Global Structural Heart Devices Market Size, Trend & Opportunity Analysis Report, by Type (Surgical Aortic Valve Replacement, Transcatheter Aortic Valve Replacement, Mitral Repair, Left Atrial Appendage Closure), and Forecast, 2024–2035

Market Definition and Introduction

The global structural heart devices market was valued at USD 7.56 billion in 2024 and is anticipated to reach USD 20.72 billion by 2035, expanding at a CAGR of 9.60% during the forecast period (2024–2035). Continued increase in the global burden of cardiovascular diseases is setting unprecedented demand for advanced interventional technologies in structural heart therapy. Several factors include the effect of ageing populations and the increasing incidence of valvular disorders and patient preference for minimally invasive interventions, which stimulate medical device manufacturers.

Over the years, structural heart devices have defined the treatment paradigm in healthcare systems, which replaces open-heart surgery with designs involving innovative catheter-based techniques for faster recovery, shorter hospital stays, and better outcomes for patients. Besides growing awareness, advances in technology also include imaging, robotics, and device engineering, which broaden adoption. All stakeholders, from cardiologists to regulatory bodies, are collaborating to develop strong clinical evidence for broad reimbursement and adoption.

Meanwhile, increased healthcare expenditure, especially in developing countries, has opened enormous avenues for growth for manufacturers willing to penetrate untapped markets. The new feature among structural heart device companies is that clinical effectiveness is not enough, as it also has to be supported by evidence of cost efficiency, thereby integrating innovative technologies within the constraints of healthcare systems with limited resources. Manufacturers reshuffled their product portfolios to introduce much more durable and next-generation devices that can handle complex patient anatomies in high-risk surgical settings. By converging digital technologies such as AI-guided imaging and 3D printing into product development, market leaders are seeking to create a competitive advantage in precision medicine. This is not just a step towards evolution but a transformational one in defining patient care pathways and setting a new standard in interventional cardiology.

Recent Developments in the Industry

In June 2024, Edwards Lifesciences Corp. announced FDA approval of its new SAPIEN X4 transcatheter aortic valve system, which features improved durability and positioning accuracy.

An immense step forward in TAVR technology to serve an increasingly diversifying population in need of minimally invasive valve replacement, the company also declared its expanded clinical trial programmes in Europe and Asia for further acceptance in emerging markets.

Medtronic taps hospitals to make left atrial appendage closure a more global option.

In March 2025, Medtronic plc entered a strategic collaboration with leading cardiac hospitals across North America and along the Asia-Pacific Rim to increase the level of procedural training and adoption of its left atrial appendage closure (LAAC) device. In addition, this partnership will raise awareness on stroke prevention among patients with atrial fibrillation, driven by new real-world clinical outcomes, which show reduced hospital costs and complications.

Abbott Laboratories keeps mitral repair innovation moving forward by obtaining CE Mark and U.S. approvals.

An October 2023 CE Mark approval consolidating Abbott's footing in the structural heart environment for its TriClip, a transcatheter system for repair of the tricuspid valve, was followed by U.S. FDA clearance for the next-generation MitraClip G4 system for greater customisation in treating mitral regurgitation. Together, these events attest to Abbott's sustained investment in innovations in structural heart involvement in valve repair and replacement technologies.

Market Dynamics

Changing and Spreading the Challenges Associated with Increasing Forms of Valvular Heart Disease Demand for Further Advanced Structural Interventions Globally

Increased occurrences of aortic stenosis, mitral regurgitation, and atrial fibrillation have resulted in a constant need for structures to develop heart devices. With population ageing and increased life expectancy, there is an increase in hospital patients deemed ineligible for conventional surgeries. More invasive techniques, such as TAVR and mitral repair, emerged as life-saving alternatives because the available recovery periods were announced as shorter, resulting in an improved lifestyle. Thus, penetration into both mature and emerging markets gained acceleration, buoyed by increased physician expertise and better clinical trial evidence supporting device safety and efficacy.

Stringent reimbursement landscapes and cost barriers are the most significant difficulties for market expansion.

