Aortic Stenosis Surgery to Change by 2015

Medical advances continue to shape the treatment and management of life threatening diseases specific to the human heart.

Such is the case for patients diagnosed with aortic stenosis, a life-threatening disease in which a heart valve narrows due to calcification, wear or infection.

Ultimately, aortic valve stenosis can lead to thickening of the cardiac muscle and heart failure. To treat aortic stenosis, highly skilled cardiothoracic surgeons perform open heart surgery in which the sternum is split, the heart is stopped and the aortic valve is either repaired or replaced.

It is estimated that over 40,000 surgeries are performed in the United States each year due to aortic stenosis. Given the current size of this market and the expected surge in heart surgery, due to the 76 million baby boomers, several medical centers and corporations are developing new procedures to minimize the trauma and decrease the mortality rates of corrective operations for aortic stenosis.

Minimally invasive procedures appear to be the centerpiece of the new approaches to treating aortic valve stenosis. Using non-invasive techniques the trauma to the chest plate is decreased and the challenging recovery time is greatly reduced.

One such form of minimally invasive aortic valve surgery is a mini-sternotomy. According to Dr. Eric Roselli, heart surgeon at The Cleveland Clinic, “Almost all isolated first time aortic valves get a mini-sternotomy in my practice and I believe that’s true for my colleagues as well.”

The other, more revolutionary form of heart surgery used to treat aortic stenosis uses a percutaneous approach that uses cathethers to position tissue heart valve replacements directly into the heat without breaking the patient’s sternum.

Edwards Life sciences, based in Irvine, California, currently have its transcatheter, Sapien aortic valve replacement technology in trials.

“I had a full sternotomy to correct my aortic stenosis,” notes Adam Pick, former patient and author of The Patient’s Guide To Heart Valve Surgery. “From a patient perspective, the recovery was filled with unexpected challenges and pain. It’s wonderful to hear that minimally invasive technologies are now being implemented.”

About the Author:
Adam Pick is a double, heart valve surgery patient and author of The Patient’s Guide To Heart Valve Surgery, a unique book which integrates the clinical facts of heart valve surgery with the personal experiences of 78 former valve surgery patients which suffered from aortic stenosis, mitral valve prolapse and other heart valve disorders.