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Add Your Heart Valve Surgeon To The Database!

Will You Help Future Patients And Caregivers?
 

During 2009, hundreds of former heart valve surgery patients came together to create an easy-to-use surgeon directory with the following objectives:

  • To help future patients and caregivers quickly find trusted and reputable heart valve surgeons anywhere in the world;
  • To provide surgeon feedback from the patient perspective; and
  • To offer this information free of charge.

Now, we need your help to expand the surgeon listings in the database! Will you help us by adding your surgeon profile and your experience?

If you are a former heart valve surgery patient, we encourage you to complete the form below. It only takes about 5 minutes to complete. The great news is that you will be helping future patients and caregivers for years to come.

Feel free to email Adam Pick, the database moderator, at adam@heart-valve-surgery.com with any questions or comments.


Who Was Your Surgeon?

 

Start Here - Complete This Form:
Instructions: Please complete the surgeon profile form in its entirety and press the "Submit Your Heart Surgeon Profile" button.

Your surgeon's first name:
Your surgeon's last name:
Your surgeon's phone number:
When was your surgery: ,
Country where your surgery occurred:
City where your surgery occurred:
State where your surgery occurred:
(*only for United States patients)		 *
Zip code of your hospital:
(*only for United States patients)		 *
Which valve(s) were treated:
(check all that apply)		 Aortic Valve Pulmonary Valve
Mitral Valve Tricuspid Valve

Which best describes your surgical procedure:
(check all that apply)		 Valve Repair Valve Replacement

Median Sternotomy (>3" incision)

Mini Sternotomy (<3" incision)
Robotic Surgery Transcatheter
Mini-Thoracotomy Root Replacement
Ross Procedure David Procedure

Please describe the experience
with your heart surgeon? How
was his/her bedside manner?
Were you happy with the result?
(Please limit your response to
one paragraph only.)
Would you recommend
your surgeon?		 Yes No
Your first name:
Your last name:
Your email:
(Example - joe@yahoo.com)
 By checking this box, I certify that all information provided above is true, complete and accurate and that I approve the public use of this information (excluding my email address) at Heart-Valve-Surgery.com.

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