The Structural Heart Disease Fellowship at Washington University School of Medicine is a non-ACGME accredited, one-year advanced training program designed to provide in-depth, hands-on experience in the diagnosis and catheter-based treatment of structural and congenital heart disease. This fellowship is ideal for interventional cardiologists seeking to specialize in the rapidly evolving field of structural heart interventions.
Program Highlights
- Comprehensive Structural Training: Fellows receive focused training in the evaluation and treatment of:
- Valvular heart disease: including aortic, mitral, and tricuspid valve pathologies
- Congenital heart defects
- Left atrial appendage closure (e.g., Watchman device)
- Perivalvular leak closure
- Advanced Interventions:
- Transcatheter Aortic Valve Replacement (TAVR)
- Transcatheter Mitral Valve Repair (e.g., MitraClip, TMVR)
- Tricuspid valve interventions
- Innovation and Clinical Trials:
Washington University is a leading national trial site for emerging valve technologies. Fellows actively participate in first-in-human and pivotal trials, gaining early exposure to next-generation devices and techniques.
Clinical Environment
- The Cardiac Procedure Center (CPC) at Barnes-Jewish Hospital is one of the highest-volume catheterization laboratories in the region, with a long-standing reputation for clinical excellence and innovation.
- The Structural Heart Program was the first in the St. Louis metro area to perform TAVR, and continues to lead in the adoption of novel percutaneous therapies.
- Fellows work alongside nationally recognized experts in structural heart disease in a collaborative, multidisciplinary environment that includes interventional cardiology, cardiac surgery, imaging, and anesthesiology.
Training Experience
- Hands-on procedural training in a high-volume center
- Multimodality imaging integration (TEE, CT, 3D echo) for procedural planning and guidance
- Participation in heart team discussions, patient selection, and longitudinal follow-up
- Opportunities for clinical research, publications, and presentations at national meetings
Career Preparation
Graduates of the Structural Heart Disease Fellowship are exceptionally well-prepared to:
- Contribute to the advancement of minimally invasive therapies for structural heart disease
- Lead or establish structural heart programs
- Serve as key opinion leaders in the field
Director:
Associate Professor of Medicine
Director, Adult Cardiac Catheterization Laboratory
Director, Structural Heart Fellowship

Jeffery Tran, MD
Structural Fellow
Medical School: Keck School of Medicine, University of Southern California
Residency: Los Angeles County + University of Southern California Medical Center
Fellowship: Cardiovascular Disease, University of Arizona College of Medicine – Tucson
How to Apply
Applications are accepted directly and are not submitted through ERAS or NRMP.
To apply, please email the following materials to Megan Watters:
- Curriculum Vitae (CV)
- Personal Statement
- Three Letters of Recommendation (including one from your Interventional Cardiology Fellowship Program Director)
- USMLE/COMLEX transcripts
- ECFMG certification (if applicable)
Application Timeline
- Application Deadline: August 31, 2025
- Interview Invitations: Sent directly by the program
- Fellowship Start Date: July 1, 2026
For questions or to submit your application, please contact:
Megan Watters
Cardiovascular Division
Washington University School of Medicine
Email: wattersm@wustl.edu