Structural Heart Disease

Structural heart diseases include any issues preventing normal cardiovascular function due to damage or alteration to the anatomical components of the heart. This is caused by aging, advanced atherosclerosis, calcification, tissue degeneration, congenital heart defects and heart failure. The most commonly treated areas are the heart valves, in particular the mitral and aortic valves. These can be replaced through open heart surgery or using cath lab-based transcatheter valves or repairs to eliminate regurgitation due to faulty valve leaflets. This includes transcatheter aortic valve replacement (TAVR). Other common procedures include left atrial appendage (LAA) occlusion and closing congenital holes in the heart, such as PFO and ASD. A growing area includes transcatheter mitral repair or replacement and transcatheter tricuspid valve repair and replacement.

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Proceeding with caution: Will transcatheter mitral valve interventions be cardiology’s next big win?

The cardiology community is paying close attention to developments related to transcatheter mitral valve replacement (TMVR) for mitral regurgitation. Although TMVR is in its infancy, one big question on everyone’s minds is whether its impact will be on the same scale as transcatheter aortic valve replacement (TAVR).

Hearing loss affects 21% of infants after heart surgery

Children who survive cardiac surgery as infants have a 20-fold risk of hearing loss when compared to peers without heart defects, according to a study in the Journal of Pediatrics.

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Edwards’ Centera TAVR valve gains CE mark

The self-expanding Centera transcatheter heart valve has received CE mark approval, device manufacturer Edwards Lifesciences announced Feb. 15.

Olympic gold medalist Shaun White lives with congenital heart defect

American snowboarder Shaun White won the Olympic gold medal in the men’s halfpipe Feb. 14—a date which, fittingly, coincided with Congenital Heart Disease (CHD) Awareness Week.

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Congenital heart disease survivors more likely to develop early dementia

Survivors of childhood heart defects are more likely than the general population to develop dementia, including at earlier ages, researchers reported Feb. 12 in Circulation.

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Texas Children's ranked No. 1 hospital for pediatric cardiology, heart surgery

US News & World Report issued their rankings for the top 10 hospitals for pediatric cardiology and heart surgery in the country.

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A hole in the heart may increase the risk of stroke after non-cardiac surgery

New research published in the Journal of the American Medical Association suggests a patent foramen ovale (PFO), colloquially known as a hole in the heart, can double the risk of stroke within 30 days of non-cardiac surgery.

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Boston Scientific’s LOTUS valves off the market until at least 2019

The LOTUS Edge Aortic Valve System will not be available in Europe or the U.S. until at least 2019, Boston Scientific CEO Mike Mahoney said during a Feb. 1 conference call with investors.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.