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Archive for the 'Aortic Valve Replacement' Category

Surgeon Q&A: Are Coumadin Requirements Being Lowered for On-X Mechanical Valve Replacements?

Thursday, March 6th, 2014

As we have learned together, there is no “perfect” valve replacement for patients who cannot have their own valves repaired. That said, as patients, we must weigh the pros and cons of each valve type – pig, cow, horse and mechanical – to determine which device is best for us given factors including age and lifestyle.

The mechanical valve replacement is an interesting choice for patients.  It’s been around for over 40 years. It’s the most durable valve comprised primarily of a special form of carbon— pyrolytic carbon—that can last more than 100 years with the pressures inside the heart. And, there is some research, which suggests that patients who receive mechanical valves have lower complications over a 25-year period.

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“What Percent of Heart Valve Operations Use Minimally Invasive Approaches?” asks Elliot

Tuesday, December 17th, 2013

I received a very interesting question from Elliot about minimally invasive procedures for heart valve operations.

mini-incisions-valve-surgery

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Patient Success Story: After TAVR Procedure, John Gerlits Is Out Of The Hospital In Two Days!

Friday, October 25th, 2013

Recently, I met John Gerlits, a patient diagnosed with aortic valve stenosis four years ago. As John had a history of heart disease, he qualified for the new transcatheter aortic valve replacement (TAVR) procedure. If you didn’t know, TAVR is a minimally invasive procedure in which the aortic valve is replaced without an incision to the patient’s sternum or ribs.

John Gerlits, TAVR procedure success story.
John Gerlits, 83, TAVR Procedure Success Story

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TAVR Specialist, Columbia Heart Valve Center, Launches Microsite!

Sunday, October 13th, 2013

I am very happy to announce that the Columbia Heart Valve Center just launched a Heart Valve Clinic Microsite at HeartValveSurgery.com. Needless to say, we are thrilled to be working with Columbia’s incredible team which includes Dr. Craig Smith, Dr. Martin Leon, Dr. Mathew Williams and Dr. Susheel Kodali.

So you know, the Columbia Heart Valve Center, which is located in New York City, is one of the leading transcatheter aortic valve replacement (TAVR) clinics in the United States. Thus far, the Columbia Heart Valve Center has implanted over 900 TAVRs for aortic stenosis patients who are inoperable or at high risk. To learn more about the Columbia Heart Valve Center, please click here.

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Surgeon Q&A: “What Determines the Transfemoral or Transapical Approach for TAVR?” Asks Denise

Wednesday, September 18th, 2013

Given the recent FDA approval of transcateher aortic valve replacement devices (TAVR), I continue to receive interesting questions from our patient community. For example, Denise recently wrote to me, “Hi Adam – My mom is 84 years old and diagnosed with severe aortic stenosis. We’re researching the possibility of using the catheter valve to help her. I’ve read that the valve can be inserted through the groin or through the heart. What determines the way in which this valve is implanted? Is one better than the other? Thanks, Denise.”

TAVR-Transapical-Transfemoral-Approach

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“What About Coronary Artery Blockages After Heart Valve Surgery?” Asks Mike

Wednesday, June 12th, 2013

Mike just sent me an interesting question about angina and coronary artery disease after valve surgery. In his note, Mike writes, “Hi Adam – I had an aortic valve replacement and double bypass in June 2004 by Dr. Joe Bavaria, Hospital University of Pennsylvania.  Subsequently, I have been diagnosed with angina. I have also had several cardiac catheterizations and stents placed in the artery since my surgery.   I understand that 10% of all stent and cardiac cath patients have recurrence of artery blockage.  Do you know if anyone is doing research on this issue?

Coronary Artery Disease

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Theresa Reaches Another Milestone In Her Recovery From Aortic Valve Replacement Surgery

Friday, May 31st, 2013

As you might remember, Theresa LoMonaco shared a recovery update with us last July. Well, it’s ten months later, and Theresa has good news to share. Here is what she writes to me:

Teresa Lomonaco - Heart Valve Surgery Success Story
Theresa LoMonaco – Aortic Valve Replacement Patient

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Technology Update: Understanding TAVI with Dr. Michael Mack

Sunday, May 19th, 2013

If you have not heard of transcatheter aortic valve implantation (TAVI), this post will introduce you to a breakthrough technology that recently received FDA approval for ‘inoperable’ and ‘high risk’ patients with severe aortic stenosis. If you have already heard of TAVI, the video below will provide you the latest update about TAVI from Dr. Michael Mack, a heart valve guru, a past-president of The Society of Thoracic Surgeons, and one of the clinical pioneers of TAVI at The Heart Hospital in Dallas, Texas — where he practices.

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After Giving Birth to Olivia, Sara Readies for Aortic Valve Replacement and Aorta Repair Surgery

Sunday, March 10th, 2013

Over the years, I have been very fortunate to know Sara Bloomfield. I first shared Sara’s story in 2011 – after Sara and her husband, Matt, became pregnant while closely monitoring her bicuspid aortic valve, dilated aorta and coarctation of the descending aorta. Then, in 2012, we celebrated the birth of their daughter, Olivia.

Now, after several years of “watchful waiting”, Sara is scheduled for aortic valve replacement and aorta repair surgery on March 21.

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“What About Dementia and Delirium After Heart Valve Surgery?” Asks a Concerned Wife

Monday, February 11th, 2013

As many patients will tell you… Waking up in an intensive care unit (ICU) after heart valve surgery can be a very dislocating experience. Personally, I remember thinking, “Holy moly! What the heck just happened? What are all those noises? And, why is this massive tube stuck down my throat?”

For that reason, I am always incredibly sensitive to patient questions that address time spent in the ICU. As you will read below, I recently received a question from a Concerned Wife about dementia and delirium after cardiac surgery.

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