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.

Technology & the future of pediatric cardiology

Miniaturization and 3D modeling help to provide new technologies to meet the needs of pediatric patients with congenital heart defects.

Tendyne announces successful first human implants of the Tendyne Transcatheter Mitral Valve Implant (TMVI)

Tendyne Holdings, Inc. ("Tendyne"), a privately held clinical stage medical device company, announced today that the Tendyne Transcatheter Mitral Valve system has been successfully implanted in three patients.

Results in mid-risk patients give next-gen TAVR valve a boost

Transcatheter aortic valve replacement (TAVR) likely stepped closer to use in intermediate-risk patients after a multicenter study found patients who underwent transfemoral TAVR with a next-generation valve had a 30-day mortality rate of 2.1 percent.

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AHA.14: 3D models put hearts in physicians’ hands before surgery

Cardiac surgeons are learning the utility of 3D printed modeling. As shown Nov. 19 at the American Heart Association scientific session in Chicago, it allows physicians to hold and inspect a rendition of a patient’s heart prior to surgery to get a better understanding of internal anatomy with congenital defects.

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ARB offers no benefit over beta-blockers for Marfan’s patients

For patients with Marfan’s syndrome, losartan may not be any better at reducing rates of aortic-root enlargement than beta-blockers. The results challenge prior studies that suggested losartan may have an advantage over beta-blocker therapy.

American Heart Association council honors Iowa cardiologist for his distinguished career benefitting physicians and their patients

The American Heart Association’s Council on Clinical Cardiology presented its highest honor, the James B. Herrick Award for Outstanding Achievement in Clinical Cardiology, to Kanu Chatterjee, M.B., of the University of Iowa, “in grateful recognition of his distinguished and productive career benefitting physicians and their patients worldwide.”

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AHA.14: N.J.'s mandatory newborn pulse-ox screening shows success

Critical screening for newborns in New Jersey bears fruit: 13 more babies were identified with critical congenital heart defects than had been previously identified through prenatal screening or physical exam. Secondarily, babies with other kinds of congenital heart defects and serious medical conditions were identified solely through the mandatory pulse oximetry program.

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Fixing a Failing Tricuspid Valve from Without

The success of transcatheter aortic valve replacement (TAVR) has inspired physicians to apply less invasive percutaneous techniques to other valvular conditions.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

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