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Structural Heart Disease Program

Generally , structural heart disease programs focus on diseases involving the heart ’ s valves or other noncoronary structures of the heart . When it comes to this specialized area , Baylor Scott & White Heart and Vascular Hospital – Dallas brings additional specialties into the discussion to provide individualized , multidisciplinary care .

This team includes interventional cardiologists , heart failure specialists and cardiac surgeons as well as echocardiology specialists , advanced imaging experts and electrophysiologists on the medical staff . Expertise from board certified cardiovascular anesthesiologists is also vitally important . These specialized anesthesiologists work in concert with the team , differentiating the Dallas campus from other treatment centers .

The program offers catheter-based and less invasive procedures , resulting in better outcomes for many patients . For example , the device used for transcatheter mitral valve repair has grown as a treatment option for patients with mitral regurgitation who are not candidates for surgical valve replacement . The program ’ s Center for Valve Disorders and Aortic Center received patients from all over Texas as well as the greater region in fiscal year 2023 for conditions needing advanced treatment options provided at Baylor Scott & White Heart and Vascular Hospital - Dallas . ( See dedicated section on the Advanced Cardiovascular Centers for more information .)

Structural Heart Disease Program procedures include :

• Atrial septal defect ( ASD ) closure

• Left atrial appendage occlusion ( LAAO )

• Minimally invasive surgical repair of structural heart defects

• Minimally invasive surgical heart valve repair or replacement

• Minimally invasive tricuspid valve repair

• Patent foramen ovale ( PFO ) catheter repair

• Transcatheter aortic valve replacement - minimally invasive ( TAVR )

• Transcatheter mitral valve repair – minimally invasive ( TMVR )

• Transcatheter pulmonic valve replacement

• Percutaneous tricuspid valve repair

For more information about the Structural Heart Disease Program : 214.820.3604

Key publications

A sampling of key journal articles interventional cardiologists on the hospital ’ s medical staff authored in fiscal year 2023 are noted below .

• Agusala V , Dale P , Khera R , Brown SP , Idris AH , Link MS , Mody P . Variation in coronary angiography use in Out-of-Hospital cardiac arrest . Resuscitation 2022 Dec ; 181:79-85 .

• Ali A , Dang AT , Cameron SJ , Banerjee S , et al . Extracorporeal Cardiopulmonary Resuscitation for Refractory Out-of-Hospital Cardiac Arrest : A Meta-Analysis of Randomized Trials . JACC - Cardiovascular Interventions , S1936- 8798 ( 23 ) 00856-7 . Advance online publication . ( June 2023 )

• Chugh Y , Cavalcante JL , Lesser J , Garcia S . Transcatheter Pulmonic and Tricuspid Valve-in- Valve Implantation to Treat Sequential Stenotic lesions in a Septuagenarian with Tetralogy of Fallots . Cardiovasc Revasc Med , 2022 Oct ; 43:158- 159 .

• Chugh Y , Yashasvi J , Desmond C , Cavalcante JL , Lesser J , Bapat VN , Garcia S . Feasibility of TAVR for the Treatment of Severe Aortic Insufficiency from Iatrogenic Leaflet Perforation in the Absence of Aortic Valve Calcification . Cardiovasc Revasc Med , 2022 Sep ; 42:186-187 .

• Chugh Y , Mahowald MK , Robert J , Bradley SM , Gössl M . Identifying and Addressing Gaps in the Care of Patients With Severe Valve Disease . Circulation . Cardiovascular quality and outcomes , 15 ( 12 ), e009209 . ( December 2022 )

• DeSa TB , Tecson K M , Lander SR , Stoler RC , Vallabhan RC , Hebeler RF , Henry AC , Grayburn PA . Comparison of Echocardiographic and Catheter Mean Gradient to Assess Stenosis After Transcatheter Aortic Valve Implantation . The American Journal of Cardiology , 191 , 110 – 118 . ( March 2023 )

• Elbadawi A , Jessen ME , Stoler RC . Roadmap for Redo Transcatheter Aortic Valve Implantation : Are We There Yet ? The American Journal of Cardiology , 192 , 67 – 68 . ( April 2023 )

• Divakaran S , Parikh SA , Hawkins BM , Chen S , Song Y , Banerjee S , Rosenfield K , Secemsky EA . Temporal Trends , Practice Variation , and Associated Outcomes With IVUS Use During Peripheral Arterial Intervention . JACC . Cardiovascular Interventions , 15 ( 20 ), 2080 – 2090 . ( October 2022 )

• Landrum EB , Schussler JM . Recurrent Stent Fracture Due to Myocardial Bridging : A Brief Report and Review of Published Cases . The American Journal of Cardiology , 2023 Aug 1 ; 200:75-77 .

Baylor Scott & White Heart and Vascular Hospital - Dallas | INTERVENTIONAL CARDIOLOGY