Medical Services related to Steven Fredric Bolling MD

Aortic Aneurysm

An aneurysm is a bulge that occurs in a blood vessel. If that bulge occurs in the aorta, the largest blood vessel in your body, it is called an aortic aneurysm. Aneurysms can be life-threatening if they rupture and bleed inside the body. At the Frankel Cardiovascular Center, our skilled cardiologists, surgeons and other specialists offer treatment options for all types of aortic aneurysms. Our team-based approach focuses on making sure you and your family understand your options. We work with you to decide which treatment is best for you.

Aortic Disease Treatments and Procedures

Our Comprehensive Aortic Program at the Frankel Cardiovascular Center offers a wide range of treatment options for aortic disease. Many patients come to us for procedures that are not available elsewhere. Others choose us because they want to receive care at one of the top institutions in the country. We offer replacement or repair of the aortic valve, as well as minimally invasive and open surgery for aortic aneurysm an daortic dissection.

Aortic Dissection (Type A, Type B and Chronic Dissection)

An aortic dissection occurs when the inner layer of the aortic wall tears. The inner and middle layers of the aorta separate and fill with blood, weakening the wall of the aorta. If pressure builds up, it can lead to a dangerous rupture where blood spills inside the body. When you come to the University of Michigan Health Frankel Cardiovascular Center, you’ll find experts with decades of experience diagnosing and treating aortic dissections.

Arteriosclerotic Aortic Disease

University of Michigan Aortic Disease Program treats all kinds of arterial disease, including arteriosclerotic aortic disease (hardening of the arteries).

Cardiac Surgery

The top-ranked hospital in Michigan for heart and heart surgery programs, the University of Michigan Cardiovascular Center performs more than 2,000 heart operations annually, sees approximately 3,500 outpatients each year, and delivers a team of experts to make our patients' hospital stay both comfortable and successful.

Comprehensive Aortic Program

When you choose the Comprehensive Aortic Program at the University of Michigan Health Frankel Cardiovascular Center, you’ll find a world-class level of experience and expertise. As leaders in the field of aortic disease, our surgeons are at the forefront of developing new surgical techniques. The Comprehensive Aortic Program is the busiest in the state and among the largest in the U.S. We are a premier center for the care of patients with complex aortic diseases.

Mitral Valve Disease

The mitral valve controls the flow of blood going in one direction from the lungs to the body. If the valve does not close properly, or open completely, the heart may have to work twice as hard to do its job, which can lead to life threatening heart conditions. Frankel Cardiovascular Center heart doctors offer advanced mitral valve treatments that can't be found at other hospitals because of U-M's involvement in clinical trials.

Mitral Valve Repair and Treatment

Treatment options for mitral valve disease include medication therapy, open-heart surgery, and minimally invasive procedures, both surgical and transcatheter. Performing these repairs early in the disease process before a patient's mitral valve disease progresses into advanced heart conditions such as congestive heart failure, atrial fibrillation, and pulmonary hypertension is our top priority.

 

Thoracic Aortic Aneurysm

A thoracic aortic aneurysm is an enlargement in the upper part of the aorta, the major blood vessel that routes blood to the body. Thoracic aortic aneurysms can cause aortic dissection (splitting of the aortic wall) and aortic rupture, leading to life-threatening internal bleeding. Thoracic aortic aneurysms, even those that are large, frequently do not cause symptoms. Some individuals, however, may experience symptoms such as: pain in the chest area; back pain; coughing or hoarseness; and difficulty breathing.

Thoracic Endovascular Aneurysm Repair (TEVAR)

Thoracic endovascular aortic repair (TEVAR) is a minimally invasive option to conventional open surgery for patients suffering from thoracic aortic aneurysms (TAAs) who are not optimal candidates for traditional open repair. TEVAR can shorten hospital stays and reduce recovery periods. The University of Michigan Frankel Cardiovascular Center’s surgical team has more than two decades of experience performing TEVAR procedures and provides comprehensive care to patients with thoracic aortic aneurysms as well as to all aortic patients, including those who are high-risk.

Transcatheter Mitral Valve Repair (TMVr)

The MitraClip procedure is used to treat patients who have symptoms because of mitral regurgitation. The MitraClip procedure does not require opening the chest or temporarily stopping your heart (cardiopulmonary bypass). Instead, doctors access your heart through a vein in your leg to repair your mitral valve. The MitraClip procedure may be an option for patients with mitral regurgitation who are too sick for surgery or considered too high risk.

Tricuspid Valve Disease

The tricuspid valve regulates blood flow from the heart’s upper right chamber (right atrium) to the lower right chamber (right ventricle). The valve’s role is to ensure blood flows in a forward direction from the right atrium to the ventricle. Any abnormal function of the tricuspid valve is known as tricuspid valve disease.

Valve-in-Valve TAVR

Over time (approximately 10 to 15 years), tissue heart valves (or bioprosthetic valves) degenerate and eventually fail, requiring the need for replacement. TAVR technology offers a minimally invasive procedure to patients who previously underwent open-heart surgery for a bioprosthetic valve. This option is especially beneficial for high-risk patients as it allows them to recover in less time — typically one week versus three months. Using the less invasive “valve-in-valve” procedure, a new transcatheter valve is tightly placed into the orifice of the failed surgical valve, pushing the old valve leaflets aside.