Maryland’s Health Matters - St. Joseph - Winter 2018 - 6
"CMS is making sure
Structural Heart Disease
Nine medical personnel
"By the age of 85, about
Program at UM SJMC and
that only cardiac surgery
work in the OR during a
40 percent of people
clinical assistant professor of
hospitals can perform
TAVR procedure. "The hybrid
have aortic stenosis.
medicine at the University of
TAVR, and that the cardiac
OR brings the concept of the
When the aortic valve
Maryland School of Medicine.
team is highly experienced,
heart team to the forefront.
gets narrow from calcifica-
Dr. Zaidi is board-certified
performing a large volume
TAVR has transformed heart
tion, the body does not
in internal medicine, cardiol-
of cardiac surgeries every
medicine. We have a car-
get enough oxygen to the
ogy, interventional cardiol-
year," says Dr. Zaidi.
diac surgeon, interventional
brain, lungs and heart,"
cardiologist, cardiac anesthe-
says Dr. Zaidi. "Before
greater Baltimore commu-
siologist, echocardiographer,
TAVR was available, many
nity the latest, minimally
profusionist and more in the
patients with aortic stenosis
was available for patients
invasive treatment for valve
room," says Dr. Salenger. "We
were inoperable and died
who were inoperable or
replacement, UM SJMC
work as a unit. It's very excit-
within two years. There
at high risk for open-heart
has recently opened a new
ing. Plus, this OR is one of
was nothing we could do.
surgery. "As of 2016 thanks
hybrid TAVR operating
the best in the world."
There is no medication that
to clinical studies, the FDA
room, bringing the same
[Food & Drug Administra-
state-of-the-art TAVR
not only excited about the
tion] and CMS [Center for
surgery that's also avai-
new OR, but also about the
no pain or discomfort from
Medicare Services] decided
lable at the University of
ability to save more lives.
TAVR. "I gave the doctors
that patients at intermedi-
Maryland Medical Center.
"Aortic stenosis can be
a thumbs-up when I awoke
more deadly than some
after TAVR. A couple
types of metastatic cancer,"
days later, I was cooking
explains Dr. Zaidi.
and baking. I felt great.
In order to bring the
ogy, echocardiography and
nuclear cardiology.
Originally, TAVR only
ate risk, as determined by
The TAVR heart team is
can help," he adds.
Evelyn Kimball had
are also eligible for TAVR,"
A HEART TEAM &
OPERATING ROOM
LIKE NO OTHER
Dr. Zaidi says. "Now, almost
The new hybrid TAVR
50 percent of aortic valve
operating room has a Star
replacement performed in
Trek-like quality. "It has
SEEK LIFESAVING
MEDICAL HELP
IMMEDIATELY
the U.S. is done using TAVR.
everything that a cardiac
The biggest risk factor for
quantity and quality of
The main reasons that TAVR
operating room has along
developing aortic stenosis
a person's life so that they
is considered superior are
with an advanced state-
is aging. Most patients are
can live longer and better,"
that it provides a faster
of-the-art cardiac catheter-
in their 70s and 80s.
Dr. Zaidi says.
recovery and avoids the risk
ization laboratory,"
factors of undergoing major
Dr. Salenger says. "There are
open-heart surgery.
multiple screens that pro-
their cardiac surgeon and
interventional cardiologist,
Dr. Zaidi and Dr. Salenger
are miracle workers."
"By replacing a diseased
valve, we can change the
from every angle. We have
SYMPTOMS OF
AORTIC STENOSIS
"TAVR surgery is shorter,
the ability to look at the
less traumatic and creates
CT scan, the echocardio-
If you have any of the symptoms below, seek
less anxiety for the patient,"
gram, angiography and
Dr. Salenger adds. "Patients
hemodynamics at the
stay in the hospital a couple
same time. This awareness
of nights. They experience
increases our ability to
the benefits of TAVR right
pick the precise position to
away without giving up two
open the new heart valve
Dizziness and lightheadedness
months for recovery from
into the space of the old,
Chest pain
open-heart surgery."
diseased one."
QUICK RECOVERY,
FASTER RESULTS
vide us with images
that allow us to operate
6 MARYLAND'S HEALTH MATTERS
medical attention right away. Older patients may
have mild symptoms due to decreased activity as
one ages. Without treatment, aortic stenosis can
be life-threatening.
Shortness of breath
Table of Contents for the Digital Edition of Maryland’s Health Matters - St. Joseph - Winter 2018
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