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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How climbing TAVR wait times affect patient outcomes

Developing an effective triage process for patients on the transcatheter aortic valve replacement (TAVR) waitlist could be critical to those patients’ postprocedural outcomes as the intervention continues to gain traction and popularity, researchers reported Jan. 5 in the Journal of the American Heart Association.

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TAVR system designed to treat aortic regurgitation used in 1st US patient

The first United States patient has been treated with the J-Valve TF system designed to address one of the holes in the rapidly evolving TAVR field: the lack of devices specifically targeting pure aortic regurgitation.

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The Way to Women’s Heart Health

Ramping up the battle against cardiovascular disease in women represents a golden opportunity to move the needle on mortality.

After COAPT: Getting MitraClip Right in the Real World

Will operators be able to replicate COAPT’s restraint and its outcomes?

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More execs out at Johns Hopkins All Children's Hospital

Three more executives resigned from Johns Hopkins All Children’s Hospital in St. Petersburg, Florida, in the continued fallout from an investigation by the Tampa Bay Times that revealed mortality rates tripled over just a few years in the pediatric heart surgery unit.

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Edwards’ Sapien 3 Ultra TAVR valve gains FDA approval

The Sapien 3 Ultra heart valve has received FDA approval for transcatheter aortic valve replacement (TAVR) in patients with severe, symptomatic aortic stenosis who are considered to be at intermediate or high risk of open-heart surgery, device manufacturer Edwards Lifesciences announced on Dec. 28.

Variability in national AVR, CABG quality ratings confuses patients

Publicly posted hospital ratings could be confusing heart patients more than helping them, Reuters reported of a Journal of the American College of Surgeons study that found significant disparities between major rating systems in the U.S.

TAVR still beneficial for very low LVEF, lack of contractile reserve

The severity of left ventricular dysfunction at baseline didn’t appear to impact survival after transcatheter aortic valve replacement (TAVR) in a substudy of patients with low-flow, low-gradient (LFLG) aortic stenosis, suggesting TAVR is an acceptable treatment in this high-risk population.

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.