The Morriston Transcatheter Aortic Valve Implantation (TAVI)

Dr Dave Smith

Prof Alex Chase

Mrs Anwen Jenkins

Mr Pankaj Kumar

Mr Aprim Youhana

Edwards Lifesciences

Abertawe Bro Morgannwg University Health Board


  • Replacement of worn out heart valves without opening the chest and using heart lung bypass machine;

  • Uses local anaesthetic where possible;

  • Avoids Intensive Care Unit (ICU) bed usage.

This Project Supports Prudent Healthcare

  • Multi-disciplinary co-production;

  • Minimises resource use;

  • Caring for those with great need;

  • Minimally invasive, quick recovery;

  • Regional delivery of care for Mid and South Wales.

Anticipated Benefits

  • Excellent clinical outcomes using transformational technology;

  • Heart valve replacement under local anaesthetic;

  • Rapid recovery and return to improved quality of life for patients;

  • Minimising use of expensive and limited infrastructure resources;

  • Realising the combined skills of the multi disciplinary-team approach.

Clinical Results

  • 37 patients treated, mean age 81 years;

  • 81% of cases under local anaesthetic;

  • 1 unplanned ICU admission;

  • 5 day median post-op length of stay;

  • No procedural deaths, all patients discharged.

Part of Cohort Bevan Exemplar Projects 2015-16