Increased technical achievement may not trigger profitability because reimbursement may not align properly within the same time frame. Some payers across geographies tend to be more conservative in granting widespread reimbursement approval at the very early phase of aftermarket entrance for many emerging therapies, particularly when long-term outcome data are not well established. Affordability issues continue in low- and middle-income countries; with the huge amounts required, it becomes difficult for healthcare systems to consider most of them for wide adoption. Thus, while demonstrating cost-effectiveness and real-world impact, manufacturers must also engage with regulators and healthcare providers to widen reimbursement frameworks.

The rapid pace of innovation offers exceptional avenues for precision medicine and time-value durability in devices.

Advanced imaging, AI-based procedural planning, and next-generation materials are converging to create new frontiers in device design and durability. A hybrid approach-research into surgical versus catheter-based interventions, producing gains in efficacy for some of the most complex anatomies. 3D printing, novel polymer coatings, and biocompatible materials are developing devices that would be superior in performance and have lower complication rates. This wave of innovation extends into personalised medicine, whereby customised devices are developed to match a patient's anatomy because personalisation increases uptake and procedure success rates.

Internal long-term issues are supply chains, regulatory scrutiny, and gaps within the curricula training.

At present, the upshot of such innovative technology-coupled with the very stimulating world of structural heart devices, is along volatile supply chains for critical components coupled with stringent regulatory hurdles that prolong approval timelines. As if this were not enough, the entire learning curve associated with advanced interventional procedures creates what is known as the training gap, particularly in developing markets where there are fewer skilled interventional cardiologists. These dynamic limits the pace of adoption despite good patient outcomes. Therefore, companies are investing heavily in physician training programs and digital learning hubs to address these constraints while pursuing regulatory harmonisation across the regions.

Attractive Opportunities in the Market

TAVR Expansion – Growing adoption of transcatheter aortic valve replacement in intermediate and low-risk patients globally
Mitral Repair Growth – Rising clinical acceptance of transcatheter mitral repair solutions in complex valvular pathologies
Stroke Prevention Devices – Left atrial appendage closure devices gain traction as atrial fibrillation cases surge worldwide
AI-Driven Imaging – Artificial intelligence enhances procedural planning accuracy and optimises device implantation outcomes
Personalised Therapy Design – Customised valve systems tailored to individual patient anatomies boost treatment success
Emerging Market Demand – Expanding healthcare infrastructure in Asia-Pacific fuels adoption of minimally invasive devices
Regulatory Harmonisation – Streamlined global approval pathways accelerate device launches and cross-border accessibility
Hospital Partnerships – Collaborative training initiatives between device makers and hospitals expand procedural adoption
Durability Innovations – Next-generation biocompatible materials extend device lifespans and reduce complications
Digital Health Integration – Remote monitoring tools enhance patient outcomes after structural heart interventions

Report Segmentation

By Type: Surgical Aortic Valve Replacement, Transcatheter Aortic Valve Replacement, Mitral Repair, Left Atrial Appendage Closure

By Region: North America (U.S., Canada, Mexico), Europe (UK, Germany, France, Spain, Italy, Spain, Rest of Europe), Asia-Pacific (China, India, Japan, Australia, South Korea, Rest of Asia-Pacific), LAMEA (Brazil, Argentina, UAE, Saudi Arabia (KSA), Africa Rest of Latin America)

Key Market Players

Edwards Lifesciences Corporation, Medtronic plc, Abbott Laboratories, Boston Scientific Corporation, LivaNova PLC, CryoLife Inc., Lepu Medical Technology, MicroPort Scientific Corporation, JenaValve Technology Inc., and Meril Life Sciences Pvt. Ltd.

Report Aspects

Base Year: 2024
Historic Years: 2022, 2023, 2024
Forecast Period: 2024-2035
Report Pages: 293

Dominating Segments

TAVR Emerges as the Leading Segment, Driven by Ageing Populations and Minimally Invasive Treatment Preferences

Transcatheter aortic valve replacement (TAVR) swiftly emerged as a leading force in the structural heart devices market. Initially, offered to patients at prohibitive surgical risk, TAVR is now being increasingly offered for intermediate and low-risk patients following successful completion of clinical trials such as PARTNER 3 and Evolut Low Risk. Shorter hospital stays, fewer complications, and a quicker return to normal activities have made TAVR the treatment of choice in various health systems. To further enhance the adoption of TAVR, iterations of the device with improved repositionability, greater haemodynamic performance, and durability are also being developed. TAVR's fast-paced growth and maximal influence are expected under guideline updates in Europe and the U.S.

