Patient Portal

Alan Zajarias, MD

Assistant Professor, Medicine
Division of Cardiovascular Diseases

Specialty Areas

Cardiology
Interventional Cardiology
Valvular Heart Disease
Cardiomyopathy
Cardiovascular Disease

Board Certifications

Cardiology
Interventional Cardiology
Internal Medicine
Echocardiology

Hospital Affiliations

Barnes-Jewish West County Hospital
Barnes-Jewish Hospital

Languages

Spanish
French

Areas of Clinical Interest

Clinical cardiology, diagnostic cardiac catheterization, coronary angiography, peripheral and coronary vascular intervention, ASD/PFO closure, transthoracic echocardiography, transesophageal echocardiography, intracardiac echocardiography, stress echocardiography, cardiac MRI, valvular heart disease

  • Maps & Directions
  • Education
  • Publication & Research
  • Financial Disclosures
  • Videos

Maps & Directions

Maps & Directions

Center for Advanced Medicine
Heart & Vascular Center

4921 Parkview Place
St. Louis, MO 63110

Suite: A
Floor: 8
Office Phone: 314-362-1291
Additional Phone: 314-747-4535
Fax: 314-362-4278
Email: azajaria@wustl.edu

Education

Education

Post Graduate : Percutaneous Valvular Technology, Alain Cribier, M.D. , Rouen, France 2008
Fellowship: Interventional Cardiology, Washington University School of Medicine, St. Louis, MO 2007
Fellowship: Clinical Cardiology, Washington University School of Medicine, St. Louis, MO 2006
Residency: Internal Medicine, Barnes-Jewish Hospital, St. Louis MO 2003
Medical Degree: Universidad Nacional Autónoma de México, U.N.A.M., Mexico City, Mexico 2000

Publication & Research

Publication & Research

Outcomes After the MitraClip Procedure in Patients at Very High Risk for Conventional Mitral Valve Surgery.
Manghelli JL, Carter DI, Khiabani AJ, Maniar HS, Damiano RJ Jr, Sintek MA, Lasala JM, Zajarias A, Melby SJ
Innovations (Phila). 2018 Nov/Dec; 13(6)433-437. doi: 10.1097/IMI.0000000000000571.

PMID:
    30543578
    [PubMed - in process]
Related citations


Observed to expected 30-day mortality as a benchmark for transcatheter aortic valve replacement.
Henn MC, Zajarias A, Quader N, Sintek M, Lasala JM, Koogler K, Damiano MS, Kachroo P, Miller DC, King CR, Melby SJ, Moon MR, Damiano RJ Jr, Maniar HS
J Thorac Cardiovasc Surg. 2018 Jul 27; pii: S0022-5223(18)32031-2. doi: 10.1016/j.jtcvs.2018.06.097.

PMID:
    30454980
    [PubMed - as supplied by publisher]
Related citations


Reversing the "Risk-Treatment Paradox" of Bleeding in Patients Undergoing Percutaneous Coronary Intervention: Risk-Concordant Use of Bleeding Avoidance Strategies Is Associated With Reduced Bleeding and Lower Costs.
Amin AP, Miller S, Rahn B, Caruso M, Pierce A, Sorensen K, Kurz H, Zajarias A, Bach R, Singh J, Lasala JM, Kulkarni H, Crimmins-Reda P
J Am Heart Assoc. 2018 Nov 6; 7(21)e008551. doi: 10.1161/JAHA.118.008551.

PMID:
    30376760
    [PubMed - in process]
Related citations


Racial Comparisons of the Outcomes of Transcatheter and Surgical Aortic Valve Implantation Using the Medicare Database.
McNeely C, Zajarias A, Fohtung R, Kakouros N, Walker J, Robbs R, Markwell S, Vassileva CM
Am J Cardiol. 2018 Aug 1; 122(3)440-445. doi: 10.1016/j.amjcard.2018.04.019.

PMID:
    30201109
    [PubMed - in process]
Related citations


Anesthetic Considerations for the Transcatheter Management of Mitral Valve Disease.
Gregory SH, Sodhi N, Zoller JK, Quader N, Ridley CH, Maniar HS, Lasala JM, Zajarias A
J Cardiothorac Vasc Anesth. 2018 Jun 6; pii: S1053-0770(18)30387-2. doi: 10.1053/j.jvca.2018.05.054.

PMID:
    30064851
    [PubMed - as supplied by publisher]
Related citations


Implications of Concomitant Tricuspid Regurgitation in Patients Undergoing Transcatheter Aortic Valve Replacement for Degenerated Surgical Aortic Bioprosthesis: Insights From the PARTNER 2 Aortic Valve-in-Valve Registry.
Sathananthan J, Murdoch DJ, Lindman BR, Zajarias A, Jaber WA, Cremer P, Wood D, Moss R, Cheung A, Ye J, Hahn RT, Crowley A, Leon MB, Mack MJ, Webb JG
JACC Cardiovasc Interv. 2018 Jun 25; 11(12)1154-1160. doi: 10.1016/j.jcin.2018.03.019.

