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What do you mean by genetically too big?
How old are you?
What sort of aortic valve pathology are you experiencing?
Do you have any other medical problems or take any medications?
This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.
When using TAVI it is true that there are only a limited number of sizes available. In this case it would be entirely possible that your fathers heart would require a valve bigger then the company manufactures.
In general open heart surgery for valve replacement is able to fix a much wider range of aortic valve sizes.
That being said I can easily understand how your father would not be able to withstand the extreme stresses of open heart surgery.....
Even traveling to another hospital, say in the USA, would not change this fact.
Does this make sense to you?
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Dr. Rick MD FACS
As you stated so well the approach to the heart still does not change the fact that your father requires a very large aortic valve replacement.
As a son who also has a father in his 80's I can understand what you are going through.
I wish your entire family the very best.
You would have to talk to your fathers surgeons about that as they know his entire situation best.
From what you have posted the major underlying issue is that ISVR does not manufacture a valve large enough for your dad. As such, his only other option would be open heart surgery, which the surgeons do not believe he would survive....