Aortic Stenosis & treatment with tavr
Narrowing of the aortic valve in the large blood vessel branching off the heart (aorta). The narrowing keeps the valve from opening fully, reducing blood flow to the body and making the heart work harder. The heart may weaken, causing chest pain, fatigue, and shortness of breath. With no intervention at the right time, this can cause a fatal outcome.
Until a few years ago, for treatment of severe aortic stenosis, Valve replacement via Open heart surgery was the only option. As per evidence, about 40 percent of the population cannot undergo surgery due to the extreme or high risk for surgery.
In these patients, a new modality called the Transcatheter Aortic Valve Replacement (TAVR) has become the choice of treatment. TAVR is a less invasive procedure. This procedure uses a catheter to implant a new valve within the diseased aortic valve. A properly trained and dedicated multidisciplinary heart team at the center is involved in conducting a thorough evaluation to determine TAVR as a treatment option.
At Medanta – The Medicity, Gurugram, TAVR is performed by Dr. Rajneesh Kapoor, Chairman of Interventional Cardiology. Dr. Kapoor has performed a wide range of coronary and structural heart interventions, published over 250 articles in national and international medical journals, and was recognized by India's Union Health Ministry in 2022. Patients from across India consult Dr. Kapoor and his team for TAVR, TMVR, and MitraClip treatment for complex heart valve disease. Learn more about Dr. Kapoor → Book a consultation →
Beyond TAVR, Dr. Kapoor and the structural heart team at Medanta also treat mitral valve disease through TMVR (Transcatheter Mitral Valve Replacement) and MitraClip — minimally invasive options for patients who may not be candidates for open-heart surgery. Explore all structural heart treatments →
Doctor Interview Video: Dr. Rajneesh Kapoor, Vice Chairman- Interventional Cardiology at Medanta The Medicity Gurugram, explains about functions, types & diseases of heart valves.
The first symptom could be breathlessness, whether it is narrowing, whether it is to stenosis, whether it is leakage, and initially breathing discomfort happens on exertion only, but slowly as the disease advanced - as there is more strain on the heart- the breathlessness starts to happen at rest also, and especially on lying down.
"Normally the opening of the aortic valve is four to six centimeters square, but if it goes less than one cm square, I think that is one point where we can't ignore it, because the patient becomes at very high risk of sudden cardiac death and heart failure" says Dr. Rajneesh Kapoor from Medanta Hospital
The whole procedure (TAVR) is done through access in the artery, which is usually taken from the groin, no surgery, no cut on the chest, no incision done no blood loss. It has to be done with proper expertise and proper steps
transcatheter aortic valve replacement, a technology-based alternative to surgical aortic valve replacement, performed by an expert interventional cardiologist is fast growing in India as a first-line treatment option, especially in elderly patients. Most of the frequently asked questions on tavr are answered by Dr. Rajneesh Kapoor - the best tavr expert in India.
These unique cases were performed successfully by Dr. Rajneesh Kapoor, Dr. Himashu Dabral & other team members
Are you experiencing symptoms of a leaky mitral valve, such as shortness of breath, fatigue, or palpitations? A condition known as Mitral Regurgitation can severely impact your quality of life. For many patients, traditional open-heart surgery is not an option. At Medanta Hospital, we offer a groundbreaking, minimally invasive solution: Transcatheter Mitral Valve Clipping (TMVC)
Transcatheter aortic valve replacement has changed the outlook for patients with severe aortic stenosis who can't safely undergo open-heart surgery. Here's a look at the procedure and the interventional cardiologists leading it across major Indian centers.
Families often bring Dr Rajneesh Kapoor, Chairman of Interventional Cardiology at Medanta, the reports of relatives they lost to heart valve disease. He explains why timely TAVR or MitraClip can save lives, even when open-heart surgery is too risky.
TAVR/TAVI replaces a diseased aortic valve through a small catheter, avoiding open-heart surgery. Patients typically leave the hospital within 3–5 days and resume normal activity in 1–2 weeks, compared to 6–8 weeks after surgical valve replacement. At Medanta – The Medicity, Gurugram, the procedure is performed by Dr. Rajneesh Kapoor, Chairman of Interventional Cardiology, as part of a dedicated structural heart team.
Transcatheter heart valves used in TAVR/TAVI have shown durability comparable to surgical valves in long-term studies, generally lasting 10–15 years depending on the valve type, patient age, and underlying heart condition. Your cardiologist will assess valve durability expectations specific to your case during consultation.
Most patients do not feel the artificial valve after recovery. Some notice an initial adjustment period of a few weeks as the heart adapts to improved blood flow, but the valve itself is not perceptible in daily life. Any persistent symptoms should be reported to your cardiologist promptly.
TAVR/TAVI is generally recommended for patients with severe aortic stenosis, especially those at high or intermediate surgical risk due to age or other health conditions. A cardiologist evaluates candidacy using imaging, blood tests, and a frailty assessment — Dr. Rajneesh Kapoor and the interventional cardiology team at Medanta Gurugram conduct this evaluation as part of the pre-procedure workup.
TAVR/TAVI treatment at Medanta – The Medicity, Gurugram typically starts from ₹15 lakh, with the final cost depending on the valve type, hospital stay duration, and the patient's overall clinical condition.
Yes. Many patients travel to Medanta – The Medicity, Gurugram, from Delhi NCR, Lucknow, Bhopal, Jammu, and other cities across North and Central India to consult Dr. Rajneesh Kapoor for TAVI/TAVR and other structural heart treatments. Medanta offers video consultations so your reports can be reviewed before you travel, a dedicated outstation patient desk to coordinate your visit, and assistance with accommodation and travel logistics during your treatment.
Dr. Rajneesh Kapoor, Chairman of Interventional Cardiology at Medanta – The Medicity, Gurugram, specializes in TAVR/TAVI and other structural heart interventions, with over 250 published articles in national and international medical journals.
