Level A Evidence
4 Treatment Options Available

Heart Valve Disease

Valve Repair & Replacement: TAVI/TAVR, Mitral Repair

Heart valve disease affects millions worldwide. When valves become too narrow (stenosis) or leaky (regurgitation), they must be repaired or replaced. Our partner centers offer the full spectrum of valve treatments—from percutaneous TAVI for high-risk aortic stenosis patients to complex mitral valve repair and minimally invasive surgical approaches.

Condition Overview

Conditions We Treat

Aortic StenosisAortic RegurgitationMitral StenosisMitral RegurgitationTricuspid Disease

Core Technologies

TAVI/TAVR | Transcatheter mitral repair (MitraClip) | Minimally invasive valve surgery | Robotic valve surgery | Valve-in-valve procedures

ผู้สมัครที่เหมาะสม

  • •Complex mitral valve repair (Barlow's disease)
  • •Redo valve surgery
  • •High-risk TAVI candidates
  • •Multivalve disease
  • •Valve-in-valve procedures

High-volume valve centers with >500 valve operations/year

พิจารณาทางเลือกในประเทศ

  • •Standard-risk TAVI procedures
  • •Routine aortic valve replacement
  • •Stable valve disease on surveillance
  • •Cases with experienced local valve team

Straightforward cases with good local cardiac surgery team

Evidence: Partner centers >500 valve surgeries/year; 95% repair rate for suitable mitral regurgitation; TAVI success rate >98%.

Treatment Options

TAVI/TAVR (Transcatheter Aortic Valve Implantation)

การผ่าตัดสอดแทรก
เหมาะสำหรับ:Severe aortic stenosis, high or intermediate surgical risk
เทคโนโลยี: transfemoral or transapical approach, self-expanding or balloon-expandable valve
ข้อดี:No open heart surgery, 1-2 day stay, quick recovery
1-2 daysFrom $18,000
>500 TAVI/year at top centers

Surgical Aortic Valve Replacement (SAVR)

ศัลยกรรม
เหมาะสำหรับ:Severe aortic stenosis/regurgitation, low surgical risk
เทคโนโลยี:Mechanical or bioprosthetic valve, minimally invasive approach available
ข้อดี:Durable solution, gold standard for low-risk patients
7-10 daysFrom $12,000
High-volume valve surgery centers

Mitral Valve Repair

ศัลยกรรม
เหมาะสำหรับ:Mitral regurgitation (degenerative or functional)
เทคโนโลยี:Annuloplasty, leaflet repair, chordal replacement, minimally invasive
ข้อดี:Preserves native valve, better outcomes than replacement
7-10 daysFrom $15,000
95% repair rate for suitable cases

Transcatheter Mitral Valve Repair (MitraClip)

การผ่าตัดสอดแทรก
เหมาะสำหรับ:High-risk mitral regurgitation, poor surgical candidate
เทคโนโลยี:Percutaneous edge-to-edge repair via femoral vein
ข้อดี:No surgery, 2-3 day stay, symptom improvement
2-3 daysFrom $20,000
Specialized structural heart centers

คู่มือและบทความที่เกี่ยวข้อง

Heart bypass surgery cost: China vs USHeart transplantation: techniques and outcomesCancer treatment in China: complete guide for international patients

การเปรียบเทียบค่าใช้จ่าย

Aortic Valve Replacement (Surgical or TAVI)

US Hospital$75,000
UK Private$55,000
MediLink China$18,000

Save 76% vs US • Includes: procedure, valve prosthesis, 7-10 day hospital stay

คำนวณต้นทุน

ขั้นตอนการรักษา

1
Evaluation• Week 1
  • Comprehensive echocardiography (TTE/TEE)
  • Cardiac CT for TAVI planning
  • Coronary angiography
  • Multidisciplinary heart team discussion
2
Procedure & Recovery• Week 2
  • TAVI: 1-day procedure, next-day discharge possible
  • Surgical: 2-3 hour operation, ICU overnight
  • Anticoagulation management
  • Echo confirmation of valve function
3
Follow-up• Months 1-12
  • Anticoagulation if mechanical valve
  • Endocarditis prophylaxis education
  • Regular echo monitoring
  • Activity restriction gradual return

Clinical Outcomes

TAVI Success
>98%
technical success
Mitral Repair Rate
95%
suitable cases
30-Day Mortality
<2%
isolated valve surgery
5-Year Freedom from Reoperation
90%
valve repair

คำถามที่พบบ่อย

Should I choose TAVI or surgical valve replacement?
TAVI is preferred for high-risk and intermediate-risk patients, typically older adults. Surgical AVR remains gold standard for low-risk patients, especially younger patients who may need future redo procedures. Heart team will recommend optimal approach.
How long does a tissue valve last?
Tissue (bioprosthetic) valves typically last 10-15 years. Longevity depends on patient age (younger patients have faster valve degeneration). Mechanical valves last indefinitely but require lifelong anticoagulation.
Is mitral valve repair better than replacement?
Yes, when technically feasible. Repair preserves the native valve apparatus, resulting in better heart function, lower risk of complications, and no need for lifelong anticoagulation. Expert centers achieve >95% repair rates for degenerative mitral disease.
What is valve-in-valve procedure?
Valve-in-valve is a TAVI procedure where a new valve is implanted inside a failing surgical bioprosthetic valve. This avoids redo open-heart surgery, especially valuable for high-risk patients.

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