Valvular Disease Heart valve disease occurs if one or more of the heart’s valves don’t work well. In order to keep the blood flowing forward during its journey through the heart, there are valves between each of the heart’s pumping chambers. The heart has four valves: Tricuspid Valve – located between the right atrium and the right ventricle Pulmonary (or Pulmonic) Valve – located between the right ventricle and the pulmonary artery Mitral Valve – located between the left atrium and the left ventricle Aortic Valve – located between the left ventricle and the aorta These valves have tissue flaps that open and close with each heartbeat. The flaps make sure blood flows in the right direction through your heart’s four chambers and to the rest of your body. If one or more valves become insufficient (leaky), blood leaks backwards which means that less blood is pumped in the proper direction. The physician may decide that the diseased valve(s) needs to be surgically repaired or replaced. Structural Heart Program The Structural Heart Program at CIS provides minimally-invasive procedures to treat life-threatening valve disorders and structural heart defects. Through collaboration between interventional cardiologists and cardiovascular surgeons, CIS teams across the region strive to pioneer innovative heart solutions and provide the best possible outcomes for our patients with structural heart diseases and conditions. Conditions We Treat Mitral Valve Stenosis Aortic Stenosis Pulmonary Valve Stenosis and Regurgitation Patent Foramen Ovales Paravalvular Leaks – Aortic and Mitral Congenital Heart Defects, such as Patent Ductus Arteriosus, Atrial Septal Defect and Ventricular Septal Defect Congestive Heart Failure Degenerative Aortic Bioprosthesis Treatment Options Transcatheter Aortic Valve Replacement (TAVR) Balloon Valvuloplasty Percutaneous Mitral Valve Clip Placement Septal Defect and Patent Foramen Ovale Closure Left Atrial Appendage Closure/Ligation Coronary Fistula Closure Transcatheter Paravalvular Leak Closure Transcatheter Aortic Valve Replacement (TAVR) During a TAVR procedure, the cardiovascular experts at CIS make a tiny incision near the groin or in a major leg artery, then guide a long tube about the width of a pencil into the body. A new valve containing a collapsed balloon on one end is placed inside the patient’s diseased valve and inflated. When the balloon is inflated, it immediately restores blood flow from the heart. The patient’s doctor will ensure the new valve is working properly before closing up the incision. Unlike traditional open-heart surgery, the TAVR procedure: Is a closed-chest treatment Takes place while the patient’s heart is still beating Eliminates the need for the heart-lung machine Doesn’t require stopping the heart Results in faster recovery times The TAVR procedure may involve general anesthesia and is associated with specific contraindications as well as adverse effects, including risks of death, stroke, major vascular complications and major bleeding, and other life-threatening and serious events. Those eligible for a TAVR procedure include people with symptomatic severe aortic stenosis who are at an intermediate or greater risk for open-heart surgery as determined by a specialized heart team. At this time, TAVR is not approved for everyone. To learn more about our Structural Heart services and TAVR, contact one of our clinics below: Houma 225 Dunn StreetHouma, LA 70360 Phone (985) 876-0300 Toll-Free (800) 445-9676 Fax (985) 876-4605 Lafayette on Ambassador 2730 Ambassador Caffery ParkwayLafayette, LA 70506 Phone (337) 988-1585 Toll-Free (800) 582-2435 Fax (337) 981-4694 Baton Rouge 8401 Picardy AvenueBaton Rouge, LA 70809 Phone (225) 308-0247 Toll-Free (225) 308-0247 Fax (225) 308-0249 Conditions Related to Valve & Structural Disease Aortic Stenosis Mitral Regurgitation Tricuspid Regurgitation