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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Valve-in-valve TAVR a safe alternative for patients with failed bioprosthetic valves

The final decision between ViV TAVR and repeat SAVR, researchers said, should be based on multiple factors. 

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PCI before TAVR? New study provides answers, but questions remain

Researchers examined data from 17 different facilities, keeping a close eye on mortality and rehospitalization rates. 

New TAVR system for high-risk patients gains FDA approval

The system was specifically designed for patients who should avoid open-heart surgery.  

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Structural heart disease specialist takes helm of ACC patient engagement initiative

CardioSmart, an online resource for both patients and clinicians, has a new editor. 

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AI model classifies patients by aortic stenosis severity, could improve AVR timing

The classifier was developed using imaging data from nearly 2,000 patients. 

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How delayed peridevice leak after LAAC affects patient outcomes

Delayed PDL was identified in more than 10% of patients undergoing the procedure. 

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Aortic valve replacement on the rise among patients with Alzheimer’s disease, related dementias

The increasing popularity of TAVR appears to be the biggest reason for this shift.

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Valve-in-valve TMVR an effective option for patients with mitral prosthesis dysfunction

Adjusted mortality and perioperative complications were both lower among patients undergoing ViV TMVR.

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.