Structural Heart Interventions (Beyond Valves) are a fast-evolving field of interventional cardiology that treats cardiac disease extending beyond valve disease. These interventions provide minimally invasive treatment options for complex heart disease patients, enhancing quality of life and lessening recovery time.
Septal defect repair is a standard procedure for atrial septal defects (ASD) and patent foramen ovale (PFO) to correct misplaced blood flow between heart chambers without the need for open-heart surgery. Left atrial appendage (LAA) repair is used with greater frequency to prevent stroke in patients with atrial fibrillation who do not tolerate long-term anticoagulation.
Paravalvular leak (PVL) repair is another vital field, correcting leaks that can arise after valve replacement surgery or transcatheter valve replacement. Sophisticated catheter-based methods provide accurate closure, symptomatically relieving heart failure and hemolysis.
Emerging heart failure devices and structural support technology are also broadening the options, such as implantable hemodynamic monitors and septal support devices. High-resolution cardiac imaging, including 3D echocardiography and CT-guided interventions, increases procedural accuracy and safety.
These approaches identify the progress of minimally invasive cardiology toward patient-centered care, rapid recovery, and enhanced quality of life. With the advancement of technology, structural heart interventions are continually redefining treatment options, providing effective solutions for hitherto untreatable cardiac lesions.