The Leeds Teaching Hospitals NHS Trust


Cardiac Valve Service

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Welcome to the TAVI Service

Leeds is one of the largest TAVI centres in the United Kingdom.

Transcatheter aortic valve implantation (TAVI) allows the aortic valve to be replaced without the need for open-heart surgery, and is therefore a good option for patients in whom the risks of open-heart surgery are unacceptably high.

We, the cardiologists who carry out the TAVI procedures, are all committed to improving the service that we provide to our patients.

Please see the left-hand menu for further information.

COVID-19 (coronavirus) advice - Leeds Specialist Valve Service   

You have been provided with this information because of the COVID-19 pandemic.

This is affecting clinical services and we ask you to read the guidance below in the first instance.

We are trying to keep any disruption to your clinical care to a minimum, but please understand that services across the NHS are under extreme pressure. 

General advice:

We know that these are difficult times and that many patients may be feeling anxious about COVID-19 (coronavirus) pandemic. We are also aware that patients with valve disease may have questions in relation to COVID-19.

If you are concerned about COVID-19 (coronavirus), or worried you may have COVID-19, please look carefully at the NHS website:

https://www.nhs.uk/conditions/coronavirus-covid-19/

  • Wash your hands regularly with soap and warm water for at least 20 seconds
  • Avoid close contact with people who have symptoms of coronavirus
  • Only travel on public transport if you need to
  • Work from home, if you can
  • Avoid social activities (e.g. going to pubs, restaurants, theatres and cinemas)
  • Avoid events with large groups of people

Health services are under extreme pressure at the moment. Please follow national guidance first, and only seek specialist advice if absolutely necessary. We cannot advise on travel recommendations, or non-medical queries.

Any planned non-urgent care over the next few months may be postponed depending on government advice. You will be contacted if this affects you.

Frequently asked questions:

  1. I have valve disease. What is my risk?

The advice on this topic is rapidly changing. The following links provide regularly updated patient advice:

https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health

https://www.bhvs.org.uk/covid-19-coronavirus-illness-and-heart-valve-disease/

Please check your last valve clinic letter for details of your valve condition. We are unable to supply repeat copies of letters at this busy time.

2. What should I do if I have symptoms of COVID-19?

The same guidance applies to the general population and those at increased risk of severe illness. If you develop symptoms of COVID-19 (high temperature and/or new and continuous cough), you should self-isolate at home for 7 days

3. What will happen to my outpatient clinic appointment?

To reduce social interactions and minimise visits to hospital, we are currently changing many planned outpatient appointments to telephone consultations, reserving hospital appointments to patients who require urgent assessment or investigation. If you have an appointment due in the coming weeks, we will contact you to inform you whether you need to attend hospital or not.

Capacity for heart ultrasound scans is currently limited; if your heart condition is stable and/or requires tests for assessment, the doctors may choose to defer your appointment until these are available. Please bear with us during this extremely busy time

4. If I have worsening symptoms relating to my valve condition, what should I do?

The contact numbers for the valve service remain available for patients in the pathway, however our ability to respond meaningfully is now limited. If you do call we can give advice but if you report worsening symptoms we will request you seek medical attention locally from GP or local hospital services.

5. I am waiting for a procedure/operation. When will it be?

As demand on acute inpatient services increases in the coming months, it is likely that routine procedures and operations will be postponed until the pandemic is under control. We are in the process of assessing all patients who are currently waiting for intervention and we will aim to prioritise procedures in those who are deemed to be at highest risk. We understand that this is very upsetting news for these patients and this will cause significant anxiety.

Note for TAVI patients on waiting list: If you feel your symptoms are rapidly progressing with substantial worsening of breathlessness you should seek medical attention from GP or local hospital. If you do require admission to hospital please ask your doctors to contact the TAVI team in Leeds. We may be able to perform TAVI in this situation assuming that the symptoms are caused predominantly by the heart valve problem and we can transfer you into our beds

6. Who can I contact for further information?

If you have any questions or concerns, please contact us via:

  • Telephone (during office hours): 0113 392 5298.
  • E-mail: leedsth-tr.cardiacvalvenurses@nhs.net