{"id":3477,"date":"2023-08-04T12:15:24","date_gmt":"2023-08-04T12:15:24","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=3477"},"modified":"2024-01-08T05:00:27","modified_gmt":"2024-01-08T05:00:27","slug":"minimally-invasive-aortic-valve-repair","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/minimally-invasive-aortic-valve-repair\/","title":{"rendered":"Surgeon Q&#038;A: Minimally-Invasive Aortic Valve Repair with Dr. Hiroo Takayama"},"content":{"rendered":"<p>We just received an excellent question from Peter about aortic regurgitation and minimally-invasive repair techniques. Peter asked me, &#8220;I was diagnosed with aortic valve regurgitation. Can this procedure be done safely using minimally invasive techniques? What questions should I ask to figure out if the surgeon has enough experience and expertise?\u201d<\/p>\n<p>To answer Peter&#8217;s question, we connected with <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Hiroo-Takayama-New+York-New%20York.php\">Dr. Hiroo Takayama<\/a> at the American Association for Thoracic Surgery Conference. Dr. Takayama is the Chief of Adult Cardiac Surgery at NewYork-Presbyterian\/Columbia University Irving Medical Center in New York City. During his extraordinary career, Dr. Takayama has performed over 4,500 cardiac operations with more than 2,500 involving heart valve repair or replacement procedures. In our community, Dr. Takayama has successfully treated many patients including Lorri Gauliteri and Marisol Tavarez.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/KIrJRSRntIU\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About Minimally Invasive Aortic Valve Repair<\/h2>\n<p>Here are key insights shared by Dr. Hiroo Takayama during our interview:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-valve-regurgitation-symptoms.php\">Aortic Valve Regurgitation<\/a> (AR), or a leaky aortic valve, causes blood to flow backward into the left ventricle, which can cause damage to your heart over time. Doctors also refer to aortic regurgitation as aortic insufficiency (AI).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Hiroo-Takayama-New+York-New%20York.php\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full\" src=\"https:\/\/www.heart-valve-surgery.com\/profileImages\/318_129_181.jpg\" alt=\"Dr. Hiroo Takayama\" width=\"129\" height=\"181\" \/><\/a><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Hiroo-Takayama-New+York-New%20York.php\">Dr. Hiroo Takayama<\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Damage from long-standing regurgitation or stenosis can weaken your heart, however, Dr. Takayama stated, \u201cAortic valve regurgitation can be a variety of degrees. Not all leaks need to be repaired. Make sure you understand what kind of leak you have, what kind of symptoms you have and what kind of heart function you have.\u201d<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-3534 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/aortic-valve-regurgitation-diagram-heart.jpg\" alt=\"Aortic valve regurgitation\" width=\"400\" height=\"533\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Repair versus replacement depends on several circumstances. Dr. Takayama states, \u201cSeveral factors take into consideration in that discussion, most importantly, the integrity of your own valve. If the integrity is already lost, unfortunately, repair is not an option. You do need a replacement. That has a relevance to the timing of the surgery as well. All of these are all inter-linked and related.\u201d<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-3535 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/aortic-valve-repair-versus-replacement-takayama.jpg\" alt=\"Aortic valve repair compared to replacement\" width=\"650\" height=\"366\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>According to the National Library of Medicine, minimally-invasive options for AVR are as safe as traditional open heart surgery. Although Dr. Takayama said, \u201cMinimally invasive aortic valve repair can be done, but not many surgeons do it. In that sense, I think asking about the experience of the surgeon is a key question.\u201d<\/li>\n<li>Dr. Takayama stated that the most essential consideration for a patient evaluating an operation, besides the indication to undergo a procedure, is to ensure that a &#8220;perfect&#8221; and &#8220;durable&#8221; repair is possible &#8212; regardless of whether minimally-invasive or by open-heart surgery. Your medical team must assess your lifestyle and the activities that are important to you to aid in choosing which procedure is best for you. Shared decision-making between you and your cardiology team based on your lifestyle, the severity of your disease, and looking into the future is and should be standard of care.<\/li>\n<li>How long is the repair going to last? Longevity data is not available because some of the valves and procedures in use are relatively new. \u201cThat, most importantly, has a relevance to the type of valve. Aortic valve has this big component of congenital abnormality; bicuspid aortic valve . That introduces some uncertainty,\u201d Dr. Takayama stated. The longevity of bicuspid aortic valve repair also remains an unanswered question.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Thanks to Dr. Takayama and NewYork-Presbyterian\/Columbia University Irving Medical Center!<\/h2>\n<p>On behalf of our patient community, many thanks to Dr. Hiroo Takayama for sharing his clinical expertise on minimally-invasive aortic valve repair. Also, many thanks to NewYork-Presbyterian\/Columbia University Irving Medical Center for taking great care of heart valve patients!<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Hiroo-Takayama-New+York-New%20York.php\">See 40 Patient Reviews for Dr. Takayama<\/a><\/li>\n<li><a href=\"https:\/\/www.nyp.org\/publications\/professional-advances\/cardiac\/aortic-valve-regurgitation-why-surgical-management\">Dr. Hiroo Takayama: Aortic Valve Regurgitation: Why Surgical Management Remains in Vogue<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the deaf and hard-of-hearing members of our community, I have provided a written transcript.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[5],"class_list":["post-3477","page","type-page","status-publish","hentry","category-aortic-valve-repair"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/3477","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=3477"}],"version-history":[{"count":22,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/3477\/revisions"}],"predecessor-version":[{"id":4100,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/3477\/revisions\/4100"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=3477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=3477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}