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Article Category: PeopleCare

New Leaky Heart Valve Treatment Gives Thomson Student a Bright Future

Published on July 19, 2024

Last updated 10:31 AM February 24, 2025

JaQuan Hart HAART Device

Like most seniors, Ja’Quan Hart was very much looking forward to going off to college in the summer of 2023.

The Thomson, Ga., resident had just graduated high school and as a linebacker and tight end, helped lead his Thomson High School Bulldogs to win the Class AA State Championship.

“I had these big tackles, and I caught like an 89-yeard interception pass,” he said. “That was like my best game. We won state!”

Ja’Quan’s talent and skill on the football field—and his love of the game—earned him the opportunity to play for the University of Kansas with a full scholarship.

Unfortunately, life had other plans.

Amid packing for school and booking his flights, Ja’Quan learned from a routine sports physical that he had an irregularity in his heart that could be life-threatening.

That irregularity turned out to be a leaky aortic valve—and an abrupt end to his aspirations of a college football career.

“Blood was flowing back into my heart. It wasn’t going all the way through,” Ja’Quan explained.

In a healthy heart, leaflets between the left and right ventricles open to allow blood to flow through the heart one way and then close fully to keep blood from flowing back into the heart. In a condition like Ja’Quan’s, the leaflets do not close all the way and blood does leak back into the heart.

For most people the treatment for a leaky aortic valve involves a valve replacement. But a valve replacement now will often require another replacement surgery at some point in the future, and probably more than one, said Dr. Brian Bateson, a pediatric cardiothoracic surgeon and co-director of the adult congenital heart program at Wellstar MCG Health Medical Center. The younger the patient, the more potential surgeries the patient will need to have to replace the valves when they wear out.

Because Ja’Quan had not yet reached 20 years of age at the time of his care, a valve replacement would mean multiple surgeries over the course of his life.

The solution is a new device called the HAART ring that is affixed to the support structure of the aortic valve. This stabilizes the valve and allows for further repair of the leaflets themselves, meaning the valve can close properly and prevent leakage.

“If you’re using Ja’Quan’s own valve, keeping it in place and it functions, potentially he wouldn’t need another procedure again in his life because it’s still his own tissue. It’s not going to break down. Any prosthetic valve, whether it’s mechanical, bio-prosthetic will fail over time,” Dr. Bateson said. “Nothing’s better than what you’re born with.”

The HAART device is ideal for a young patient like Ja’Quan, but would also be a good treatment option for any person—pediatric or adult—with the same condition.

Ja’Quan spent three days in the hospital recovering from his surgery. Since, he has been slowly increasing his cardiovascular activity, such as walking, and following up with Dr. Bateson for regular checkups, who said he has been recovering very well.

Ja’Quan said he plans to continue to play sports, but will need to be more selective about the sports he can play.

“I play basketball. I just won’t be playing contact sports (like football),” he said.

Though he said it was disappointing to have to change direction as far as playing college football is concerned, Ja’Quan hasn’t let it dampen his spirit. Instead of college football, he is now exploring the possibility of driving trucks with the intention of going into business for himself—as long as it isn’t too strenuous for his heart.

“I’m not going to give up. I’m going to regroup and keep going and find another path to being successful in life,” he said.



Tags

Cardiology Cardiac Rehab Cardiac Imaging
01 Heart Care MCG Health Medical Center PeopleCare Heart Care KidCare
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BackToSchoolCare: Helping Your Child With Stress & Anxiety

The new school year comes with a lot of change for children—a different classroom, teacher, peers, learning material and routine. These changes can cause stress and anxiety in some children and teens, especially if they struggle in school and dread going back.

How to respond to stress

Kids and teens of all ages can feel stress at times, and that’s normal. It’s essentially a signal to get ready for what’s coming. With typical back-to-school stress, a parent or caretaker can help adolescents start the school year with confidence—and gain important coping skills—with the following tips.

  1. Listen and validate your child or teen’s feelings.
  2. Talk through what they can expect of everything from the morning routine to the bus ride to the school day and dismissal.
  3. Visit the school and the classroom, especially if the child is younger or is new to the school.
  4. Check in with your child about how the year is going so far.
  5. Look ahead at what the rest of the year could be like.

Recognize chronic stress and anxiety

Stress can be good for kids. But on the other hand, chronic stress and anxiety that lasts for more than a few weeks aren’t healthy. In recent years, Wellstar Pediatrician Dr.  Andrew Doyle has noticed a growing number of adolescents, especially females, have anxiety.

“It’s normal to have stress; it’s not normal to have anxiety,” Dr. Doyle said. “Understandably you get nervous with new situations that make you uncomfortable, but you’re still able to do it and have fun. Significant anxiety starts to interfere with a child or teen’s ability to do what they need to do—homework, school, social situations. That’s when it’s helpful to get it checked out.”

In addition to having difficulty participating in and completing activities, signs of anxiety in children and adolescents can include difficulty sleeping, abdominal pain, headaches, significant changes in appetite or an explosive temper.

Effective treatments include lifestyle changes, medication and therapy. For example, lifestyle changes can include getting enough sleep, exercising, eating a healthy diet and planning downtime from social media and life responsibilities.

“Therapy and role-playing can help you recognize your stressors and think through how to handle them ahead of time so you can face those situations,” he said. “For example, on exam day, start with positive self-talk. You can say, ‘I’m feeling nervous. I have a headache and an upset stomach. I know that’s because I’m anxious. I’ve taken many tests before and I can do this, so I don’t need to worry about it.’ Breathing exercises before the test can help you stay calm.”

Start the year strong with a wellness screening

Another way to begin the school year right is to check in on your child’s emotional and physical health. Wellstar pediatricians will get to know your child and help them live their healthiest.

“I try to do whatever I can to help our patients and families so that when they leave my office, I've given them something to hold onto that is going to make life better for them,” Dr. Doyle said.

Find a pediatrician near you and book your child’s back to school exam so they can start the year strong.

Keep reading
Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

PeopleCare

RobertCare

Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

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Parent helping their child study at a desk.

Highlights

BacktoSchoolCare: Keeping Kids Healthy & Safe

A new school year is right around the corner. While kids may be the ones returning to the classroom, parents still have their own homework to do too: making sure their child has a healthy start.

Before heading back to school, Wellstar health experts say it’s more important than ever prioritize your child’s physical and emotional well-being.

“Parents can help their children be prepared for school by starting early,” said Wellstar Pediatrician Dr. Andrew Doyle. “Be sure to speak to your children and address any anxieties they may have now about the new school year.”

“Also, getting them scheduled to see their pediatrician for important screenings and immunizations will help them be their healthiest,” he shared.

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