Mitral Repair Segment Gains Traction, Driven by Unmet Needs in Secondary Mitral Regurgitation

The mitral repair segment has been gaining momentum as physicians are beginning to embrace the function of transcatheter repair devices to mitigate mitral regurgitation, especially in patients who are poor surgical candidates. Devices such as MitraClip have entered the realm of Standard of Care across numerous areas and provide symptomatic relief for heart failure patients, decreasing hospitalisations. The much higher incidence of mitral valve disease compared to aortic stenosis means there is a large growth opportunity for this segment. More research and development on new devices addressing primary and secondary mitral regurgitation are likely to further change treatment paradigms, with the aid of favourable reimbursement decisions and ongoing clinical evidence.

Left Atrial Appendage Closure Devices Rise as Key Stroke Prevention Solutions in Atrial Fibrillation

With atrial fibrillation emerging as a global health burden, stroke prevention has become a clinical and economic priority. Left atrial appendage closure (LAAC) devices have positioned themselves as an alternative to lifelong anticoagulation therapy, especially for patients at high bleeding risk. Established clinical evidence regarding their use from trials such as PROTECT AF and PRAGUE-17 reinforces this evidence of improved stroke risk reduction and long-term outcomes. Continued growth will be stimulated by increasing physician familiarity with the device, improved implantation techniques, and wider reimbursement coverage. Given the growing prevalence of atrial fibrillation in elderly societies, the LAAC device market will see vigorous growth in developed and developing regions.

Surgical Aortic Valve Replacement Remains Relevant Amid Transition to Transcatheter Therapies

While transcatheter methods are gaining prevalence, surgical aortic valve replacement (SAVR) will maintain its pivotal role, particularly for the younger patients needing durable prosthetic valves. Surgical approaches still reign in these patients with complex valve pathologies or when an intervention on the heart is required concurrently. Innovations in surgical bioprosthetic valves with augmented durability and biocompatibility serve to keep this arena vivacious and in high demand. The interaction between SAVR and TAVR signifies how both surgical and transcatheter modes complement each other, thereby ensuring a stable contribution from the surgical field, notwithstanding the turbulence that may exist in the larger area.

Key Takeaways

TAVR Dominance – Rapid expansion across patient risk groups positions TAVR as the market’s leading growth driver
Mitral Repair Momentum – Strong pipeline and expanding adoption elevate mitral repair as a critical growth frontier
Stroke Prevention Growth – LAAC devices reshape atrial fibrillation management through minimally invasive stroke prevention
SAVR Sustains Relevance – Surgical procedures remain vital for younger patients requiring durable valve replacements
Technological Convergence – AI, robotics, and advanced imaging enhance procedural accuracy and clinical outcomes
Emerging Market Push – Asia-Pacific and Latin America show strong adoption potential driven by rising cardiac cases
Reimbursement Expansion – Broader coverage frameworks unlock faster uptake of structural heart interventions globally
Innovation Investment – R&D into next-gen devices fuels continuous evolution of the competitive landscape
Training Partnerships – Physician training programmes accelerate adoption and bridge procedural expertise gaps
Regulatory Milestones – Approvals across the U.S., Europe, and Asia set the stage for rapid global commercialisation

Regional Insights

North America Maintains Leadership through Robust Infrastructure and Widespread Adoption of Next-Gen Therapies

North America remains the largest regional market for structural heart devices, driven by a well-established healthcare infrastructure and significant patient volumes for valvular and atrial fibrillation procedures. The United States, in particular, has seen accelerated adoption of TAVR and mitral repair therapies, supported by favourable reimbursement frameworks and a concentration of leading manufacturers such as Edwards, Abbott, and Medtronic. The presence of world-class clinical trial centres and strong regulatory clarity from the FDA further reinforces the region’s leadership. With stroke prevention gaining clinical emphasis, left atrial appendage closure devices are also witnessing rising procedural volumes across top-tier hospitals.

