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
Why Every Heart Surgery Patient Deserves a Second Opinion
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You’re Never Too Old to Build a Healthier Heart
Dr. Raymond L. Singer reminds us that healthy aging starts with showing up. No matter your age, every workout and healthy choice is an investment in your heart and your future.
Leadership Is Measured by Trust, Not Titles
Leadership extends far beyond an organizational chart. The strongest leaders earn trust, serve others with humility, and leave a lasting legacy by helping people grow and succeed.
Cleaner Air Returns to the Philadelphia Region
After several days of unhealthy air from Canadian wildfire smoke, cleaner air has returned to the Philadelphia region. Dr. Raymond Singer explains why conditions have improved and what it means for your health.
Wildfire Smoke Health Risks: Interview on CBS 21
Wildfire smoke contains tiny particles that can affect far more than your lungs. During a recent CBS 21 interview, Dr. Raymond Singer explained who faces the greatest risk and what simple steps can help protect your health.
Air Quality Improving, But Health Risks Remain
Wildfire smoke continues to impact Pennsylvania, with Code Orange and Code Red air quality alerts still in effect. Dr. Raymond Singer explains the health risks, who is most vulnerable, and practical steps to protect yourself while conditions improve.
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







