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Skip to content Skip to search Skip to footer JOHN T. MILLIKEN DEPARTMENT OF MEDICINE Cardiovascular Division Open Menu Back Close Menu Search for: Search Close Search About UsAbout Us Welcome from the Chief History Washington University School of Medicine Barnes-Jewish Hospital St. Louis Contact Us PeoplePeople Faculty Fellows Advanced Practice Providers Women in Cardiology AlumniAlumni Alumni Newsletters Smith-Oliver Society Patient CarePatient Care Adult Congenital Heart Disease Advanced Heart Failure and Cardiac Transplantation Cardiac Intensive Care Unit Cardiac Rehab Cardiovascular Genetics Cardiovascular Imaging Cardio-Neuromuscular Disorders Cardio-OncologyCardio-Oncology Amyloid Center of Excellence Patient Resources ElectrophysiologyElectrophysiology Patient Resources General Consultative Cardiology Hypertension ClinicHypertension Clinic Patient Resources Hypertrophic CardiomyopathyHypertrophic Cardiomyopathy Publications Webinars/Podcasts Interventional and Structural Heart Disease Marfan Syndrome and Aortopathy Center Sports Cardiology Program Valvular Heart Disease CenterValvular Heart Disease Center Patient Resources Women’s Heart Disease / Cardio-ObstetricsWomen's Heart Disease / Cardio-Obstetrics Patient Resources EducationEducation Cardiology Fellowship TrainingCardiology Fellowship Training Our Fellows Program Directors Clinical and Investigator Pathways Clinical Rotations Research Training Advanced FellowshipsAdvanced Fellowships Aortopathy and Master Clinician Fellowship Cardio-Oncology Fellowship Electrophysiology Fellowship Program Heart Failure and Transplant Cardiology Fellowship Program Imaging Fellowship Program Interventional Cardiology Fellowship Structural Heart Fellowship Application Process Advanced Research TrainingAdvanced Research Training Research Faculty Our Fellows Facilities & Resources Seminars and Events How to Apply Contact Us Hear From Our Fellows Wellness Committee Cardiolovascular Grand Rounds Diversity, Equity, and Inclusion in Cardiovascular Training ResearchResearch Publications Center for Cardiovascular Research Clinical ResearchClinical Research Heart Failure Cardio-Oncology Electrophysiology Research Centers and CoresResearch Centers and Cores Center for Advancing Health Services, Policy & Economics Research Center for Community Health Partnership & Research Global Health Center NewsNews Calendar Giving Open Search Valvular Heart Disease Center Left to right, cardiologist Alan Zajarias, MD, cardiac surgeon Hersh Maniar, MD, and fellow Brett Grizell, MD, perform a groundbreaking procedure that allows surgeons to implant new heart valves using catheters rather than open-heart surgery. Multidisciplinary collaboration is a key to the procedure’s success. The Center for Valvular Heart Disease, which was formed in 2005, is a multidisciplinary program that is dedicated to advancing the understanding of valvular heart disease and providing outstanding care for patients with these disorders. This center is comprised of team of general cardiologists, interventional cardiologists, cardiac surgeons and nurses with expertise in the latest catheter-based therapies, as well as state-of-the art surgical options for patients with valvular heart disease. The Center for Valvular Heart Disease Center was the first program in the St. Louis metro region to perform the transcatheter aortic valve replacement (TAVR), and transcatheter mitral valve replacement and repair. It provides multidisciplinary evaluation to patients with simple and complex valve disease and enrolls patients in the latest clinical trials. The center has grown exponentially since its inception and now offers separate clinics at the Center for Advanced Medicine located on the Barnes-Jewish main campus, as well as the Heart & Vascular Center in our West and South County locations. Director Alan Zajarias, MD Clinical expertise Cardiologists dedicated exclusively to diagnosing and managing valvular heart disease Risk stratifying the asymptomatic patient to determine optimal timing of surgery Integration of clinical, imaging, and invasive data to determine the appropriate timing of intervention Patients are seen together by both a cardiologist and cardiac surgeon to determine an optimal treatment strategy regarding which patients are candidates for catheter-based vs. surgery for aortic and mitral valve disease High volume center for transcatheter aortic valve replacement (TAVR) using both transapical and transfemoral approaches Experienced with the transcatheter mitral valve repair procedure Balloon aortic, mitral, pulmonic valvuloplasty Availability of transcatheter pulmonic valve implantation Closure of prosthetic paravalvular leaks High volume center for valve surgery, both repair and replacement Minimally invasive surgical options Reconstruction of the aorta performed on its own or concomitantly with aortic valve surgery Surgical MAZE procedure for atrial fibrillation High risk and/or re-operative surgical procedures  We offer advanced multimodality imaging for the evaluation of patients with valve disease, including: 2-D and 3-D echocardiography Cardiac magnetic resonance imaging (MRI) Cardiac computerized tomography (CT) Contact Information Referring Physicians: 314-362-1291Patients: 314-362-1291 or 888-210-8375 Barnes-Jewish West County Hospital Heart & Vascular Center in West County Physical Address: 1020 North Mason Road, Creve Coeur, MO, USA Mailing Address: 1020 N. Mason Road, Suite 200Creve Coeur, MO 63141 Phone: 314-362-1291 Center For Advanced Medicine (CAM) Washington University and Barnes Jewish Heart & Vascular Center Physical Address: 4921 Parkview Place, St. Louis, MO, USA Mailing Address: 4921 Parkview Place Suite 8ASt. Louis, MO 63110 Phone: 314-362-1291 Monday – Friday: 9 am – 4 pm and Saturday: 9 am – 1:30 pm Center for Advanced Medicine (CAM) South County Heart & Vascular Center in South County Physical Address: 5201 Midamerica Plaza, St. Louis, MO, USA Mailing Address: 5201 Midamerica Plaza, Suite 2300St. Louis, MO 63129 Phone: 314-362-1291 Learn more about valvular heart disease at the Heart & Vascular Center Patient Care Adult Congenital Heart Disease Advanced Heart Failure and Cardiac Transplantation Cardiac Intensive Care Unit Cardiac Rehab Cardiovascular Genetics Cardiovascular Imaging Cardio-Neuromuscular Disorders Cardio-Oncology Electrophysiology General Consultative Cardiology Hypertension Clinic Hypertrophic Cardiomyopathy Interventional and Structural Heart Disease Marfan Syndrome and Aortopathy Center Sports Cardiology Program Valvular Heart Disease Center Patient Resources Women’s Heart Disease / Cardio-Obstetrics Cardiovascular DivisionJohn T. Milliken Department of MedicineWashington University School of MedicineMailing Address: 660 S. Euclid Ave, MSC 8086-43-13Office Location: 4940 Parkview PlaceSt. Louis, MO 63110Contact Us Twitter Resources Medical Records Requests Find a Physician Locations Faculty Opportunities Smith-Oliver Society Giving Calender ©2024 Washington University in St. Louis

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