TEER Procedure vs Traditional Heart Surgery for Pets

Instead, the surgeon accesses the heart through a small puncture in the chest wall to reach the apex (tip) of the heart. Using transoesophageal echocardiography (ultrasound) for guidance, a specialised device called a V-Clamp is advanced to the heart. This clamp brings the leaflets of the mitral valve together, reducing the backflow of blood (regurgitation) that causes heart failure.

When Is It Recommended?

The TEER procedure is often considered for older pets or those with underlying health conditions that make them higher-risk candidates for open-heart surgery and cardiopulmonary bypass. It is particularly effective in cases of advanced mitral valve disease, including myxomatous mitral valve disease (MMVD) in dogs, especially in Stage C or D, where symptoms are more pronounced.

However, not all pets are suitable candidates. The structure and condition of the mitral valve must allow for proper placement of the device. In cases where the valve is severely damaged or anatomically unsuitable, alternative treatment options may need to be explored.

Expected Recovery

The recovery profile for TEER is shorter than that of traditional surgery. Pets often experience less post-operative pain and may be discharged from the hospital within 2–3 days. While rest is still required, many owners report seeing an immediate improvement in their pet’s energy levels and breathing.

What Is Traditional Heart Surgery?

Traditional heart surgery, often referred to as open-heart surgery, involves a direct surgical approach to repair or replace damaged structures within the heart. This is a major surgical event that requires general anaesthesia and the use of a heart-lung bypass machine.

During the procedure, the veterinary surgeon makes a large incision through the chest bone (sternum) to access the heart directly. To operate on the heart while it is still, a cardiopulmonary bypass machine is typically used. This machine temporarily takes over the work of the heart and lungs, pumping oxygenated blood through the body while the surgeon repairs the valve or corrects the defect.

When Is It Recommended?

Traditional surgery is generally recommended for pets with complex congenital defects, for removing tumours, or for repairing structural issues that cannot be reached or fixed via a catheter. However, because of the physical toll it takes on the body, pets must be in relatively good overall health to withstand the use of anaesthesia and the bypass machine.

Expected Recovery

Because this is a major surgery involving a chest incision and heart bypass, the recovery period is extensive. Pets usually remain in the hospital for a week or more for close monitoring. The healing process for the chest bone can be painful and takes several weeks to months, requiring strict rest and restricted movement.

At A Glance: TEER Procedure vs. Traditional Heart Surgery

The most suitable option depends on your pet’s condition, overall health and the recommendation of your veterinary team.

FAQs About TEER and Traditional Heart Surgery for Pets

Is anaesthesia required for both procedures?

Yes, both TEER and traditional heart surgery require general anaesthesia. However, the duration and complexity of anaesthesia are typically greater in open-heart surgery.

Can heart conditions return after treatment?

While procedures can significantly improve heart function, they may not completely cure the underlying disease. Ongoing monitoring is important to manage long-term outcomes.

How soon should I decide on treatment?

Timeliness can be important, especially in advanced stages of heart disease. Discussing urgency with your vet ensures you make a decision that supports your pet’s best outcome.