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Insights from a multidisciplinary heart team for highest-risk valve disease

Taylor Pickering1, John Eisenga1, Kyle McCullough1

  • 1Baylor Scott & White Research Institute, Plano, Texas, USA.

Proceedings (Baylor University. Medical Center)
|March 16, 2026
PubMed

Insights

Multidisciplinary heart team (MHT) evaluation guides treatment for complex valvular heart disease (VHD) patients. This approach helps select appropriate interventions, improving outcomes for high-risk individuals.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Interventional Cardiology

Background:

  • Multidisciplinary heart team (MHT) evaluation is recommended for complex valvular heart disease (VHD).
  • Limited outcomes data exist for high-risk VHD patients undergoing surgical referral.
  • MHTs integrate diverse specialists for comprehensive patient assessment.

Purpose of the Study:

  • To analyze the outcomes of high-risk or complex VHD patients evaluated by an institutional MHT.
  • To assess the impact of MHT recommendations on patient management and survival.

Main Methods:

  • Prospective evaluation of 121 high-risk/complex VHD patients from June 2021 to August 2022.
  • MHT included cardiac surgeons, interventional cardiologists, heart failure specialists, imaging, intensivists, and palliative care.
  • Data collected: demographics, risk scores, treatment plans, MHT recommendations, adherence, readmissions, and mortality at 30 days, 1 year, and 2 years.

Main Results:

  • MHT recommended surgery for 67%, transcatheter intervention for 14%, hybrid for 3%, and medical management for 17%.
  • Overall adherence to MHT recommendations was 89%.
  • Two-year mortality varied: surgery 21%, transcatheter 53%, hybrid 33%, medical management 55%.

Conclusions:

  • MHT evaluation enables personalized treatment strategies for complex VHD.
  • It identifies patients who benefit from intervention despite high risk.
  • It also spares patients unlikely to benefit from aggressive treatments.
Abstract

Keywords:
High-risk structural heart diseasemultidisciplinary heart teampatient selection and decision-makingsurgical outcomestranscatheter valve therapy

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