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Cardiolucent

Service

Valvular Heart Disease Management

Diagnosis, longitudinal management, and treatment-pathway coordination for aortic, mitral, and tricuspid valve disease — anchored in serial imaging, deliberate medical optimization, and timely referral when intervention becomes the right next step.

What we manage

Aortic, mitral, and tricuspid valve disease — the full longitudinal arc.

Valvular heart disease is rarely a one-decision diagnosis. Aortic stenosis tightens slowly. Mitral regurgitation can be chronic and stable for years, then accelerate. Tricuspid regurgitation often hides behind right-heart dysfunction. The right management is anchored in serial imaging, careful symptom tracking, and a deliberate sense of when medical therapy is sufficient and when intervention has become the right next step.

Dr. Kedan personally manages the full continuum at Cardiolucent: detailed echocardiographic assessment at each visit (including in-office POCUS for interim checks), risk stratification using the latest guideline criteria, evidence-based medication optimization, and direct coordination with structural-heart and surgical teams at Cedars-Sinai and other Los Angeles centers when valve repair or replacement is indicated.

Serial imaging, not snapshot decisions.

Valve disease is followed over time — not diagnosed once and parked. Cardiolucent visits include a complete in-office point-of-care ultrasound assessment of valve structure and motion at each appointment, formal echocardiography on the cadence the lesion requires (typically every 6 to 12 months for moderate disease, more frequently as severity progresses), and integration with CT or MRI when anatomic detail is needed for procedural planning. Each new study is compared directly against your priors — change is the most important data point.

Coordinated, white-glove referral to structural-heart programs.

When the data point at surgical or transcatheter intervention — TAVR for severe aortic stenosis, mitral repair or MitraClip for severe mitral regurgitation, tricuspid intervention for the right candidates — Dr. Kedan coordinates the referral directly to a trusted structural-heart team in Los Angeles. Cardiolucent members get a curated pathway: imaging packaged for the receiving team, pre-procedure optimization handled in our office, communication with the interventional cardiologist before and after the procedure, and longitudinal follow-up to confirm valve function and surveillance for any new findings.

Common Questions

Frequently Asked Questions

How often will my valve disease be re-imaged?
It depends on severity and the specific lesion. Mild disease is typically re-imaged every 2 to 3 years. Moderate disease every 6 to 12 months. Severe disease — and any patient symptomatic from their lesion — much more frequently, often every 3 to 6 months. In-office POCUS at each visit lets us detect interval change without waiting for the next formal study.
Do you perform valve procedures in-office?
No. Valve interventions (TAVR, MitraClip, surgical valve repair / replacement) require a structural-heart program at a major hospital. Dr. Kedan does the upstream diagnostic and medical management work and coordinates the referral to a trusted structural-heart team at Cedars-Sinai or another Los Angeles institution when intervention is the right call.
Will I need to switch cardiologists once I have surgery or a TAVR?
No. Dr. Kedan remains your longitudinal cardiologist before, during, and after a valve procedure. The structural-heart team performs the intervention; Dr. Kedan handles preoperative optimization, communicates with the team peri-procedure, and continues post-procedure surveillance — typically with serial imaging on a schedule appropriate to the prosthetic or repair.
I was told my valve disease is 'mild' — do I really need a cardiologist?
Mild valve disease often progresses slowly enough that you don't feel anything for years — but the right time to start tracking is now, while you're asymptomatic and there's plenty of time to plan. The point of cardiology follow-up at this stage is to capture the moment your trajectory changes, before symptoms force the issue.
How is this different from just seeing an interventional cardiologist?
An interventional cardiologist performs procedures and typically sees you for the procedural visit. The longitudinal medical management — symptom tracking, serial imaging interpretation, risk-factor optimization, knowing when to time the intervention versus continue medical therapy — sits with your general cardiologist. That's the work Cardiolucent does. The two roles complement each other.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.