Heart Information Center
 
Ask a Heart Doctor
  Back to previous page

 

Help us improve this service.

Your feedback will help guide us in developing this site.

Ask a Texas Heart Institute Doctor 
Informed patients make better patients.

Question:

Do you perform percutaneous HVD therapy (valve-in-valve replacement)? 

Do you perform percutaneous HVD therapy (valve-in-valve replacement)? Would you be able to consider doing so for an 80 y.o. man (my father) with a failing bovine valve who is not considered a good candidate for regular valve replacement surgery? He may not be eligible for surgery, i.e., he may not be able to receive anything more than palliative therapy if there is no other option, in part because his hemoglobin is low and (for religious reasons) he does not want to accept any blood transfusions.

submitted by Martin from New York, New York on 5/17/2013

Answer:

by Texas Heart Institute cardiologist, Neil E. Strickman, MD  

Neil E. Strickman, MDThis is being done in high risk patients.  He would need to be evaluated to see if the anatomy is suitable for aortic valve only (which is likely what he has since it is bovine). He would also need tests such as CTangio/2DE/Transesophageal echo and cardiac catheterization. He would need evaluation of  his blood situation and may need intravenous iron.  It all depends on the clinical situation.   

See also on this site:   

Has your question or a similar one already been answered?
Search all the Heart Doctor questions and answers.

To search for a doctor or access St. Luke's physician referral service, use the "Find a Doctor" link at the top of this page.


Updated May 2013
Top  

If you need information about keeping your heart healthy, e-mail the
Heart Information Center or call 1-800-292-2221.
 (Outside the U.S., call 1-832-355-6536.)

Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
Like us on Facebook Follow us on Twitter Subscribe to us on YouTube Find Us on Flicikr Follow Us on Pinterest Add us on Google+

Please contact our Webmaster with questions or comments.
Terms of Use and Privacy Policy
© Copyright 1996-2014 Texas Heart Institute.
All rights reserved.
This website is accredited by Health On the Net Foundation. Click to verify. U.S. NEWS America's Best Hospitals 2013-14