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.

Older LAAO patients, especially women, face a higher risk of complications

Researchers explored data from the National Inpatient Sample, sharing their findings in the American Journal of Cardiology.

Same-day discharge after TAVR is feasible and safe, new Cleveland Clinic study confirms

Cleveland Clinic turned to same-day discharge after TAVR during the COVID-19 pandemic, finding considerable success. 

Interventional cardiology procedure in a cath lab at Beaumont Hospital.

PCI boosts survival for ischemic HF patients with moderate-to-severe mitral regurgitation

Mortality rates can be especially high for ischemic HF patients presenting with FMR and LVSD, but PCI may offer some relief. 

 Oleksandr Yachnik, congenital heart surgeon at the Scientific Practical Children's Cardiac Center in Kyiv, Ukraine, performs a congential heart procedure while the Russians and the front lines are less than 10 miles away. #StandwithUkraine #Ukraine #RussianWarWithUkraine

War in Ukraine has not stopped congenital heart surgeries in Kyiv

"We are staying strong," one surgeon told Cardiovascular Business. 

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DOACs an effective substitute for VKAs after AFib patients undergo bioprosthetic valve replacement

Direct oral anticoagulants are noninferior to vitamin K antagonists when treating this important patient population, researchers reported. 

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Ross procedure outperforms bioprosthetic aortic valve replacement among younger patients

Researchers highlighted the low risk of reintervention after the Ross procedure, though they did say additional studies were still needed. 

Life after heart surgery: Tracking the long-term performance of several bioprosthetic aortic valves

The study's authors examined data from multiple bioprosthetic aortic valves — and one popular solution consistently came out on top. 

Doctor patient with masks

Congenital heart disease increases risk of poor COVID-19 outcomes, including death

Researchers examined data from more than 235,000 hospitalized patients treated in the United States.

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.