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!
(๐๐ฉ๐ฆ ๐ท๐ช๐ฆ๐ธ๐ด ๐ฆ๐น๐ฑ๐ณ๐ฆ๐ด๐ด๐ฆ๐ฅ ๐ช๐ฏ ๐ฎ๐บ ๐ฑ๐ฐ๐ด๐ต๐ด ๐ข๐ณ๐ฆ ๐ฎ๐บ ๐ฐ๐ธ๐ฏ ๐ข๐ฏ๐ฅ ๐ฅ๐ฐ ๐ฏ๐ฐ๐ต ๐ณ๐ฆ๐ฑ๐ณ๐ฆ๐ด๐ฆ๐ฏ๐ต ๐ต๐ฉ๐ฆ ๐ท๐ช๐ฆ๐ธ๐ด ๐ฐ๐ง ๐ฎ๐บ ๐ฆ๐ฎ๐ฑ๐ญ๐ฐ๐บ๐ฆ๐ณ ๐ฐ๐ณ ๐ข๐ฏ๐บ ๐ฐ๐ณ๐จ๐ข๐ฏ๐ช๐ป๐ข๐ต๐ช๐ฐ๐ฏ.)
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.ย Heart Valves
- Read testimonials.ย Testimonials
- Did you know I have a consulting firm?ย 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







