Initial assessment

Interim assessment

Long term follow up

Define degree and severity of VHD

Define need for surgical intervention

Optimize timing of surgical intervention

Facilitate appropriate initial imaging

Patient education

Decrease overall VHD health-care related costs

Management of key cardiovascular comorbidities (i.e. heart failure and blood pressure medications)

Referral for appropriate adjuvant resources and primary care follow-up*

Reduce VHD related hospital admission, morbidity, and mortality

Follow up imaging as needed