- Echo
- ECG
- Holter monitor
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In-clinic Echo, ECG & Holter monitor
Echocardiography, ECG and Holter monitoring are done right at the clinic, so your tests and your consultation happen in one place.
Structural heart intervention
Transcatheter Aortic Valve Implantation (TAVI/TAVR)
A new aortic valve delivered through the wrist or leg — without opening the chest
You don't have to face this decision alone. At your consultation, Dr. Mansour explains every image and every option to you and your family in plain words — and stays with you until you're back to your life.
- Consultation 1,000 EGP · pay at the clinic
- Free follow-up visit within 14 days
- Your reports stay private
TAVIMinimally invasive — no open-heart surgery
Dr. Mansour Farouk El-BehwashyConsultant Cardiologist & Cardiovascular SpecialistMScFEBFEBICFSCAIProcedure time60–90 min
- Procedure time60–90 min
- AnesthesiaLocal anesthesia + sedation
- Hospital stay2–4 nights, typically
- Early mobilityWalking within a day
What the procedure is
Understand TAVI — calmly, clearly, honestly
Aortic stenosis — a narrowing of the aortic valve — forces the heart to work much harder to push blood to the body, and left untreated in its severe form, carries a serious long-term outlook. For decades, the only fix was open-heart surgical valve replacement.
TAVI changes that. A new valve, compressed onto a delivery catheter, is guided — usually through the femoral artery in the leg, sometimes through the wrist or another access route — up to the diseased aortic valve. Once positioned precisely inside it, the new valve is expanded and immediately takes over the job of regulating blood flow, all without stopping the heart or opening the chest.
Why it may be recommended
What it can mean for you — and your peace of mind
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No chest incision and no stopping the heart, unlike surgical valve replacement
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Meaningfully shorter hospital stay and recovery than open surgery
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Rapid symptom relief — many patients report easier breathing within days
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A genuine option for patients whose age or health conditions previously ruled out surgery
Who may need evaluation for it
Does any of this sound like you?
Tap whatever applies. It isn't a diagnosis — just a calm way to know whether it's time to talk to the doctor.
Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.
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Step by step
Your journey, with no surprises
Knowing what comes next takes away most of the fear. Here is what to expect before, during and after — explained to you again, in person, before anything is done.
Something here worrying you?
Ask the clinic — the team replies on WhatsApp.
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Before
General preparation
- Bring your echocardiogram reports and any previous heart tests, scans or catheterization CDs.
- Planning usually includes imaging such as a CT scan of the heart and blood vessels, to choose the valve size and the access route.
- Share a full list of your medications, especially blood thinners and diabetes medicines, and any allergy — including to contrast dye or iodine.
- You will usually be asked not to eat for a few hours beforehand — follow the exact instructions you are given.
- Plan for a family member to be with you during the hospital stay and to take you home.
- Never stop or change a medication on your own — any adjustment is decided by your doctor.
Your care team gives you instructions specific to your case — always follow those first.
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On the day
What happens during the procedure
- Pre-procedure CT imaging maps your heart and arteries precisely, to select the right valve size and safest access route.
- Access is gained — most often through the femoral artery in the leg — under local anesthesia and sedation.
- The compressed replacement valve is guided on its delivery catheter to the diseased aortic valve, under live X-ray and imaging guidance.
- The new valve is expanded into position inside the old valve and begins functioning immediately.
- Imaging confirms correct valve position and function before the catheter is withdrawn.
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After
Recovery & follow-up
- Hospital monitoring for 2–4 nights is typical, including heart rhythm monitoring
- Most patients are encouraged to sit up and walk within 24 hours of the procedure
- Mild soreness at the access site is normal and improves within days
- A structured follow-up schedule tracks valve function with echocardiograms at set intervals
Clinic features
Care that continues after your visit
14days
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FREE consultation within 14 days
After your examination, your follow-up consultation within 14 days is free of charge.
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Continuous follow-up & answers
Questions after your visit or procedure? We keep following up with you and answering them along the way.
Honest about safety
Risks & considerations
Every medical procedure carries some risk, and you deserve the full picture. Dr. Mansour reviews your personal risk with you before you agree to anything.
- Bruising or bleeding at the access site (leg or wrist)
- A small risk of needing a permanent pacemaker afterward, if the procedure temporarily affects the heart's electrical pathway
- As with any valve procedure, rare but serious risks such as stroke or vascular injury are discussed in detail beforehand
- Dr. Mansour Farouk El-Behwashy reviews your CT imaging and full risk profile with you before scheduling
This page is general information and does not replace a medical examination. Whether this — or any — procedure is appropriate for you is decided only after evaluation by the doctor.
Already advised?
Told you need this procedure? Get clarity before you decide.
Send your reports from your phone in a few minutes. Dr. Mansour's team reviews them before your visit, so your consultation at the Fifth Settlement clinic starts with answers — not from zero.
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Private consultation · 1,000 EGP · Fifth Settlement, New Cairo
- 1Upload your reports
- 2The team reviews your case
- 3Your consultation, fully prepared
Your questions
Frequently asked questions
Still have a question on your mind?
Ask the clinic directly — no need to call. The team replies to you on WhatsApp.
How is TAVI different from open-heart valve replacement surgery?
Open surgery requires stopping the heart and a heart-lung machine, with a hospital stay of a week or more and a recovery of several weeks. TAVI is done through a small puncture, without stopping the heart, with most patients home within days and back to normal activity much sooner.
Am I too old, or too high-risk, for a valve procedure?
TAVI was originally developed specifically for patients considered too high-risk for open surgery, and age alone rarely rules it out today. The only way to know is a proper evaluation — bring your echocardiogram and any prior reports to your consultation.
How long does a TAVI valve last?
Long-term data now extends past a decade and shows durability comparable to surgical valves for most patients, and valve function is tracked at every follow-up. Your individual outlook depends on your specific case, which is something Dr. Mansour Farouk El-Behwashy discusses with you directly.
Clinical references
Related procedures
Pacemaker Implantation
A pacemaker is a small, battery-powered device implanted just under the skin near the collarbone, with one to three leads placed in the heart to sense and correct a heartbeat that's too slow or irregular — restoring the energy and stamina that slow rhythms take away.
May be considered
When a slow heart rhythm or heart block, confirmed on ECG or Holter, causes fatigue, dizziness or fainting.
Angioplasty & Stenting
A tiny balloon widens the narrowed section of a coronary artery, and a stent — a small mesh tube — is left in place to keep it open, restoring blood flow to the heart muscle in the same sitting as the diagnostic catheterization.
May be considered
When catheterization shows a significant narrowing, or angina continues despite medication.
Peace of mind starts with one step
Don't carry this worry alone. Let's look after your heart together.
Consultation 1,000 EGP at the Fifth Settlement clinic, New Cairo — paid at the clinic, with a free follow-up visit within 14 days.
Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.