking cessation.

The decision to treat aortic stenosis with TAVR is made after you consult with a team of heart and heart specialists who work together to determine a plan of care that is right for you. At JFK Medical Center, we provide patients with comprehensive heart and vascular care from diagnosis and treatment to recovery and support for living a healthier life.