Everyone looks for some sort of approval, but where we find it is sometimes a different story. In the case of the transcatheter aortic heart valve, Edwards Lifesciences may be one step closer to finding it after FDAs Circulatory Systems Device Panel voted in favor of expanding device indications to include aortic stenosis patients at a high risk for surgery. While the journey for transcatheter aortic valve replacement (TAVR) has been long, as writer Mark Twain wrote, We can secure other people's approval, if we do right and try hard.