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Indianapolis (May 22, 2026) — Community Health Network’s Structural Heart Program has reached a major milestone by successfully performing its first transcatheter aortic valve replacement (TAVR) with leaflet modification—an advanced heart valve procedure designed to improve safety for patients with complex heart valve disease.
TAVR is a minimally invasive heart valve replacement procedure used to treat aortic stenosis, a condition in which the heart’s aortic valve narrows and restricts blood flow. Instead of open-heart surgery, physicians guide a replacement valve to the heart through a small incision, most often in the leg. This approach can lead to faster recovery, less pain and shorter hospital stays.
In this case, physicians performed a valve-in-valve TAVR, placing a new valve inside a previously implanted valve. While valve-in-valve procedures are widely used, they can present additional risks. One of the most serious is obstruction of the coronary arteries, which can occur when parts of the existing valve block blood flow as the new valve is expanded.
To reduce this risk, the care team used leaflet modification, an advanced technique in which physicians create a controlled split in the leaflets — or flaps — of the existing valve before placing the new one. This allows the leaflets to move safely out of the way, helping maintain clear blood flow to the heart.
“This advanced technique allows us to safely treat patients who may otherwise have limited or higher-risk options,” said Dr. Sandeep Dube, Community cardiologist. “Leaflet modification adds an important layer of protection and gives us greater control in complex valve cases.”
The procedure required detailed planning and close collaboration among a multidisciplinary team of interventional cardiologists, cardiovascular surgeons, imaging specialists and anesthesia providers. The patient, Joy Jack, is doing well in recovery. She said, “I would recommend Dr. Dube and the care team at Community to anyone. They took great care of me.”
By offering TAVR with leaflet modification, Community expands access to advanced, minimally invasive heart care for patients in central Indiana, including those with complex or previously treated valve disease.
This milestone reflects Community’s ongoing commitment to improving patient safety and bringing the latest cardiovascular innovations closer to home.
About Community Health Network
Headquartered in Indianapolis, Community Health Network has been deeply committed to the communities it serves since opening its first hospital, Community Hospital East, in 1956. Community Health Network puts patients first while offering a full continuum of healthcare services, world-class innovations, and a new focus on population health management. Exceptional care, simply delivered, is what sets Community Health Network apart and what makes it a leading not-for-profit healthcare destination in central Indiana. For more information about Community Health Network, please visit eCommunity.com.
