In the past, the procedure to repair or replace a heart valve involved open heart surgery and at times there are patients, especially those that are elderly or frail, where an open heart procedure is not recommended.  In these instances, the Valve Center at Cardiology Associates, brings together a professional collaboration of experts in interventional cardiology, cardiothoracic surgery, clinical technology and nursing to perform transcatheter aortic valve replacement or TAVR, a innovative and minimally invasive procedure to replace the old or damaged valve with a replacement valve in its place.  This procedure is also referred to as transcatheter aortic valve implantation, TAVI or AVI.  

To ensure optimal patient results our multi-disciplinary team uses state-of-the art hybrid catheterization labs, supported by the hospital’s highly trained staff to offer this cutting edge technology to the patients of the Gulf Coast.   

Following the FDA’s approval for the treatment of patients with inoperative aortic valve disease in late 2011, The Valve Center at Cardiology Associates was one of a select few heart teams in the United States to first offer TAVR to patients with aortic valve disease.

More than 5 years later, this innovative valve therapy continues to offer improved quality of life to residents on the Gulf Coast with severe aortic stenosis. The Valve Center at Cardiology Associates has performed over 200 replacement procedures. TAVR is quickly becoming more and more the standard for aortic valve replacements in patients who are at high or intermediate risk for aortic valve replacement (AVR).

 

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About Valve Disease

Valve Disease is very common, more than five million Americans are diagnosed each year and unfortunately it can go undetected for many years. The symptoms develop slowly and do not typically present themselves to the patient until later onset of the disease, which at this point may be advanced.

Stenosis (abnormal narrowing) or regurgitation (leaking) in the heart valves causes the heart to work harder and if left untreated, may lead to heart failure. The heart has 4 valves that keep blood flowing from the heart in the right direction. The four valves are the mitral, aortic, tricuspid and pulmonic valves. The mitral and aortic valves are the most frequently affected by valvular disease.

The aortic valve governs blood flow between the heart and the aorta and thus the vessels to the rest of the body. Severe aortic stenosis is when the blood flowing out of the heart is hampered and the valves of the aorta won’t open and close properly.


 
 

Diagnosing Aortic Stenosis or Valvular Heart Disease

The symptoms are at times undetectable or can go unnoticed. Typically valve disease advances slowly and the heart may adjust and one may not notice the onset of symptoms. Many of the symptoms are similar to those with congestive heart failure which are shortness of breath, swelling of the hands, feet, ankles or abdomen, palpitations, mild chest pain, fatigue, dizziness or fainting.

The cause may be congenital (present at birth) or may develop over a period of years. Valve disease or damage to heart valves can also be attributed to a heart attack, atherosclerosis and high blood pressure, endocarditis (an infection of the inner lining of the heart muscle and valves), Rheumatic fever or heart tissue may degenerate with age.

An echocardiography study is often used when evaluating a patient for valvular disease which is an ultrasound of the heart and provides important information on the structure and function of the heart muscle and valves.  

In addition to an echocardiography study, a cardiopulmonary function test (CPX) will be ordered. The CPX helps determine how the heart and lungs work together and determine any cause of fatigue. A cardiac PET scan may also be ordered which will provide a superior image of both the anatomical structures within the body and the metabolic activity occurring in those structures.  At times a cardiac catheterization may also be necessary in identifying valvular disease.

 

 

 

Transcatheter Valve Placement

Watch the video to view an animation showing an aortic valve replacement using the transcatheter aortic valve.  

 
 

 

The Valve Center Team

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Dr. John M. Galla, MD, FACC, FSCAI
Interventional Cardiology
Peripheral Vascular Intervention
Structural Heart Disease

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Dr. Kellan E. Ashley, MD, FACC, FCCP
Interventional Cardiology
Peripheral Vascular Intervention
Structural Heart Disease

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Stanley N. Thornton, MD, FACC, FSCAI
Interventional Cardiology
Peripheral Vascular Intervention
Structural Heart Disease

 
 
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Mary Helen Marks, RN, BSN
Valve Center Coordinator

 
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Heather Beasley, RN, BSN
Valve Center Coordinator

 

 

Request an Appointment

If you need immediate medical assistance, please call 9-1-1.  We cannot accept emergency requests through this form. 

We know how important it is for you to get your appointment scheduled promptly. To schedule an appointment, please call 251-607-9797 Monday through Friday from 8:00 a.m. to 5:00 p.m. or complete the form below, a representative will contact you within 24 hours or the following business day to schedule your appointment.

If you are an established patient of Cardiology Associates, you may also request an appointment online through our Patient Portal. In the portal you can also request a prescription refill, submit questions and provide updated information.

We understand schedules can change so should you need to reschedule or cancel your scheduled appointment please call at least one day in advance so we can give your time to another patient. If due to unforeseen circumstances, you cannot give 24 hours’ notice, please call as soon as you know you will be unable to keep your appointment.   If you miss an appointment for any reason, please do not come into the office without first rescheduling another appointment.

 
 
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