Structural Heart Procedures

Since the early 2000s, transcatheter techniques have revolutionized the treatment of heart valve and structural diseases, offering less invasive alternatives to traditional surgery. At St. Michael’s, our Structural Heart Program delivers cutting-edge care for patients with structural heart abnormalities, combining advanced diagnostic tools, personalized treatment plans, and a strong focus on minimally invasive approaches. This program plays a vital role in improving the quality of life for individuals with complex cardiac conditions.

Our specialized team evaluates and treats a wide range of disorders affecting the heart’s valves and chambers with precision and safety. From routine valve repairs to complex congenital interventions, we tailor each treatment plan to meet the specific needs of every patient.

Referrals

Our services include:

  • Transcatheter Aortic Valve Replacement (TAVR/TAVI)
  • Mitral and Tricuspid Valve Replacement (TMVR, TTVR)
  • Mitral and Tricuspid Clip procedures
  • Closure of atrial septal defects (ASD) and patent foramen ovale (PFO)
  • Left atrial appendage (LAA) closure
  • Balloon valvuloplasty and paravalvular leak repair
  • Transcatheter interventions for congenital heart defects such as ventricular septal defect (VSD)

Meet our team

Our Structural Heart Team includes cardiac surgeons, interventional cardiologists, anesthesiologists, nurses, and technologists who work closely to provide expert, compassionate care at every stage, from evaluation to treatment.

Jennifer Holmes, RN
Office: 416-864-5442
Fax: 416-864-5768

  • Dr. Neil Fam
  • Dr. Sami Alnasser
  • Dr. Akshay Bagai

  • Dr. Gianluigi Bisleri
  • Dr. David Latter
  • Dr. Daniel Burns

  • Aaron Antonio, MScN, NP

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Please plan to spend the full day at the hospital, as emergency cases may delay your scheduled procedure.

When you arrive, check in at the registration desk near the Cardinal Carter North elevators on the 7th floor. You may wait in the waiting room before being brought into the Cardiac Investigation Unit (CIU) unless alternate directions provided.

In the CIU, a nurse will complete your pre-procedure assessment, which includes:

  • Having you change into a gown
  • Checking your vital signs
  • Reviewing your medications and medical history
  • Starting an IV
  • Answering any questions you may have
  • Tip: Use the bathroom before your procedure — the best time is when you change into your gown

You will also be seen by the physician performing your procedure and, if needed, an anesthesiologist.

You’ll then be taken to the Procedure Room, where a dedicated team of nurses, technologists, and physicians will care for you throughout.

Afterward, you’ll return to the CIU for recovery. A nurse will monitor your condition, review your discharge instructions, and provide education on what to expect at home.

Most patients are discharged the same day once recovery milestones are met. Some may stay overnight, depending on the procedure and individual needs.

Please ensure a responsible adult accompanies you home, as you cannot drive or travel alone. With your support person, you are able to take ride-shares or public transit.

Our team is here to support you every step of the way and ensure your safety and comfort throughout your visit.

Before your procedure

Getting to the unit

  • The Cardiac Investigation Unit (CIU) is located on the 7th floor, near the Cardinal Carter North elevators.

Arrival time

  • Please arrive at the registration desk at your scheduled time to allow for check-in and pre-procedure preparation.

Diet

  • Follow any fasting (NPO) instructions provided to you before your procedure.

What to bring

  • List of your current medications
  • Health card and government-issued ID
  • Comfortable clothing
  • Please limit the valuables you bring

Support at home

  • Arrange for a responsible adult to accompany you home. If you live alone, please plan to have someone stay with you overnight.

Essential support person

  • Due to limited space, only one essential support person is allowed.
  • Visitors may be asked to wait in the designated waiting area during your procedure.

After your procedure

Discharge instructions

  • Your nurse will review detailed discharge instructions, including activity restrictions, access site care, and safety precautions.

Follow-up care

  • Your follow-up plan and any additional resources will be shared by your nurse, physician, or Care and Transition Facilitator.
  • If you’re signed up for MyChart, you’ll receive appointment notifications and can access your test results, visit summaries, and more. Sign up at UnityHealth.to/MyChart

Safety after procedure

  • A responsible adult must accompany you home and remain with you overnight.

Questions or concerns

  • If you have any concerns after your procedure, contact your healthcare team promptly.


Location

St. Michael’s Hospital

30 Bond St.,
Toronto, ON
M5B 1W8
The main entrance is located near Queen St. East and Victoria St. The Bond St. entrance is not open to the public at this time.

Cardiac Investigation Unit

The Cardiac Investigation Unit is located on the 7th floor, near the Cardinal Carter North elevators.

Directions to the CIU

Contact

Cardiac Investigation Unit

416-864-6060 ext. 6126