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when a patient develops severe aortic stenosis with heart failure and chest pain that is when we consider they already found replacement for many many years the only viable option for our elderly patients was a surgical valve replacement it was either a mechanical valve or a bio prosthetic valves pig or cow pericardium multiply prosthetic valves usually lasts about 10 to 15 years in a patient and most of our patients have had surgery in their 70s or 80s some patients when they docHub that age may not really be good candidates for open-heart surgery and even if they are they may be a little reluctant having already been affected by one open-heart surgery to proceed with another well a transcatheter aortic valve replacement or Tavor is a procedure where we use minimally invasive techniques to essentially replace patients a or tack valve tablet technology is an excellent form of therapy for the treatment of failed bio prosthetic valves in a minimally invasive route we are able to place a t