new tavr procedure at tmh
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TMH to begin offering new heart surgery
By Hannah Carroll | Correspondent Published: Thursday, October 25, 2012
Tallahassee Memorial Hospital is in the begin-
ning stages of offering a new heart surgery for
inoperable and high-risk patients of aortic
stenosis.
Aortic stenosis occurs when the aortic valve
becomes too narrow to allow proper blood
�low to the heart. This new procedure corrects
the narrowing by putting in a new valve andexpanding the old one without open heart
surgery.
In trans-catheter aortic valve replacement
(TAVR), doctors place a new aortic valve in a
patient’s heart, never opening his or her chest.
They make a small incision in the groin and
direct a long, �lexible tube through an artery to
the heart. At the end of the tube, there is a
small balloon that is used to expand thenarrowed valve and place a new arti�icial one.
Doctors are able to drastically improve the
lives of patients who normally would not even
be OK’d for surgery. It is a monumental addi-
tion for Tallahassee Memorial Hospital but
even more for Tallahassee and the surrounding
areas.
About a month ago, Joe Mills, 92, had theprocedure done.
He used to have a hard time just walking down
the hallway, but now, he can move around more
freely. He is able to do things that he was
unable to do before the surgery.
“I’m up and about and doing things,” Mills said.
“I went out and blew the leaves off the back
patio, yesterday."
Penny Burroughs, the valve clinic coordinator,
said having this available at TMH is going to
help a lot of people. Before, patients needed to
go to Shands at the University of Florida, in
Gainesville, or Emory University Hospital, in
Atlanta, to get the same type of care and exper-tise before it was offered here.
“Now that we are able to do this at TMH, you
get to stay home,” Burroughs said. “Your
family’s here with you, and you’re here with
physicians you already know."
Mills said it is unlikely he would have been able
to have the procedure done if it was not being
offered in Tallahassee.
Dr. Wayne Batchelor performed Mills’ opera-
tion. He said multiple surgeons turned down
Mills for standard open chest aortic valve
replacement surgery, which is why he was such
a good candidate for TAVR. Batchelor said Mills
has come a long way since the operation.
“He was really compromised tremendously by
his valve narrowing,” Batchelor said. “So, in his
case, he had a dramatic improvement in symp-toms. He was able to get back to the things that
brought him pleasure.”
Batchelor said the procedure is still getting its
legs in the U.S., but he expects that TAVR will be
used more frequently in the next �ive years.