Valve and Structural Heart Disease


 

At Saint Thomas Heart, our mission is to offer the most comprehensive treatment options and deliver the highest quality of care. You can count on our cardiologists and surgeons to work together to treat even the most complex heart conditions.

 

Treatment

There are many treatment options available for heart disease patients, and our specially trained cardiologists will work with you to find out the best path of care for you.

For a growing number of heart disease patients, minimally invasive surgeries have become the preferred method of treatment. These options are performed through the smallest of incisions to help ensure patients experience less pain, a shorter hospital stay and a faster return to normal daily activities.

We employ a variety of state-of-the-art minimally invasive and catheter-based procedures, developed to expand care to those at an increased risk for traditional therapies, including the MitraClip and Transcatheter Aortic Valve Replacement (TAVR).

 

Aortic Disease and Aortic Center

Aortic conditions are complex, and some require immediate medical attention. The Saint Thomas Heart Aortic Center brings together the right care team and resources in one place to treat these difficult cases, leading to greater coordination and a higher quality of care.

For more information and to schedule an appointment with one of our cardiac specialists, please call 615.222.HCM5 (4265).

 

MitraClip

The MitraClip is a small metal clip that helps patients with MR (mitral regurgitation), a condition in which the heart’s mitral valve leaflets do not close tightly, causing blood to leak into the heart’s left atrium. The condition can lead to advanced heart failure and affects approximately 4 million people in the United States.

This new treatment expands the options for selected patients with MR, especially those who are not candidates for invasive open-heart surgery. The procedure allows doctors to use catheter-based technology to repair the mitral valve via a groin puncture without requiring patients to undergo cardiopulmonary bypass or the need for traditional chest incisions.

The MitraClip procedure shortens recovery time and ultimately improves quality of life for those experiencing life-altering symptoms like fatigue and shortness of breath.

For more information about the MitraClip procedure, contact the Saint Thomas Heart Valve Center at 855.789.2593.

 

Transcatheter Aortic Valve Replacement (TAVR)

TAVR is a minimally invasive procedure that is performed in a unique, hybrid operating room that utilizes the most advanced imaging equipment available today. This procedure is performed on a beating heart and the valve is replaced using a catheter inserted through the groin. The procedure does not require cardio-pulmonary bypass and patients experience significantly shorter recovery times. Based on landmark research trials, this procedure has been shown to provide a lower risk option and rapid recovery. TAVR is a lifesaving procedure for those that have intermediate to high risk for open heart surgery.

For more information about the TAVR procedure and to schedule an appointment with the Saint Thomas Heart Valve Center, please call 855.789.2593.

 

Hypertrophic Cardiomyopathy Clinic

The cardiac specialists with Saint Thomas Heart’s Hypertrophic Cardiomyopathy Clinic diagnose and treat patients who have a unique medical condition that is typically associated with an abnormal thickening of the heart muscle. Hypertrophic cardiomyopathy is a genetic condition that can be inherited within families. When the heart muscle becomes thickened, the heart may have trouble pumping blood and can lead to sudden death.

 

 

Testing:

  • An EKG to assess for normal electrical flow through the heart muscle.

  • A holter monitor to monitor for any irregular heartbeats or arrhythmias.

  • An Echocardiogram or an “Echo” is an ultrasound of the heart. This test will measure the thickness of the heart muscle, the spaces inside the chambers of the heart and indicate how well the heart pumps. This test can be done at rest or while exercising to see what changes occur to the heart during activity.

  • Stress testing to determine any possible cardiac symptoms and risks of cardiac life threatening events.

  • A cardiac MRI to assess the location and extent of any scar tissue within the heart. This helps the doctor determine the risk for an electrical disturbance.

  • Genetic testing is generally suggested since hypertrophic cardiomyopathy can run in families.

 

Treatment can include: 

  • Medications to relieve trouble breathing, or chest pain. Medications are also given to control the heart’s rhythm.

  • Surgery to implant a cardioverter-defibrillator, or “ICD” allows monitoring for electrical disturbances. These events can be potentially life threatening.

  • An alcohol septal ablation uses catheters and wires to induce a localized scare within the heart. This is done to reduce the thickness of the heart muscle and provide better blood flow to the body.

  • Surgical myomectomy is a procedure performed to reduce the thickness of the heart muscle. This treatment provides reduction of symptoms and improved blood flow.

 

Locations

Saint Thomas West

4230 Harding Pike

Suite 530

Nashville, TN 37205

PHONE: (855) 789-2593

Patient Information

    • What to know before your clinic appointment

    • What to know before your procedure

    • What to know after your procedure

 

Our Team



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