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Surgery to replace a faulty heart valve used to be more traumatic than actually getting the artificial valve. Now, instead of undergoing the traditional operation, which temporarily put patients on a heart-lung machine, surgeons are using a more direct approach on their high risk patients. “It’s proven to be a great option for those critically ill patients who might not otherwise qualify for surgery,” says Dr. Brian Hummel, a cardiothoracic surgeon with Lee Memorial Health System. The standard for this less invasive procedure is called TAVR, for trans-catheter aortic valve replacement. The TAVR technique delivers the new valve through an artery; most commonly one in the groin. “We’re doing that about 90% of the time, where we don’t even cut the skin at all,” says Dr. Hummel. Much like an angioplasty procedure, a catheter is inserted into the artery through a poke hole. Once it’s guided through the vascular system into the heart, the valve is deployed using a balloon. “You deflate the balloon and pull it out and you’re done,” says Dr. Hummel. It soon became apparent that many people with vascular disease were excluded because their veins were compromised. So the FDA approved additional approaches, the same surgery using different entry points. “The FDA allowed us to place them trans-apically which meant that we made a tiny incision in the chest, actually poked a hole right through the wall of the heart. Then we evolved to where we were doing them through subclavian access. We’ve done them from the aortic artery,” says Dr. Hummel. With more than 200 cases performed locally, doctors assessed data, comparing outcomes of TAVR patients to those who underwent traditional valve replacement. “They’re doing as well as a surgical group or better because they didn’t have the initial insult of surgery,” says Dr. Hummel. New approaches are providing new opportunities, for high-risk patients in need of a major heart repair. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org