TAVR: Cost, Types, Recovery and More

surgeons operating in surgical room

If you or a loved one has been diagnosed with severe aortic stenosis, you might have come across the term TAVR (Transcatheter Aortic Valve Replacement). Unlike traditional open-heart surgeries, TAVR is a minimally invasive procedure designed to replace a damaged aortic valve without the need for major surgery. But with advanced medical procedures come questions—how much does TAVR surgery cost in Delhi NCR, and what factors affect the pricing?

In this guide, we’ll explore everything about TAVR surgery costs, its benefits, and how it compares to other heart surgeries. We’ll also discuss what you can expect before, during, and after the procedure. If you’re considering TAVR, this blog will help you make an informed decision.

What is TAVR?

TAVR (also known as TAVI – Transcatheter Aortic Valve Implantation) is a groundbreaking, minimally invasive procedure designed to replace a diseased aortic valve without requiring open-heart surgery. It is primarily recommended for patients suffering from severe aortic stenosis, a condition where the aortic valve narrows, restricting blood flow and forcing the heart to work harder. 

Such a unique approach can greatly benefit high-risk patients who may not completely fulfil the traditional operation for open-heart surgery owing to advanced years of age, underlying medical conditions, or past medical intervention. By eliminating the need for large incisions and extended recovery periods, TAVR significantly improves patients' quality of life while reducing the risks associated with major cardiac surgery.

Why is TAVR Preferred Over Open-Heart Surgery?

  • Minimally Invasive – No large incisions are required, which means less trauma to the body.
  • Shorter Recovery Time – Patients often return to daily activities within weeks instead of months.
  • Lower Risk for High-Risk Patients – Especially for elderly individuals or those with comorbidities like diabetes or kidney disease.
  • Reduced Hospital Stay – Typically, patients stay in the hospital for 3-5 days compared to 7-10 days for open-heart surgery.
  • Less Pain and Scarring – Since there’s no major chest incision, pain and visible scarring are significantly reduced.

Types of TAVR Procedures

Depending on your medical condition, there are different approaches to performing TAVR:

  • Transfemoral Approach – Inserted through the femoral artery in the leg (most common and least invasive approach).
  • Transapical Approach – Inserted via a small incision in the chest, typically for patients with complex anatomy.
  • Transaortic Approach – Inserted through an incision in the upper chest for patients with difficult femoral access.

When is TAVR Required?

TAVR is primarily recommended for patients with severe aortic stenosis, especially those who are at high or intermediate risk for open-heart surgery. Aortic stenosis occurs when the aortic valve becomes narrowed, limiting blood flow from the heart to the rest of the body. If left untreated, this condition can lead to heart failure, stroke, or even sudden cardiac death.

Signs That You May Need TAVR:

  • Persistent chest pain or tightness
  • Shortness of breath, especially during physical activity
  • Fatigue or dizziness
  • Fainting spells
  • Irregular heartbeat or palpitations
  • Swelling in the legs or feet due to poor circulation

Causes and Risk Factors for Aortic Stenosis

Aortic stenosis is a condition where the aortic valve narrows, restricting blood flow. Some common causes and risk factors include:

  • Ageing – Most common in individuals over 65 as the valve deteriorates over time.
  • Calcium Build-Up – Over time, calcium deposits on the valve restrict movement and lead to narrowing.
  • Congenital Heart Conditions – Some people are born with an abnormal aortic valve, increasing the risk of early stenosis.
  • Rheumatic Fever – This can lead to scarring and long-term valve damage.
  • High Blood Pressure and CholesterolHigh blood pressure and cholesterol can accelerate valve deterioration.

Symptoms of Aortic Stenosis

  • Shortness of breath, especially during physical activity
  • Chest pain or tightness
  • Fatigue and weakness
  • Dizziness or fainting spells
  • Heart palpitations or irregular heartbeat

If you’re experiencing these symptoms, consult a cardiologist immediately to evaluate whether TAVR is a suitable option for you.

How is TAVR Performed?

During TAVR, a catheter is inserted through an artery (usually in the leg) and guided to the heart. A new valve is placed inside the diseased valve, restoring normal blood flow. The procedure usually takes 1-2 hours, and most patients can walk within a day.

Pre-Surgery Preparations:

  • Comprehensive medical evaluation and imaging tests such as an echocardiogram, CT scan, and blood tests.
  • Temporary cessation of blood thinners if prescribed.
  • Avoiding food and water for 6-8 hours before the procedure.

Post-Surgery Recovery:

  • Most patients are monitored in the ICU for a day and then shifted to a regular room.
  • Physical activity is limited for a few weeks, but light walking is encouraged.
  • Follow-up appointments are necessary to track the heart’s response to the new valve.

doctor talking with patient

TAVR Surgery Cost in Delhi NCR

The cost of TAVR surgery in India depends on a number of factors: the reputation of the hospital, the experience of the surgeon, and post-operative care requirements.

Details of Cost Estimates:

  • Hospital Charges – Intensive care unit stay, bed charges, and nursing care.
  • Doctors Fees – Consultant, anaesthetist, and cardiologist fees. 
  • Medical Equipment – The cost of the transcatheter heart valve itself.
  • Pre-Procedure Tests – ECG, MRI, blood tests, and angiography.
  • Post-Procedure Care – Medications, follow-up visits, and rehabilitation.

Estimated TAVR Procedure Cost in India

In India, TAVR surgery typically costs between ₹15-25 lakhs, depending on the hospital and city. Compared to Western countries, where it can exceed ₹50 lakhs, India offers a cost-effective alternative without compromising on quality.

TAVR vs. Other Heart Surgeries: Cost Comparison

  • TAVR Procedure Cost in Delhi- ₹15-25 lakhs
  • Open Heart Surgery Cost in Delhi - ₹3-7 lakhs
  • Bypass Surgery Cost in Delhi - ₹2-5 lakhs
  • Aortic Valve Replacement Surgery Cost (Traditional) - ₹5-10 lakhs

Heart surgery costs in Delhi vary depending on the complexity of the procedure and the quality of the facility. Although TAVI procedure cost is more expensive than traditional surgeries, the shorter recovery time, lower risks, and improved quality of life make it a worthwhile investment for eligible patients.

Factors Affecting TAVR Surgery Cost in India

  • Hospital and Location – Premium hospitals in metro cities charge higher.
  • Surgeon’s Experience – Highly skilled surgeons may charge more.
  • Imported Valves - Imported valves cost more than home-manufactured ones.
  • Post-Surgical Rehabilitation - Physiotherapy and medications add to the overall cost.

TAVR surgery is a state-of-the-art intervention that is the least invasive and quite revolutionary in treating aortic stenosis. Although costly, it is often the only option for extending a life. The choice of the right institution and doctor can mean a big difference in ensuring a successful and smooth recovery. 

Having an understanding of the cost breakdown and what financing you may have available will help you make an informed decision about your heart health. With modern advancements in medical science, TAVR is gaining even wider accessibility and affordability, thus allowing patients to receive world-class treatment minus major surgery.

If you or any of your loved ones have been diagnosed with severe aortic stenosis, the first step towards a better heart is to see an experienced cardiologist.

Dr. Manjinder Sandhu for Expert Advice

Your heart deserves excellent care. Dr. Manjinder Sandhu, a renowned cardiologist, specialises in advanced minimally invasive heart surgeries, including TAVR. With several years of commitment to the patients and the philosophy of putting the patient first approach, Dr. Sandhu takes a personalised care approach while treating every patient. Dr. Sandhu and his medical team ensure quality cardiac care, ensuring every patient gets the best treatment with minimum risk and maximum benefits.