Europe Establishes Leadership in Greenlight Approvals and Widening Clinical Indications for Structural Therapies

Europe continues to act as a pioneering hub for structural heart innovation, driven by proactive regulatory approvals under CE Mark and adoption in early-stage risk groups. Countries such as Germany, France, and the UK are at the forefront of procedure volumes, with robust training programmes accelerating physician expertise. The European market is also benefiting from substantial government-backed investments into cardiovascular research, facilitating faster integration of advanced technologies into clinical practice. Mitral repair and tricuspid therapies, in particular, are gaining stronger traction across Europe, setting the stage for future growth as reimbursement frameworks expand.

Asia-Pacific Emerges as the Fastest-Growing Region Owing to Industrialisation, Ageing Populations, and Rising Healthcare Spend

Asia-Pacific is expected to witness the highest CAGR in the forecast period, underpinned by an expanding elderly population, increasing prevalence of cardiovascular disease, and rapidly improving healthcare infrastructure. China, India, and Japan are at the core of this growth, supported by substantial government investments in healthcare and growing private hospital networks. Local manufacturers such as Lepu Medical and MicroPort are bolstering regional supply, enhancing accessibility at lower price points. Training collaborations and strategic partnerships with Western device companies are enabling knowledge transfer, further accelerating adoption across this diverse region.

LAMEA Region Gains Momentum as Awareness and Healthcare Investments Propel Adoption

The LAMEA region, although comparatively nascent in adoption, is showing promising growth prospects fuelled by rising awareness of minimally invasive therapies and increasing healthcare expenditure. Countries like Brazil, the UAE, and Saudi Arabia are emerging as focal markets due to substantial investments in cardiovascular care infrastructure. Medical tourism is also propelling procedural adoption, particularly in the Middle East. While affordability challenges persist in parts of Africa and Latin America, strategic partnerships and international aid programmes are expected to gradually increase accessibility. Over the forecast period, this region is set to transform into a lucrative growth corridor for structural heart device manufacturers.

Core Strategic Questions Answered in This Report

What is the expected growth trajectory of the structural heart devices market from 2024 to 2035?

The global structural heart devices market is projected to grow from USD 7.56 billion in 2024 to USD 20.72 billion by 2035, registering a CAGR of 9.6%. This growth is driven by expanding adoption of minimally invasive valve replacement and repair procedures, alongside rising demand for stroke prevention solutions.

Which key factors are fuelling the growth of the structural heart devices market?

Several key factors are propelling market growth:

Rising burden of valvular and atrial fibrillation-related conditions
Increasing preference for minimally invasive therapies over open surgery
Expanding reimbursement frameworks for TAVR, mitral repair, and LAAC devices
Technological innovations in imaging, materials, and digital integration
Growing healthcare expenditure and investments in emerging markets

What are the primary challenges hindering the growth of the structural heart devices market?

Major challenges include:

High device and procedural costs are limiting widespread adoption
Reimbursement complexities and regional variability in coverage frameworks
Regulatory hurdles prolonging approval timelines across geographies
Procedural training gaps in emerging markets
Supply chain volatility is impacting device availability

Which regions currently lead the structural heart devices market in terms of market share?

North America currently leads the structural heart devices market due to robust industrial infrastructure, strong reimbursement systems, and rapid clinical adoption. Europe closely follows with a leadership position in early adoption and clinical innovation.

What emerging opportunities are anticipated in the structural heart devices market?

The market is ripe with new opportunities, including:

Expansion of TAVR into low-risk patient populations
Rising adoption of LAAC devices for atrial fibrillation-related stroke prevention
Broader integration of AI and robotics into procedural workflows
Emerging market growth across Asia-Pacific and Latin America
Collaborations between hospitals and manufacturers for physician training and clinical expansion

Key Benefits for Stakeholders

The report offers a quantitative assessment of market segments, emerging trends, projections, and market dynamics for the period 2024 to 2035.
The report presents comprehensive market research, including insights into key growth drivers, challenges, and potential opportunities.
Porter's Five Forces analysis evaluates the influence of buyers and suppliers, helping stakeholders make strategic, profit-driven decisions and strengthen their supplier-buyer relationships.
A detailed examination of market segmentation helps identify existing and emerging opportunities.
Key countries within each region are analysed based on their revenue contributions to the overall market.
The positioning of market players enables effective benchmarking and provides clarity on their current standing within the industry.
The report covers regional and global market trends, major players, key segments, application areas, and strategies for market expansion. Show more