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
Should We Be Afraid of AI?
Should we be afraid of AI? Dr. Scott Silverstein, a pioneer in medical informatics, shares why human judgment, experience, and responsible innovation matter more than ever.
Extraordinary Care Around the Clock
While most of us are sleeping, the cardiac surgery night crew at Jefferson Einstein Montgomery Hospital is working tirelessly to keep patients safe, supported, and cared for. Their dedication, compassion, and teamwork make extraordinary care possible around the clock.
Not Every Patient With Aortic Stenosis Is Best Served by the Least Invasive Approach
Not every patient with aortic stenosis is best served by the least invasive approach. For this 68-year-old patient, severe aortic stenosis and critical coronary artery disease made surgical valve replacement and CABG the right choice.
When the Right Heart Valve Changes: A Fourth Operation After 14 Years
A patient’s remarkable valve history led to a fourth open-heart operation, not because her mechanical valve failed, but because her medical circumstances changed.
Sleep Apnea and Your Heart: Why Your Sleep Matters
Sleep apnea isn’t just about snoring or feeling tired. Untreated sleep apnea can put stress on the cardiovascular system, making sleep an important part of taking care of your heart.
Congratulations to Anastasia Arce, PA-C, on the APC Excellence Award
Congratulations to Anastasia Arce, PA-C, on receiving the Jefferson Health APC Excellence Award. Anastasia is an invaluable member of our Cardiac Surgery team, and this recognition is so well deserved.
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







