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2021 Heart & Vascular Annual Report

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Structural heart

The treatment of structural heart and valve disease has become a widely-recognized subspecialty program at Saint Joseph Hospital. Focusing on adult congenital heart defects, valve disease, and hypertrophic cardiomyopathy, the program specializes in minimally invasive interventions for patients where open-heart surgery is not possible or recommended1.

Structural heart program cases

Structural & heart valve disorders

There are a variety of structural and heart valve disorders our providers treat and manage 2 Common disorders range from heart defects, such as holes in the walls of the heart, to valve diseases, where blood flow is disrupted due to leaky or stiff valves.

Many of these issues may present as a heart murmur, or whooshing sound in the heart, or can have more serious symptoms including fatigue or shortness of breath.

Structural heart

MitraClip for mitral valve disease

The MitraClip Transcatheter Mitral Valve Repair (TMVr) procedure is a minimally invasive catheter-based therapy for patients with primary or secondary mitral regurgitation. While open-heart surgery to repair or replace the mitral valve is generally recommended, it may not be an option for many patients who are at high surgical risk or have secondary heart failure.

Saint Joseph Hospital has been performing MitraClip procedures since 2017, making it one of the most experienced programs in the region. Based on first-hand program experience and extensive clinical trials, the procedure has shown to be extremely safe, reduced or eliminated mitral regurgitation symptoms, and resulted in shorter hospital lengths of stay and reduced hospitalizations for patients with concurrent heart failure.

Convergent procedure for Afib

TAVR for aortic valve disease

Since 2012, Saint Joseph Hospital has developed one of the highest volume Transcatheter Aortic Valve Replacement (TAVR) programs in the Rocky Mountain region. TAVR is a minimally invasive alternative to open-heart valve surgery for patients with aortic valve stenosis. Once reserved only for patients at elevated risk for traditional valve surgery, today, TAVR eligibility is more inclusive of severe, symptomatic calcific aortic stenosis patients, independent of surgical risk.

Convergent procedure for Afib

Open surgery interventions for structural heart disease

While new, minimally invasive techniques have been developed to treat a variety of structural heart disease, especially for patients at medium to high risk for open-heart surgery, conventional methods still remains a common and proven way to cure or reserve structural heart issues.

Saint Joseph Hospital performs conventional surgery for structural heart diseases, including:

Convergent procedure for Afib

Multidisciplinary
evaluation & treatment

No matter a patient’s age or overall health condition, the structural heart treatment team is dedicated to providing holistic, personal care to ensure each patient receives the most appropriate and beneficial treatment plan. With a team of multidisciplinary specialists including interventional cardiologists, cardiothoracic surgeons, electrophysiologists, advanced practice providers, and some of the leading CV imaging specialists in the country, structural heart patients are guaranteed a full and complete evaluation of their condition, treatment recommendation, and follow-up care.

Electrophysiology

Peripheral vascular program

2021 Heart & Vascular Annual Report for SCL Health, now Intermountain Healthcare.

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