Over the past 15 years, one of the biggest debates in cardiovascular medicine has been whether patients with severe aortic stenosis should be treated with either the TAVR procedure or open heart surgery.
I’ve had a unique perspective on that debate. I helped organize one of the region’s early heart team programs when TAVR first emerged in the United States in late 2011 and early 2012. Years later, I served as a principal investigator for one of the Medtronic low-risk TAVR trials.
During my career, I’ve also performed nearly 9,000 open heart and lung operations.
What I’ve learned is that medicine is not about choosing sides. It’s not TAVR versus surgery. It’s not cardiologists versus surgeons.
It’s about patients.
Some patients are best treated with TAVR, the minimally invasive procedure that allows us to replace diseased aortic valves without opening the chest. Other patients are best treated with surgery, which continues to provide outstanding and durable results.
Many patients benefit from having both cardiologists and cardiac surgeons sit down together to determine the best treatment plan. That’s what we call the heart team.
The heart team has been one of the great success stories in cardiovascular medicine. Different specialties bring together different perspectives, all focused on a single goal: doing what’s best for the patient.
Every day, patients place an incredible amount of trust in us. They don’t care who performs the procedure. They don’t care about titles or specialties. They simply want the best outcome.
And that’s exactly how it should be.
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(𝘛𝘩𝘦 𝘷𝘪𝘦𝘸𝘴 𝘦𝘹𝘱𝘳𝘦𝘴𝘴𝘦𝘥 𝘪𝘯 𝘮𝘺 𝘱𝘰𝘴𝘵𝘴 𝘢𝘳𝘦 𝘮𝘺 𝘰𝘸𝘯 𝘢𝘯𝘥 𝘥𝘰 𝘯𝘰𝘵 𝘳𝘦𝘱𝘳𝘦𝘴𝘦𝘯𝘵 𝘵𝘩𝘦 𝘷𝘪𝘦𝘸𝘴 𝘰𝘧 𝘮𝘺 𝘦𝘮𝘱𝘭𝘰𝘺𝘦𝘳 𝘰𝘳 𝘢𝘯𝘺 𝘰𝘳𝘨𝘢𝘯𝘪𝘻𝘢𝘵𝘪𝘰𝘯.)
Recent Posts
Patient Experience Matters as Much as the Operation
When people think about cardiac surgery, they often focus on the operation itself. But according to Dr. Raymond Singer, the future of heart surgery extends far beyond the operating room. From access to care and patient education to recovery and emotional support, the patient experience is becoming one of the most important measures of healthcare excellence.
I Used to Be an Athlete
After years of long hours, stress, and the demands of a surgical career, Dr. Raymond Singer realized he had drifted far from the healthy athlete he once was. Through consistent lifestyle changes, improved nutrition, exercise, emotional wellness, and the support of modern GLP-1 medications, he lost nearly 60 pounds and discovered that healthy aging begins one decision at a time.
What It Feels Like to Hold a Human Heart
After nearly 9,000 heart operations, Dr. Raymond Singer shares what it feels like to hold a human heart in his hand and explains how studying the remarkable complexity of the heart has strengthened his faith and appreciation for life.
How a Calcium Score Led to Bypass Surgery
When Michael learned his coronary calcium score was 775, he knew something wasn’t right. Although initial stress tests appeared normal, advanced cardiac imaging eventually uncovered severe coronary artery disease with critical blockages. Just 11 days after cardiac catheterization, he underwent successful double bypass surgery and was back home within days, experiencing minimal pain and a remarkable recovery.
Obstructive Sleep Apnea
Many people think obstructive sleep apnea is simply a nuisance because of loud snoring, but it can have serious consequences for heart health. Repeated interruptions in breathing place tremendous stress on the cardiovascular system and may increase the risk of high blood pressure, atrial fibrillation, heart failure, stroke, and heart attack. Learn the warning signs, risks, and treatment options that can improve both sleep quality and long-term health.
What Keeps a Cardiac Surgeon Going
After 35 years in cardiac surgery and more than 8,500 operations, Dr. Raymond Singer shares a candid reflection on the challenges, sacrifices, and rewards of a career dedicated to saving lives. From long nights in the operating room to the extraordinary teams that make successful outcomes possible, this personal message offers a powerful look at the human side of medicine.
Featured
Pages
- Learn about heart valves. Heart Valves
- Read testimonials. Testimonials
- Did you know I have a consulting firm? Singer Heart/Lung Consulting
- Check out my TedTalk! Defining Success
Links
- Links page with more information about your heart. Links
- Dr. Adam Pick's Site: heart-valve-surgery.com







