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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Researchers ID new subset of patients who may benefit from aortic valve replacement

Clinical guidelines don’t recommend valve replacement for patients with severe aortic stenosis (AS) demonstrating normal flow and low gradients. But maybe they should, according to new research published in JACC: Cardiovascular Imaging.

Long-term survival after TAVR higher in women—despite initial complications

Despite encountering more short-term complications after transcatheter aortic valve replacement (TAVR), women have better long-term survival rates than men, according to a meta-analysis of 47,188 patients. However, they remain at greater risk for stroke.

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JACC publishes appropriate use criteria for treating severe aortic stenosis

Published online Oct. 17 in the Journal of the American College of Cardiology, the guidelines offer recommendations on when to use transcatheter aortic valve replacement (TAVR), surgical aortic valve replacement (SAVR) or neither—and when either technique may be appropriate.

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5 topics to watch at TCT 2017

The 29th annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium kicks off in Denver in less than two weeks. In preparation, Gregg W. Stone, MD, co-director of medical research and education at the Cardiovascular Research Foundation, provided some expected highlights of this year’s session Oct. 16 during a press briefing.

TAVR carries low dialysis risk for most kidney patients

Relatively few patients with chronic kidney disease (CKD) require dialysis after undergoing transcatheter aortic valve replacement (TAVR), according to a new study.

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Fever during pregnancy linked to heart defects, facial deformities in baby

A new study published in the journal Science Signaling suggests fever during pregnancy is directly related to the development of heart defects and facial complications like cleft lip and palate, a phenomenon that might be managed with something as simple as Tylenol.

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Growth-accommodating implant could change the field of pediatric surgery for the better

A medical implant that can expand internally to accommodate a child’s growth could be revolutionizing the field of pediatric surgery, according to a Massachusetts-based research team.

'An unbelievable save': Heart team performs emergency TAVR in 10 minutes

Interventional cardiologist Richard Zelman, MD, has performed about 245 transcatheter aortic valve replacement (TAVR) procedures since it debuted at Cape Cod Hospital two-and-a-half years ago. But never one like he experienced in August.

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.