Structural Heart Services

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ What is Structural Heart Disease? 

Structural Heart Disease encompasses conditions due to abnormalities of the heart’s structures, above and beyond coronary artery disease.

Structural Heart Services refers to our Multidisciplinary Heart Team that evaluates and treats these conditions, typically through catheter-based, minimally invasive therapies. In addition to traditional surgical approaches, we offer:​
  • Transcatheter aortic valve replacement (TAVR) and transcatheter valve-in-valve (VIV) replacement for failed surgical prosthetic valves
  • FDA-approved transcatheter aortic valves via a transfemoral or alternate access (transapical, transaortic, subclavian) approach
    Edwards Sapien and Sapien XT • Medtronic CoreValve and CoreValve Evolut R

    Other transcatheter aortic valves are available or pending through research protocols
    Sapien 3 • Boston Lotus • Direct Flow​​​

    For details on indications for TAVR referrals and evaluations, please go to the TAVR webpage. ​

  • ​​​​​​Percutaneous mitral valve repair
    • ​​Balloon mitral valvuloplasty for rheumatic mitral stenosis
    • ​​Mitraclip for mitral regurgitation
  • ​​​Left atrial appendage closure to prevent thromboembolic events/stroke due to atrial fibrillation​
  • ​​Left ventricular apical partitioning
    • ​​Device available through research protocol​
  • Percutaneous closure of adult acquired or congenital heart defects
    • Patent foramen ovale/atrioseptal defects
    • ​Ventricular septal defects
    • Right ventricular outflow tract obstruction with the Medtronic Melody valve

​​Why Structural Heart Services at UW Regional Heart Center?

  • You and your patients come first and foremost at UW Medicine
  • You and your patient are at the core of the Heart Team – you know your patients better than we do, and we need your expertise to care for them
  • We aim to ensure that your experience with UW Medicine is excellent, with every patient, every time
  • We have access to the newest, least invasive therapies, unavailable at any other site in the region
  • We have an expert Heart Team with more experience and expertise than any other team in the region, including:
    • National leaders in for transcatheter valve replacement and valve program development
    • Co-Chair for the ACC/AHA national guidelines on valvular heart disease
    • Authors for multi-professional society statements on transcatheter valve replacement and transcatheter valve program development
    • Co-Director for international courses on transcatheter valve therapies
    • National committee members for the Transcatheter Valve Therapies registry
  • We have the ​ infrastructure to care for these complex patients, including:
    • ​A world-class, accredited echocardiography lab
    • Full advanced heart failure/ventricular assist device and transplant service
    • 24-hour cardiothoracic intensive care services led by cardiac surgery, cardiac anesthesiology, critical care medicine
    • Full scope of ancillary services such as social work, nutrition, respiratory therapy, physical/occupational/speech therapy and other subspecialists
  • We have outstanding patient and program outcomes, unmatched by any other site in the region
  • We aim to partner with you and return your patient to your care after their evaluation and treatment at UW Medicine

Contact Information

The clinic is located at the Regional Heart Center on the main floor of University of Washington Medical Center. The address is 1959 N.E. Pacific St., Seattle, WA 98195.

How do I refer my patient or contact the TAVR providers?

​The patient care coordinator can be reached at 206-598-8258 (VALV); fax to 206.598.3037. The providers listed above may be reached by calling UW Medicine Medcon at 1.800.326.5300. If you have any other questions or need further information, you may also contact the Physician Liaison at 206.598.3473 or​​