Heart Teams as a New Gold Standard of Cardiac Care

  • Thierry MesanaEmail author


In the last 10 years, with the advent of minimally invasive surgical procedures and percutaneous catheter-based approaches, the treatment of cardiac patients with valve disease has dramatically changed. Novel catheter-based devices were first presented as alternatives to conventional cardiac surgery for patients with limited life expectancy if only treated medically (Leon et al., N Engl J Med 363(17):1597–1607, 2010). Most of these patients were either too old or too sick to undergo open-heart surgery. Only a few years after their initial implementation, transcatheter percutaneous valve replacement or repair is now commonly offered to the lower-risk patient population, as a valid alternative supported by large multicenter clinical trials providing clear evidence of clinical benefit. Consequently, the treatment of aortic stenosis or functional mitral regurgitation is rapidly shifting to transcatheter aortic valve implantation (TAVI) or mitral clipping (Mitraclip, Abbott Inc., USA).


Invasive surgical procedures Percutaneous catheter-based approaches Heart teams Percutaneous coronary interventions (PCIs) Coronary artery bypass graft (CABG) Complex coronary artery disease (CAD) 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of Ottawa Heart InstituteOttawaCanada

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