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Advanced Valve & Aortic Center

Heart Valve Disease

Valley Health’s Advanced Valve & Aortic Center (AVAC) in Winchester, VA offers the most advanced heart valve treatment strategies and best clinical outcomes in the greater region. AVAC provides a team approach to evaluation and treatment for patients diagnosed with heart valve or aortic disease. Led by experienced valve surgeons and cardiologists, the center offers a full range of treatment options and clinical expertise locally:

  • State-of-the-art minimally invasive small-incision and catheter-based procedures
  • Strategies that are specifically tailored for each patient including conventional surgical valve repair, replacement or medical management
  • Complex and high-risk patients with heart valve pathology (special focus on complex mitral and aortic valve repair)
  • Second opinion service for patients and referring physicians
  • Sophisticated, non-invasive imaging of the heart valves and related structures

Aortic Disease

Disorders of the aorta can be some of the most challenging problems facing patients and their physicians. The aorta, the largest artery in the body and spanning the entire length of chest and abdominal cavities, can develop aneurysms, ulceration, dissection, infection or even sudden rupture leading to death. Most commonly, these develop with little symptoms and are detected incidentally. At Valley Health, we have a dedicated multidisciplinary team focused on the treatment of aortic disorders. Our expert specialists are able to detect and treat acute or chronic aortic problems with the most advanced and minimally-invasive approaches using individualized, patient-specific strategies for optimal results and quick recovery.

Highlights of the AVAC aortic program include:

  • Minimally-invasive and endovascular repair of abdominal and thoracic aortic aneurysms (EVAR, TEVAR, fenestrated grafts)
  • 24/7 aortic team availability for management of acute aortic syndromes (dissection, rupture, etc.)
  • State-of-the-art imaging of the aorta with cardiovascular MRI/MRA and CT angiography
  • Dedicated aortic clinic (focused on medical, non-surgical and interventional management)
  • Innovative therapies focused on pathology of the aortic root and arch – refined by Valley Health surgeon Basel Ramlawi, MD
  • Patient-tailored strategies for patients with connective tissue disorders (e.g. Marfan syndrome) and bicuspid aortic valve syndrome

Convenience for patients:

We work with each patient to provide a thorough evaluation and develop individual treatment recommendations. In most cases, clinical assessment, cardiac testing (as needed) and consultation with our valve specialists will occur in one to two visits to minimize patient travel.

Moreover, we offer guaranteed same-week appointments! Please call 540-536-4000.

Advanced minimally invasive treatments

We can provide treatments for some of the most complex heart valve and aortic problems using minimally invasive repair and replacement procedures, including new catheter-based techniques. For patients, these procedures can mean less time in the hospital, less pain and a quicker recovery. Our state-of-the-art hybrid room combines cardiac catheterization and surgical capabilities and is equipped with advanced imaging and support technology to perform procedures such as trans-catheter aortic and mitral valve repair (TAVR and TMVR) and endovascular aortic repair.

Why choose Valley Health?

  • Advanced valve procedures – MICS valve, TAVR, TMVR, MitraClip, complex AV, MV, TV repair
  • Medtronic Evolut Low-Risk TAVR trial
  • Aortic pathology – complex aortic repair, advanced TEVAR, advanced aortic root surgery
  • We perform more minimally invasive valve repair procedures than any other program in region!
  • Excellent clinical outcomes are a source of pride!

AVAC Leadership

Contact: 540-536-4000 or

Physician smiling at patient

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