PMID:
    29929637
    [PubMed - in process]
Related citations


The incidence and prognostic implications of worsening right ventricular function after surgical or transcatheter aortic valve replacement: insights from PARTNER IIA.
Cremer PC, Zhang Y, Alu M, Rodriguez LL, Lindman BR, Zajarias A, Hahn RT, Lerakis S, Malaisrie SC, Douglas PS, Pibarot P, Svensson LG, Leon MB, Jaber WA
Eur Heart J. 2018 Jul 21; 39(28)2659-2667. doi: 10.1093/eurheartj/ehy251.

PMID:
    29741615
    [PubMed - in process]
Related citations


Transcatheter Aortic Valve Replacement in Patients With Low-Flow, Low-Gradient Aortic Stenosis: The TOPAS-TAVI Registry.
Ribeiro HB, Lerakis S, Gilard M, Cavalcante JL, Makkar R, Herrmann HC, Windecker S, Enriquez-Sarano M, Cheema AN, Nombela-Franco L, Amat-Santos I, Muñoz-García AJ, Garcia Del Blanco B, Zajarias A, Lisko JC, Hayek S, Babaliaros V, Le Ven F, Gleason TG, Chakravarty T, Szeto WY, Clavel MA, de Agustin A, Serra V, Schindler JT, Dahou A, Puri R, Pelletier-Beaumont E, Côté M, Pibarot P, Rodés-Cabau J
J Am Coll Cardiol. 2018 Mar 27; 71(12)1297-1308. doi: 10.1016/j.jacc.2018.01.054.

PMID:
    29566812
    [PubMed - in process]
Related citations


Novel Patient-Centered Approach to Facilitate Same-Day Discharge in Patients Undergoing Elective Percutaneous Coronary Intervention.
Amin AP, Crimmins-Reda P, Miller S, Rahn B, Caruso M, Pierce A, Dennis B, Pendegraft M, Sorensen K, Kurz HI, Lasala JM, Zajarias A, Bach RG, Kulkarni H, Singh J
J Am Heart Assoc. 2018 Feb 15; 7(4)pii: e005733. doi: 10.1161/JAHA.117.005733.

PMID:
    29449273
    [PubMed - in process]
Related citations


Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke.
Saver JL, Carroll JD, Thaler DE, Smalling RW, MacDonald LA, Marks DS, Tirschwell DL, RESPECT Investigators.
N Engl J Med. 2017 Sep 14; 377(11)1022-1032. doi: 10.1056/NEJMoa1610057.

PMID:
    28902590
    [PubMed - indexed for MEDLINE]
Related citations


Outcomes of Early Mitral Valve Reoperation in the Medicare Population.
Kwedar K, McNeely C, Zajarias A, Markwell S, Vassileva CM
Ann Thorac Surg. 2017 Nov; 104(5)1516-1521. doi: 10.1016/j.athoracsur.2017.05.001.

PMID:
    28760466
    [PubMed - indexed for MEDLINE]
Related citations


Blood Pressure and Arterial Load After Transcatheter Aortic Valve Replacement for Aortic Stenosis.
Lindman BR, Otto CM, Douglas PS, Hahn RT, Elmariah S, Weissman NJ, Stewart WJ, Ayele GM, Zhang F, Zajarias A, Maniar HS, Jilaihawi H, Blackstone E, Chinnakondepalli KM, Tuzcu EM, Leon MB, Pibarot P
Circ Cardiovasc Imaging. 2017 Jul; 10(7)pii: e006308. doi: 10.1161/CIRCIMAGING.116.006308.

PMID:
    28701528
    [PubMed - indexed for MEDLINE]
Related citations


Transcatheter Aortic Valve Replacement Outcomes in Nonagenarians Stratified by Transfemoral and Transapical Approach.
McNeely C, Zajarias A, Robbs R, Markwell S, Vassileva CM
Ann Thorac Surg. 2017 Jun; 103(6)1808-1814. doi: 10.1016/j.athoracsur.2017.02.056.

PMID:
    28450135
    [PubMed - indexed for MEDLINE]
Related citations


Protection Against Cerebral Embolism During Transcatheter Aortic Valve Replacement.
Kapadia SR, Kodali S, Makkar R, Mehran R, Lazar RM, Zivadinov R, Dwyer MG, Jilaihawi H, Virmani R, Anwaruddin S, Thourani VH, Nazif T, Mangner N, Woitek F, Krishnaswamy A, Mick S, Chakravarty T, Nakamura M, McCabe JM, Satler L, Zajarias A, Szeto WY, Svensson L, Alu MC, White RM, Kraemer C, Parhizgar A, Leon MB, Linke A, SENTINEL Trial Investigators.
J Am Coll Cardiol. 2017 Jan 31; 69(4)367-377. doi: 10.1016/j.jacc.2016.10.023.

