Tag Archives: heart surgery

LMC Opens First Cardiac Rehabilitation Program in Irmo

With a strong commitment to meeting the needs of heart patients in our community, Lexington Medical Center has opened a new, state-of-the-art cardiac rehabilitation program on the Lexington Medical Center Irmo campus. The 2,500 square foot facility located inside the Irmo Medical Park at 7033 St. Andrews Rd. is the first cardiac rehabilitation facility in the Irmo area.

Cardiac Rehabilitation is a medically supervised program designed to optimize a cardiac patient’s physical, psychological and social functioning, in addition to stabilizing, slowing or even reversing the progression of cardiovascular disease.

People who benefit from cardiac rehabilitation include patients with a history of heart attack, angioplasty or stenting, heart valve surgery, heart transplant, angina, heart failure or heart bypass surgery.

Mark Stout inside LMC's Cardiac Rehabilitation facility in Irmo

Mark Stout inside LMC’s Cardiac Rehabilitation facility in Irmo

Studies show that cardiac rehabilitation participants experience a 31 to 46 percent reduction in death rates compared to non-participants. They also have a reduction in symptoms such as chest pain, shortness of breath and fatigue. And they report increased energy, improvements in blood pressure, cholesterol and triglyceride levels, quicker returns to work and leisure activities, and a lower chance of experiencing another cardiac event.

“We’re bringing a great service to the people of the Irmo community,” said Mark Stout, supervisor of Cardiac Rehabilitation in Irmo. “If it’s more convenient, patients will attend more often. The medical professionals with expertise in cardiac rehabilitation are close to your home and your activities.”

Lexington Medical Center has offered cardiac rehabilitation at the main hospital in West Columbia for more than 20 years and at the hospital’s community medical center in Lexington since 2002.

Along with closely monitored exercise training, there are education classes addressing topics such as heart disease risk factors, healthy nutrition, weight management, controlling blood pressure and cholesterol, managing diabetes, and understanding stress and your emotions.

“Cardiac rehabilitation provides better outcomes and better quality of life,” Stout said.

The need for heart care is clear in our state and our community. In South Carolina, one out of every three deaths is related to cardiovascular disease.

For more information about Cardiac Rehabilitation at Lexington Medical Center, visit LexMed.com/heart.

Ask the Doctor: Coronary Bypass Surgery

Dr. Dee Prastein, heart surgeon at Lexington Cardiovascular Surgery, was invited to be a guest on WIS-TV to talk about coronary bypass surgery. The topic was in the news after Bob Coble, the former mayor of Columbia, suffered a heart attack and underwent a bypass procedure.

In the first segment, she talked about how bypass surgery is performed.

In the second segment, she discussed recovery.

Lexington Medical Heart Center has performed more than 800 open heart surgeries since the program began in 2012. For more information, visit LexMed.com/heart

LMC to Offer Transcatheter Aortic Valve Replacement

This year, Lexington Medical Heart Center will begin offering transcatheter aortic valve replacement, known as TAVR. This state-of-the-art cardiovascular technology allows doctors to replace the aortic valve without open heart surgery.

Dr. Robert Leonardi of Lexington Cardiology

Dr. Robert Leonardi of Lexington Cardiology

“TAVR is the single most important advance in interventional cardiology since coronary angioplasty,” said Dr. Robert Leonardi of Lexington Cardiology, a Lexington Medical Center physician practice.

He will perform TAVR procedures as part of a highly skilled cardiac care team that includes Dr. Robert Malanuk of Lexington Cardiology and Dr. Jeffrey Travis of Lexington Cardiovascular Surgery, a Lexington Medical Center physician practice, as well as nurses, technicians and a cardiovascular anesthesiologist.

Currently, TAVR is for patients with severe aortic stenosis who are not candidates for open heart surgery because of their age, history of heart disease, or other health issues.

Patients with severe aortic stenosis have a narrowed aortic valve that does not allow blood to flow efficiently. As the heart works harder to pump enough blood through the smaller opening in the valve, the heart eventually becomes weak. Over time, that can lead to life-threatening heart problems.


TAVR offers a less invasive option than open heart surgery. To replace the diseased aortic valve, the new aortic valve is compressed into a tube-like device called a delivery catheter that’s slightly wider than a pencil. Doctors insert the delivery catheter and the new aortic valve into an artery and thread the catheter through the body to the inside of the diseased aortic valve. Then, doctors deploy the new valve from the delivery catheter inside the diseased aortic valve, which becomes the anchor for the new valve. The new valve is functional immediately and normal blood flow is restored.

Lexington Medical Heart Center will use the Edwards SAPIEN Transcatheter Heart Valve. It’s made of bovine tissue with a stainless steel frame. The TAVR procedure takes less than two hours.

“The main benefit is that patients feel better and live longer,” Dr. Leonardi said.

Studies show that TAVR reduces the mortality rate in patients by 20% in the first year after the procedure.

“Patients often want to know if there’s something we can do to make them feel better,” he added. “TAVR allows that to happen.”

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For more information on Lexington Medical Center’s complete cardiac care program, visit LexMed.com.