A Valve Job with Heart

The Sapien transcatheter aortic valve is life-saving alternative to open-heart surgery for patients who need a new valve but can't endure the rigors of the operation. Manufactured by Edwards Life Sciences , the Sapien has been available in Europe for some time but is only now finding its first use in U.S. heart centers—where it is limited only to the frailest patients thus far. The Sapien valve is guided through the femoral artery by catheter from a small incision near the grown or rib cage. The valve material is made of bovine tissue attached to a stainless-steel stent, which is expanded by inflating a small balloon when correctly placed in the valve space. A simpler procedure that promises dramatically shorter hospitalizations is bound to have a positive effect on the cost of care.

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