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Structural Heart Program

Leading Structural Heart Care in the Upper Cumberland

Expert, Team-Based Treatment Close to Home
Serving patients across 14 counties, Cookeville Regional Medical Center’s Structural Heart Program combines advanced technology, experienced specialists, and a collaborative care team to deliver the highest level of heart care, right here in the Upper Cumberland region.

What is Structural Heart Disease?

Your heart is made up of muscles, valves, and chambers that all work together to keep your blood flowing properly. Structural heart disease refers to problems with the way these parts are built or function. These can include issues with your heart valves, the walls between chambers, or even the large vessels connected to the heart.

Some people are born with structural heart problems (called congenital defects), while others develop them over time due to aging, infections, or other health conditions.

Common types of structural heart conditions include:

    • Narrowed or leaky heart valves
    • Holes in the heart (such as atrial or ventricular septal defects)
    • Enlarged heart walls or chambers
    • Weakness in the aorta (the main artery from the heart)

How Structural Heart Disease Is Treated

The good news is that Cookeville Regional Medical Center has a team of experts here to treat structural heart conditions. Many structural heart conditions can be treated with advanced, minimally invasive procedures—sometimes without open-heart surgery. Our multidisciplinary team of cardiologists, cardiothoracic surgeons, and cardiac imaging specialists listens to the patient to create personalized care to meet the needs of heart patients.

We offer a range of minimally invasive procedures that help treat structural heart problems—often without the need for open-heart surgery. These treatments are designed to help your heart work better and improve your quality of life.

OUTPATIENT CARE

The Valve Clinic

The Valve Clinic is a part of the structural heart program for outpatient visits and follow up appointments.

Tennessee Heart
228 W. 4th St., Cookeville, TN
931-646-4093

TAVR (Transcatheter Aortic Valve Replacement)

A less invasive way to replace a narrowed aortic valve. It can help relieve chest pain, shortness of breath, and fatigue—without open-heart surgery.


MitraClip

A tiny clip is placed on your mitral valve to help it close more completely and reduce leaking. It’s a non-surgical option for certain high-risk patients.


Watchman (Left Atrial Appendage Closure)

This small device helps lower stroke risk in people with atrial fibrillation who can’t take long-term blood thinners. It’s placed through a small tube in the leg.


PFO Closure

A small device is used to close a hole between the heart’s upper chambers (called a patent foramen ovale). This can help reduce the risk of stroke in some patients.


CardioMEMS™

A small device placed in the lung artery to monitor pressure and help manage heart failure more effectively from home.


Valve Leak Repair

Minimally invasive closure of leaks around previously replaced heart valves.


Balloon Aortic Valvuloplasty (BAV)

A balloon is used to widen a narrowed heart valve to improve blood flow, often as a temporary solution.


ASD Closure

A small device is used to close a hole between the upper heart chambers (atrial septal defect) to improve heart function.


Tricuspid Valve Repair

A minimally invasive heart procedure used to treat severe tricuspid regurgitation, a condition where the heart’s tricuspid valve does not close properly and allows blood to flow backward. Rather than replacing the valve, this advanced transcatheter approach repairs the existing valve, which can reduce complications and improve quality of life. The procedure is offered by the structural heart team at Cookeville Regional Medical Center and may be an option for patients with tricuspid valve disease and related heart failure after a specialized screening.


Traditional Valve Surgery

For certain patients, open-heart surgery may still be the best option. Our experienced surgeons are here to guide and support you every step of the way.


Meet the Experts

Stacy David Brewington, MD

Cardiology

Tennessee Heart

Vertilio Cornielle, MD

Cardiology

Tennessee Heart

Daniel Haile, MD

Daniel Haile, MD

Cardiac anesthesiology

Cookeville Regional Medical Center

Bruce D.W. Johnson, MD

Cardiac anesthesiology

Cookeville Regional Medical Center

Billy D. Parsons, MD

Cardiothoracic surgery

Cookeville Regional Cardiovascular Thoracic Surgeons

Carlos Podesta, MD

Cardiology

Tennessee Heart

Dr. Powell, M.D.

Timothy J. Powell, MD

Cardiothoracic and Vascular Surgery

Cookeville Regional Cardiovascular Thoracic Surgeons

Noel Torres, MD

Noel Torres, MD

Cardiology

Tennessee Heart

Mark Wathen, MD

Cardiology-Arrhythmias/Electrophysiology

Tennessee Heart

Structural Heart Team

Interventional Cardiology
Dr. Stacy Brewington
Dr. Carlos Podesta
Cardiac Imaging
Dr. Noel Torres
Dr. Vertilio Cornielle
Cardiothoracic Surgery
Dr. Timothy Powell
Dr. Billy Parsons
Structural Heart Coordinator
Karli Qualls, PA-C
Cardiac Anesthesiology
Dr. Bruce Johnson
Dr. Daniel Haile

Heart Team for LAAO Closure (Watchman)

Implanters
Dr. Stacy Brewington
Dr. Carlos Podesta
Dr. Mark Wathen
Cardiac Imaging
Dr. Vertilio Cornielle
Dr. Noel Torres
Structural Heart Coordinator
Karli Qualls, PA-C