August 7, 2015
MEDICAL UNIVERSITY of SOUTH CAROLINA
Vol. 33, No. 48
New heart valve procedure provides hope, quality of life Program celebrates 150 procedures by honoring patients at a July 24 reception held at MUSC By Mikie HAyes Public Relations The room was filled with an overwhelming sense of gratitude: Tears, hugs and heartfelt testimonials were plentiful. And for the patients who came to MUSC with little to no hope, their raw emotion was understandable — for their lives had been changed dramatically by a relatively new procedure called TAVR and the two doctors who performed it. Doctors who now feel like part of the family. In March 2012, MUSC was the first hospital in the state to introduce the trans aortic valve replacement — a new treatment option for patients who had been diagnosed with severe aortic stenosis but who were not candidates for traditional open heart surgery. Daniel Steinberg, M.D., an interventional cardiologist and associate professor in the Division of Cardiology, and John Ikonomidis, M.D., Ph.D., Horace G. Smithy Professor and chief of the Division of Cardiothoracic Surgery, along with Eric Powers, M.D. and Mario Castillo–Sang, M.D., have together performed the 150–plus TAVR surgeries at the Medical University to date. Steinberg explained that a condition called aortic stenosis is typically
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photo by Brennan Wesley, Business Development & Marketing Services
Above photo: Drs. John Ikonomidis and Daniel Steinberg during a TAVR procedure. Left photo: The Marchant family of St. George at the July 24 TAVR celebration.
photo by Mikie Hayes, Public Relations
responsible for the aortic valve needing to be replaced. This occurs when the opening to the aortic valve becomes narrow and blood flow from the heart is restricted. That narrowing prevents the valve from opening fully, which obstructs blood flow from the heart into the aorta and the rest of the body. It can become so tight that patients may experience symptoms such as chest pain, severe fatigue, fainting and shortness of breath — all of which can seriously restrict
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their normal day–to–day living activities. Favorite pastimes such as traveling, golfing and fishing become just that – a thing of the past. Currently, nearly 1.5 million people in the U.S. suffer from aortic stenosis and approximately 200,000 people develop the condition each year. Many patients are considered “inoperable” which offers them and their families little hope for a future. According to Ikonomidis, aortic stenosis can gradually develop over years without symptoms, but once a patient is symptomatic the disease is deadly, more deadly in fact than most cancers, including lung, breast, prostate and ovarian. And there are no drugs to treat it. Patients with severe aortic stenosis, he said, have a survival rate of only 50 percent at two years and 5 percent at five years if the condition is left untreated. He added, “Once a patient is diagnosed with severe aortic stenosis, quality of life can be very difficult and actually rather miserable.” The gold standard, in terms of treatment for aortic stenosis, is aortic valve
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