

STRUCTURAL HEART
Structural Heart Program
Minimally Invasive Valve & Structural Therapies
Structural heart disease — abnormalities of the heart's valves, chambers, or walls — was once treated only with open-heart surgery requiring a large incision and weeks of recovery. Today, Dr. Sanam's Structural Heart Program offers transcatheter alternatives for many of these conditions: procedures performed through a small catheter, often through the leg, with most patients home within one to two days.
Who Should See Us
- Severe aortic stenosis — especially in patients at intermediate or high surgical risk
- Significant mitral regurgitation causing symptoms or heart enlargement
- Atrial fibrillation with contraindication to long-term anticoagulation
- Cryptogenic stroke with PFO on echo
- Heart murmur under evaluation for structural significance
- Prior open-heart valve surgery with valve deterioration
Procedures & Tests Offered
- 01TAVR (Transcatheter Aortic Valve Replacement) — replacing the aortic valve without open surgery
- 02MitraClip / TEER — transcatheter mitral valve repair for mitral regurgitation
- 03Watchman / LAAO — left atrial appendage closure for stroke prevention in AFib
- 04PFO closure — treating patent foramen ovale after cryptogenic stroke
- 05ASD closure — closing atrial septal defects via catheter
- 06Transcatheter tricuspid interventions — emerging therapies for tricuspid regurgitation
- 07TEE (Transesophageal echocardiogram) — advanced structural imaging and procedural guidance
- 08Heart Team evaluation — multidisciplinary review of surgical vs. transcatheter options
Dr. Sanam will review your history, imaging, and test results to determine the most appropriate approach for your situation.
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