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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An alternative to AVR: Ross procedure linked to strong outcomes for young, middle-aged adults

“The Ross procedure should be considered in young and middle-aged adults who need AVR and can be referred to dedicated centers with expertise in this operation,” researchers explained. 

Cardiologist donates $1M to fund heart disease research as tribute to ‘selfless, loving’ wife

The funds will go toward establishing the Carol S. O’Neill Structural Heart Disease Research Fund.

‘I have so much hope now’: Patient thrives after undergoing 2 heart valve replacement procedures

Both procedures were a part of a clinical trial—and both occurred at the same facility.

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Plant-based protein helps older women reduce risks of death, dementia-related death and CVD

The authors tracked data from more than 102,000 women between the ages of 50 and 79. 

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TMVR associated with improved outcomes for heart failure patients after 3 years

This latest analysis is an extension of the COAPT trial, which had examined the safety and effectiveness of TMVR with the MitraClip device after two years.

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A look at the future? Engineers propose a new design for mechanical heart valves

The team behind the new-look valves hope their design will limit blood clots and boost patient care. 

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Researchers examine ‘concerning’ out-of-hospital 30-day mortality rate for TAVR patients

Researchers examined data from more than 98,000 patients who underwent transfemoral TAVR from January 2015 to March 2018. 

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Explained: 4 key takeaways from the 2020 ACC/AHA valvular heart disease guidelines

Two specialists have shared their own perspective on the updated ACC/AHA guidelines in Circulation.

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.