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
Why Social Media?
Why would a heart surgeon spend time creating social media content? Dr. Raymond Singer shares why education has always been at the heart of his mission and how today’s digital platforms allow physicians to reach and empower thousands of patients with accurate, compassionate, evidence-based medical information.
The Legacy We Leave Behind
Success is often measured by accomplishments, titles, and recognition, but the greatest legacy we leave is found in the lives we touch. Dr. Singer reflects on the enduring impact of compassion, mentorship, and service, reminding us that our influence extends far beyond our careers.
250 Years of Medicine
Philadelphia is known as the birthplace of American democracy, but it is also the birthplace of American medicine. Dr. Raymond Singer reflects on the physicians, hospitals, and medical institutions that transformed healthcare and continue to shape medicine 250 years later.
The Most Dangerous Emotion
Anger is more than an emotion. It places real physical stress on the heart, raising blood pressure, increasing stress hormones, and contributing to cardiovascular disease. Dr. Raymond Singer discusses the medical effects of chronic anger and why choosing kindness, patience, and compassion benefits both our emotional well-being and our hearts.
Leadership is About Standards
Leadership is not about titles. It is about standards. The best leaders don’t ask others to do what they are unwilling to do themselves. They set the tone through integrity, consistency, humility, and kindness. Every interaction, every decision, and every challenge...
Stroke Survivor Shares Her Open Heart Surgery Recovery
After experiencing a stroke caused by tiny growths on her aortic valve, Tayshia underwent open heart surgery to prevent another stroke. Just eight hours later, she shares her experience, describing minimal pain, a successful valve repair, and renewed peace of mind.
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