PMID:
    27815101
    [PubMed - indexed for MEDLINE]
Related citations


Learning Alternative Access Approaches for Transcatheter Aortic Valve Replacement: Implications for New Transcatheter Aortic Valve Replacement Centers.
Henn MC, Percival T, Zajarias A, Melby SJ, Lindman BR, Quader N, Damiano RJ Jr, Moon MR, Lasala JM, Rao RS, Bell J, Damiano MS, Maniar HS
Ann Thorac Surg. 2017 May; 103(5)1399-1405. doi: 10.1016/j.athoracsur.2016.08.068.

PMID:
    27765175
    [PubMed - indexed for MEDLINE]
Related citations


Impact of Preoperative Chronic Kidney Disease in 2,531 High-Risk and Inoperable Patients Undergoing Transcatheter Aortic Valve Replacement in the PARTNER Trial.
Thourani VH, Forcillo J, Beohar N, Doshi D, Parvataneni R, Ayele GM, Kirtane AJ, Babaliaros V, Kodali S, Devireddy C, Szeto W, Herrmann HC, Makkar R, Ailawadi G, Lim S, Maniar HS, Zajarias A, Suri R, Tuzcu EM, Kapadia S, Svensson L, Condado J, Jensen HA, Mack MJ, Leon MB
Ann Thorac Surg. 2016 Oct; 102(4)1172-80. doi: 10.1016/j.athoracsur.2016.07.001.

PMID:
    27592092
    [PubMed - indexed for MEDLINE]
Related citations


Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients.
Leon MB, Smith CR, Mack MJ, Makkar RR, Svensson LG, Kodali SK, Thourani VH, Tuzcu EM, Miller DC, Herrmann HC, Doshi D, Cohen DJ, Pichard AD, Kapadia S, Dewey T, Babaliaros V, Szeto WY, Williams MR, Kereiakes D, Zajarias A, Greason KL, Whisenant BK, Hodson RW, Moses JW, Trento A, Brown DL, Fearon WF, Pibarot P, Hahn RT, Jaber WA, Anderson WN, Alu MC, Webb JG, PARTNER 2 Investigators.
N Engl J Med. 2016 Apr 28; 374(17)1609-20. doi: 10.1056/NEJMoa1514616.

PMID:
    27040324
    [PubMed - indexed for MEDLINE]
Related citations


Transcatheter implantation of SAPIEN 3 valve in native right ventricular outflow tract for severe pulmonary regurgitation following tetralogy of fallot repair.
Rockefeller T, Shahanavaz S, Zajarias A, Balzer D
Catheter Cardiovasc Interv. 2016 Jul; 88(1)E28-33. doi: 10.1002/ccd.26480.

PMID:
    26945801
    [PubMed - indexed for MEDLINE]
Related citations


Delirium after surgical and transcatheter aortic valve replacement is associated with increased mortality.
Maniar HS, Lindman BR, Escallier K, Avidan M, Novak E, Melby SJ, Damiano MS, Lasala J, Quader N, Rao RS, Lawton J, Moon MR, Helsten D, Pasque MK, Damiano RJ Jr, Zajarias A
J Thorac Cardiovasc Surg. 2016 Mar; 151(3)815-823.e2. doi: 10.1016/j.jtcvs.2015.10.114.

PMID:
    26774165
    [PubMed - indexed for MEDLINE]
Related citations


Preoperative pulmonary function tests predict mortality after surgical or transcatheter aortic valve replacement.
Henn MC, Zajarias A, Lindman BR, Greenberg JW, Melby SJ, Quader N, Vatterott AM, Lawler C, Damiano MS, Novak E, Lasala JM, Moon MR, Lawton JS, Damiano RJ Jr, Maniar HS
J Thorac Cardiovasc Surg. 2016 Feb; 151(2)578-85, 586.e1-2. doi: 10.1016/j.jtcvs.2015.10.067.

PMID:
    26687886
    [PubMed - indexed for MEDLINE]
Related citations

Financial Disclosures

Financial Disclosures

Disclosure of Financial Interests with Industry

Washington University and its physicians and health professionals are committed to ensuring integrity and objectivity in medical decision-making. Some of our physicians and health professionals work collaboratively with pharmaceutical, medical device or other medical care related companies to develop innovative ideas and products that can improve health care delivery and clinical outcomes for patients. In some instances, our physicians and health professionals have an ownership or potential ownership interest in a commercial company; and/or are paid by a commercial company to provide advice on product design or to speak about the use of medications, devices, equipment or procedures. These payments may include: a) compensation for consulting and speaking engagements, b) equity, and/or c) royalties for products invented by our faculty. Any payments to Washington University physicians or health professionals must be based on tangible services and may not exceed fair market value for their work. In addition to disclosure on this website, physicians and health professionals earning more than $10,000 per year must disclose their corporate financial relationship in writing to patients when prescribing or using that company's products.

This physician reported the following financial interests during calendar year 2017:

Company Name: Tavrsolutions

Royalties:

Equity: Yes

Consulting/Advisory Board:

Speaker Fees:

Reporting Date: May 01, 2018

Videos

Videos

Areas of Research Interest

Echocardiographic evaluation of changes in ventricular function after valve replacement. New percutaneous technology for valve replacement and repair.