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Valve disease: TAVI and percutaneous options

Reviewed on July 17, 2026

The heart valves work like doors that ensure blood flows in the right direction. When one of them becomes narrowed or does not close properly, we speak of valve disease, a condition that can cause fatigue, shortness of breath and other symptoms. In recent years, alongside traditional surgery, less invasive options performed by catheter have emerged, such as TAVI for the aortic valve. This article explains, in a general and educational way, what these diseases are and what these alternatives mean, to help you talk more clearly with your team.

What valve diseases are

The heart has valves that open and close with each beat. Over time, or from different causes, they may narrow, making it harder for blood to pass, or fail to close properly, allowing blood to flow back.

These problems can progress slowly and, in some cases, simply be monitored. In others, when they cause symptoms or affect the heart, treatment starts to be discussed.

What TAVI and percutaneous options are

TAVI is a procedure in which a new aortic valve is implanted through a catheter, without the need to open the chest in most cases. It emerged as an alternative to surgery in selected situations.

There are also other percutaneous techniques for different valves and problems. Each has specific indications and does not automatically replace surgery, which remains the best option in many cases.

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How the best option is decided

The choice between traditional surgery, TAVI or other percutaneous approaches depends on the type and severity of the valve disease, age, health conditions and each person's anatomy. This assessment usually involves a team.

As with other heart decisions, the goal is to find the most suitable treatment for your specific case, balancing benefits, risks and recovery, always in an individualized way.

Why a second opinion helps

The options for treating valve disease have grown, and it is not always simple to understand why one was chosen over another. This can cause doubts and insecurity at a delicate time.

An independent second opinion can review your exams, confirm the proposed approach or present other perspectives on surgery, TAVI or monitoring, bringing more clarity to your decision.

Frequently asked questions

Is TAVI better than traditional surgery?

There is no single answer. TAVI is a valuable option in selected situations, but surgery remains the best choice in many cases. The recommendation depends on the team's individualized assessment.

Does every valve disease need immediate treatment?

No. Some valve diseases progress slowly and may just be monitored for a while. Treatment usually comes up for discussion when there are symptoms or signs that the heart is being affected.

How do I submit my case for a second opinion on Revidra?

You can upload your exams, such as the echocardiogram, and the reports through the Revidra platform. An independent specialist reviews the material and returns a structured written opinion about the options, including surgery, TAVI or monitoring.

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Still unsure about your case?

Send your exams and your case history and receive a structured, written opinion from an independent specialist physician.

Request a second opinion

Educational content, for informational purposes. It does not replace consultation, diagnosis or treatment with a physician, nor does it constitute a teleconsultation or emergency care.