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.
Interested in my book? You can buy it on Amazon!
(𝘛𝘩𝘦 𝘷𝘪𝘦𝘸𝘴 𝘦𝘹𝘱𝘳𝘦𝘴𝘴𝘦𝘥 𝘪𝘯 𝘮𝘺 𝘱𝘰𝘴𝘵𝘴 𝘢𝘳𝘦 𝘮𝘺 𝘰𝘸𝘯 𝘢𝘯𝘥 𝘥𝘰 𝘯𝘰𝘵 𝘳𝘦𝘱𝘳𝘦𝘴𝘦𝘯𝘵 𝘵𝘩𝘦 𝘷𝘪𝘦𝘸𝘴 𝘰𝘧 𝘮𝘺 𝘦𝘮𝘱𝘭𝘰𝘺𝘦𝘳 𝘰𝘳 𝘢𝘯𝘺 𝘰𝘳𝘨𝘢𝘯𝘪𝘻𝘢𝘵𝘪𝘰𝘯.)
Recent Posts
Celebrating a Remarkable Career of Caring
Dr. Raymond Singer celebrates his dear colleague and friend Marie Baker Mo, whose remarkable career has been defined by compassion, leadership, mentorship, and an unwavering commitment to caring for patients and those who care for them.
Quality and Patient Safety Must Always Come First
After years of leadership in healthcare quality and patient safety, Dr. Raymond Singer discusses two principles that can help prevent serious safety failures: ownership and communication.
The Power of Culture in Healthcare: Why Great Teams Deliver Better Care
In healthcare, metrics tell only part of the story. The culture behind a program shapes how people communicate, collaborate, hold one another accountable, and ultimately care for patients.
A Tiny Heart Tumor, a Stroke, and a Remarkable Recovery
After suffering a stroke with no clear source, Tayshia Hatcher was found to have a small tumor on her aortic valve. Surgeons removed the benign tumor, preserved her valve, and helped identify what was likely the source of her stroke. Six weeks after surgery, Tayshia reported no pain and no lasting effects from her stroke.
When Open Heart Surgery Is the Best Option
At 82 years old, Rachel Leister underwent triple valve open heart surgery after severe aortic and mitral valve stenosis caused significant shortness of breath. Six weeks later, she is pain-free, feeling great, and ready to get back to walking outdoors.
Your Heart Was Made to Move
What is the best exercise for your heart? There isn’t just one answer. Dr. Raymond Singer explains how aerobic exercise, strength training, flexibility, balance, and simple daily movement can all support cardiovascular health.
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







