Structural Heart Interventions in Singapore (TAVI, PFO, ASD Closure, TEER)

Medically reviewed by Dr Pinakin V Parekh, General & Interventional Cardiologist (MBBS (Singapore), MRCP (UK), GDFM (Singapore), FAMS (Singapore), FRCP (Glasgow)). Last Updated: 2026, 28 August

Our Cardiologist in Singapore

Dr Pinakin V Parekh

Founder & Medical Director of Trident Heart Centre

Dr Pinakin V Parekh is an interventional cardiologist in Singapore with over 20 years of experience in heart care. He specialises in the diagnosis and treatment of heaart diseases, including procedures such as angiogram and angioplasty.

What Are Structural Heart Interventions?

Structural heart interventions are procedures that treat physical problems in the heart’s structure, such as valves or abnormal openings between heart chambers.

These procedures are typically:

  • Minimally invasive (performed using catheters)
  • Done through small access points (usually the groin)
  • Guided by advanced imaging
  • Designed to avoid or reduce the need for open-heart surgery

They focus on improving how blood flows through your heart and reducing long-term complications.

When Might You Need a Structural Heart Procedure?

Your doctor may recommend a structural heart intervention if you have a diagnosed condition affecting your heart’s structure or are experiencing symptoms such as:

  • Shortness of breath
  • Fatigue or reduced exercise tolerance
  • Chest discomfort
  • Unexplained stroke or transient ischaemic attack (TIA)
  • Irregular heart rhythms

These procedures are often considered when:

  • Medication alone is not sufficient
  • There is a risk of long-term complications
  • A less invasive alternative to surgery is preferred

Key Structural Heart Procedures

TAVI (Transcatheter Aortic Valve Implantation)

What Is TAVI?

TAVI is a procedure used to replace a narrowed aortic valve (a condition known as aortic stenosis) without open-heart surgery.

TAVI may be suitable for patients who:

  • Have severe aortic stenosis
  • Experience symptoms such as breathlessness or chest pain
  • May be at higher risk for traditional open-heart surgery
  • A catheter is inserted through a blood vessel, usually in the groin
  • A new valve is guided to the heart
  • The new valve is positioned within the existing valve
  • Minimally invasive approach
  • Shorter hospital stay
  • Faster recovery compared to surgery
  • Suitable for selected patients who are not ideal surgical candidates

PFO Closure (Patent Foramen Ovale Closure)

What Is a PFO?

A Patent Foramen Ovale (PFO) is a small opening between the upper chambers of the heart that did not close naturally after birth.

In some patients, a PFO may increase the risk of:

  • Stroke (especially unexplained or “cryptogenic” stroke)
  • Passage of small blood clots to the brain
  • A catheter is inserted through a vein
  • A small closure device is guided to the heart
  • The device is placed to seal the opening
  • Reduces stroke risk in selected patients
  • Minimally invasive with no large incision
  • Typically a short recovery period

ASD Closure (Atrial Septal Defect Closure)

What Is an ASD?

An Atrial Septal Defect (ASD) is a hole between the upper chambers of the heart that results in abnormal blood flow between the chambers.

If left untreated, an ASD can lead to:

  • Enlargement of the heart
  • Irregular heart rhythms
  • Increased strain on the lungs and heart over time
  • A catheter is guided to the heart through a vein
  • A specially designed device is used to close the hole
  • The device remains in place permanently
  • Prevents long-term complications
  • Improves heart function
  • Avoids open-heart surgery in suitable patients

TEER (Transcatheter Edge-to-Edge Repair)

What Is TEER?

TEER is a minimally invasive procedure used to treat certain types of leaking heart valves, most commonly mitral regurgitation, without the need for open-heart surgery.

The procedure helps the heart valve close more effectively, reducing backward leakage of blood and improving heart function.

TEER may be suitable for patients who:

  • Have moderate to severe mitral valve leakage (mitral regurgitation)
  • Experience symptoms such as breathlessness, fatigue, or reduced exercise tolerance
  • Are considered higher risk for traditional open-heart surgery
  • Continue to have symptoms despite medication
  • A catheter is inserted through a blood vessel, usually via the groin
  • The device is guided carefully to the heart using imaging guidance
  • The edges of the leaking valve are clipped together to help the valve close more effectively
  • Blood flow through the valve is reassessed before completing the procedure
  • Minimally invasive approach
  • No open-heart surgery required
  • Shorter recovery and hospital stay
  • Improvement in symptoms such as breathlessness and fatigue
  • Suitable for selected patients who may not be ideal candidates for surgery

TAVI vs PFO vs ASD Closure vs TEER: What’s the Difference?

Condition Treated Main Purpose Approach
TAVI

Aortic valve narrowing (aortic stenosis)

Replace damaged valve

New valve inserted via catheter

PFO Closure

Small opening between heart chambers

Reduce stroke risk

Device seals opening

ASD Closure

Hole between upper heart chambers

Prevent heart strain and complications

Device closes defect

TEER

Leaking heart valve

Reduce valve leakage and improve heart function

Clip-based repair via catheter

Risks and Safety

Structural heart interventions are generally safe and well-established, but like all medical procedures, they carry some risks.

These may include:

  • Bleeding or bruising at the access site
  • Infection (rare)
  • Device-related complications (uncommon)
  • Need for further treatment in some cases

Your doctor will explain the risks and benefits based on your individual condition.

Recovery and What to Expect After

Recovery depends on the specific procedure performed, but in general:

  • Most patients recover within days to weeks
  • Light activities can often be resumed early
  • Follow-up imaging may be needed to assess results
  • Ongoing monitoring ensures long-term success

Your doctor will guide you on activity levels and follow-up care.

Frequently Asked Questions

Yes, they are commonly performed and considered safe, especially when done by experienced cardiac specialists.

In many cases, these procedures are designed to avoid the need for open-heart surgery.

Recovery is usually quicker than traditional surgery, often within days to a few weeks.

No, you will not feel the device once it is in place.

Yes, these procedures are designed to provide long-term solutions, although follow-up care is still important.

Why Patients Choose Trident Heart Centre

Use of Contemporary Techniques

Dr Pinakin uses current, evidence-based methods to carefully evaluate and treat heart conditions, helping you feel confident in your care.

Holistic & Personal Care

Every patient is treated as an individual, with attention to your full health and lifestyle, not just the heart problem.

All-in-one Services

From assessment to treatment, screenings and procedures are conveniently coordinated in one place for a smoother, more reassuring experience.