Multidisciplinary Decision-Making and Patient Selection in Complex Structural Heart Interventions
A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Cardiovascular Clinical Research".
Deadline for manuscript submissions: 31 October 2026 | Viewed by 71
Special Issue Editors
Interests: transcatheter mitral valve replacement and repair; transcatheter therapy of heart failure; transcatheter tricuspid valve replacement and repair
Special Issues, Collections and Topics in MDPI journals
Interests: interventional cardiology; structural heart disease; pulmonary hypertension
Special Issues, Collections and Topics in MDPI journals
Special Issue Information
Dear Colleagues,
Contemporary structural heart interventions increasingly involve patients with advanced age, multiple comorbidities, multivalvular disease, prior cardiac surgery or transcatheter procedures, and complex anatomical substrates. In this setting, optimal outcomes depend not only on technical feasibility but—critically—on rigorous multidisciplinary decision-making and appropriate patient selection. This Special Issue focuses on the evolving role of the Heart Team in navigating complex structural heart disease, emphasizing real-world clinical judgment beyond guideline thresholds and device indications. The scope includes decision frameworks for transcatheter versus surgical or conservative management, timing of intervention, assessment of frailty and futility, and management of combined or sequential valve pathologies. Particular attention is given to challenging scenarios such as mitral annular calcification, failed prior interventions, right-sided valve disease, adult congenital heart disease, and patients with advanced heart failure or high procedural risk. Contributions integrating clinical assessment, imaging, hemodynamics, and patient-centered outcomes are encouraged. By highlighting multidisciplinary strategies and pragmatic algorithms, this Special Issue aims to provide clinicians with practical guidance for selecting the right therapy for the right patient at the right time in complex structural heart interventions.
Dr. Vlasis Ninios
Dr. Georgios Papadopoulos
Guest Editors
Manuscript Submission Information
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Keywords
- structural heart disease
- multidisciplinary heart team
- complex valvular heart disease
- transcatheter valve interventions
- transcatheter edge-to-edge repair
- transcatheter valve replacement
- adult congenital heart disease
- TAVI
- TMVR
- TTVR
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