Treatment options to repair or replace the main artery valve
If medication and lifestyle changes aren’t enough to manage a problem with your aortic valve, your doctor may recommend repairing or replacing it. The surgeons in our Structural Heart Program are international leaders in continually developing better strategies.
Along with traditional open surgical techniques, we offer five minimally invasive replacement methods, including transcatheter aortic valve replacement (TAVR). We have been a site for every major clinical trial for this procedure since its initial 2007 study.
We also offer a relatively new technique known as valve sparing or valve preserving surgery for aortic root aneurysms. With this procedure, your surgeon can repair the aorta while preserving your own valve.
Our doctors meet daily to discuss and analyze all patients’ conditions based on the severity of their disease, age and overall health to determine the best treatment approach for their unique condition.
Aortic valve repair
Whenever possible, we prefer to repair the valve because it uses your own tissue, carries a lower risk of infection, and reduces the need to take blood-thinning medications for the rest of your life as you would with some types of valve replacement.
Valve repair may be able to patch a hole in the valve’s flaps or reshape the flaps to allow the valve to open and close more effectively. Aortic valve repair is usually performed through traditional open-heart surgery and requires specific expertise, which you can find here.
Aortic valve replacement
If the damage to your aortic valve is severe and cannot be repaired, your doctor may recommend replacing it with one of two options:
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Biological valves: These valves may be made from cow or pig tissue and supported with mechanical parts. Biological valves can last 15 to 20 years and do not require that you take blood-thinning medications. These valves often are recommended for elderly patients.
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Mechanical valves: These valves may be made of plastic, carbon or metal and will require blood thinners to reduce the risk of stroke.These valves often are recommended for young adults because they last longer than a biological replacement.
The replacement procedure can be done through traditional open-heart surgery or through minimally invasive methods that:
- Use a few small incisions instead of opening your chest
- Access the heart by guiding a thin, flexible tube known as a catheter through a blood vessel in your leg
Conditions
Aortic Stenosis
Aortic stenosis, also known as aortic valve stenosis, is a narrowing of the aortic valve.
Aortic Valve Disease
Aortic valve disease is a type of heart valve disease that occurs when the valve between your aorta (the largest blood vessel) and the left ventricle (the heart’s main pumping chamber) doesn’t work as it should.
Bicuspid Aortic Valve Disease
People with bicuspid aortic valve disease (BAVD) have an aortic valve made up of two flaps instead of three.
Takayasu’s Arteritis
Takayasu’s arteritis is the inflammation and damage of blood vessels that reduces blood flow through the body.
Tests
Angiogram (Angiography)
An angiogram is a special X-ray taken as a special dye is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.
Cardiac Catheterization
Cardiac catheterization is a minimally invasive way to diagnose and treat a variety of heart and vascular conditions by guiding thin, flexible tubes called catheters through blood vessels to problem areas.
Echocardiogram
An echocardiogram uses high-frequency sound waves to create images of your heart.
Transesophageal Echocardiogram (TEE)
Transesophageal echocardiogram allows us to take very detailed images of your heart structure from a probe in your esophagus.
Our providers
Location: Change location Enter your location
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Ammar S Bafi, MD
Valvular Disease Cardiology, Structural Heart Disease Cardiology & Cardiac Surgery
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Cierra Bruck, PA-C
Cardiac Surgery
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Ashley Chenoweth, AGACNP-BC
Cardiac Surgery
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John V Conte, MD
Cardiac Surgery
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Laura Lee Cramer-Joyce, ANP-BC
Cardiac Surgery
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Susan L. Davis, ACNP-BC
Cardiac Surgery
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Jonathan R. Gower, MD
Cardiothoracic Surgery
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Carolin Hanna, AGACNP-BC
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Rachel E Harrison, MD
Cardiac Surgery
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Maria Gina Heyrana
Cardiac Surgery
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Yuji Kawano, MD
Cardiac Surgery
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Kathleen J. Lavery, ACNP-BC, MSN, APRN
Cardiac Surgery
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Nicole M Monte-Bovi, AGACNP-BC
Cardiac Surgery
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Susan Thornton Oyola, AGACNP-BC
Cardiac Surgery
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Christian Charles Shults, MD
Valvular Disease Cardiology, Structural Heart Disease Cardiology & Cardiac Surgery
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Elizabeth C. Sullivan, ANP-BC, CRNP
Cardiac Surgery
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Our locations
Distance from Change locationEnter your location
MedStar Union Memorial Hospital
201 E. University Pkwy. Baltimore, MD 21218
MedStar Washington Hospital Center
110 Irving St. NW Washington, DC 20010
Additional information
A heart patient becomes a mom
Joanna Zimmerman and her husband wanted to have a baby, but Joanna’s heart condition posed some unique challenges. Learn how we worked with her to grow her family and keep her heart healthy.
Ask MedStar Heart & Vascular Institute
Have general questions for our heart and vascular program? Email us at AskMHVI@medstar.net. If you have clinically-specific questions, please contact your physician’s office.