Jake sent me a great question relating to pain, minimally invasive surgical approaches and recovery. He writes, “Adam — I hear a lot about minimally invasive procedures being much better for pain and recovery. Is that true? Thanks, Jake”

During the Heart Valve Summit, I was very fortunate to ask Jake’s question to Dr. Kevin Accola, a leading cardiac surgeon who has performed over 9,000 cardiac procedures including 2,400 heart valve operations. Here are the highlights from our discussion:

Thanks to Jake for his question and a special thanks to Dr. Kevin Accola for taking the time to meet with us and share his clinical expertise. As you may know, Dr. Accola has performed successful surgery on many members of our community including:

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Big, big, big, biggggggg news everybody!

I just learned that the Edwards SAPIEN Aortic Valve has received FDA approval for “inoperable” patients. On the heels of this exciting announcement, there are several implications for patients and caregivers that should be considered.

Edwards SAPIEN Heart Valve Replacement

First… This is the first time that a transcatheter therapy has been approved by the FDA for aortic valve treatment. Using SAPIEN, physicians deploy a catheter-based delivery system to replace a diseased aortic valve without any incision to the patient’s sternum or ribs.

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As patients in the United States continue to wait for FDA approval of transcatheter aortic valve replacement devices, another TAVI technology just received a CE mark for commercial use in Europe.

JenaValve TAVI – Aortic Valve Replacement Via Catheter

Earlier today, JenaValve Technology, a medical device manufacturer in Germany, announced its receipt of a CE mark for its 2nd-generation transapical TAVI system. As you may know, these technological breakthroughs are used to treat patients with severe aortic valve stenosis who are considered “inoperable” or too “high-risk” for surgery.

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Sato sent me a very interesting question about bicuspid aortic valve repair. He writes, “Hi Adam – I’m 61. I’ve been diagnosed with bicuspid aortic valve and severe regurgitation. I’ve been told a repair is possible. During surgery, does the bicuspid aortic valve become a tricuspid valve?”

While at the American Association of Thoracic Surgeons conference, I was able to ask Sato’s question to Dr. Lars Svensson, the Director of the Aorta Program at The Cleveland Clinic. As you may know, Dr. Svensson, is highly regarded for his work with bicuspid aortic valves.

Thanks to Sato for his question and a special thanks to Dr. Lars Svensson for sharing his clinical research with our community. To learn more about Dr. Svensson and his patients, please click here.

For those of you who are hearing impaired, I have provided a transcript of this interview below…

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As a follow-up to our recent discussion about chest pain and sternum wires, Jane sent me a great question about incision closure techniques. She writes, “Hi Adam – I’ve read good and bad things about the use of wires to close the sternum.  Are there any other technologies used to help the chest heal? Thanks, Jane”

Luckily, I was able to ask this exact question to Dr. Jai Raman, the Chief of Cardiac Surgery at Rush University Medical Center, in Chicago, Illinois. I thought you might like to see the interview highlights from our discussion about a new technology called sternal plating.

Thanks to Jane for her question and a special thanks to Dr. Jai Raman for taking the time to share his clinical experience and research about sternal plating and rigid fixation for open heart surgery patients.

For those members of our community who are hearing impaired, I have provided a written transcript of this video interview below:

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