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시장보고서
상품코드
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구조적 심장질환 치료 기기 : 시장 인사이트, 경쟁 구도 및 시장 예측(2034년)Structural Heart Devices - Market Insights, Competitive Landscape, and Market Forecast - 2034 |
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DelveInsight
구조적 심장 질환 치료 기기는 심장 판막, 심실, 심벽 및 관련 혈관을 포함한 심장의 구조적 이상을 진단, 복구 또는 대체하기 위해 설계된 특수 의료 기술입니다. 구조적 심장 질환에는 심방중격결손증, 심실중격결손증, 난원공개존증 등의 선천성 이상과 대동맥판막협착증 및 승모판 역류증 등의 후천성 판막 질환이 모두 포함되므로, 치료에는 폐쇄기, 판막륜 성형 기기, 판막 성형 장치 등의 카테터를 이용한 수복 장치에 더해, 기계판막이나 생체판막을 포함한 외과적 및 경카테터 치환 장치가 점점 더 많이 활용되고 있습니다. 이러한 기술은 개흉 수술을 대체하는 저침습적 대안을 제공하여 수술로 인한 부담을 줄이고 입원 기간을 단축할 뿐만 아니라, 기존 수술로는 적응증이 되기 어려운 고령자나 고위험군 환자의 치료 접근성을 확대되고 있습니다. 본 시장은 제품 유형별로 오클루더, 고리상 연골 성형 기기, 판막 성형 기기 등을 포함한 수복 기기와, 기계판막 및 생체판막을 포함한 치환 기기로 분류됩니다. 또한, 적응증별로는 심방중격결손증, 대동맥판막협착증, 개존성 난원공, 심실중격결손증, 승모판 역류증 등으로 분류되며, 최종 사용자별로는 병원, 외래수술센터(ASC) 등으로 분류됩니다. 심혈관 질환 및 판막 질환의 유병률 증가, 경카테터 플랫폼의 지속적인 기술 발전, 그리고 전 세계적으로 저침습 심장 중재술로의 전환 가속화에 힘입어, 구조적 심장 질환용 기기는 현대 중재적 심장학의 초석이 되고 있습니다.
구조적 심장 질환용 기기 시장의 주요 시장 성장 촉진요인
구조적 심장 질환 치료 기기 시장 성장에 기여하는 요인
시장 성장 촉진요인
심혈관 질환 및 판막 질환 유병률 상승
구조적 심장 질환 치료 기기 시장의 가장 강력한 촉진요인은 판막 질환 및 구조적 심장 질환의 전 세계적 부담 증가입니다. 대동맥판막 협착증은 전 세계적으로 가장 흔한 판막 질환으로, 약 900만 명이 앓고 있는 것으로 추정됩니다. 한편, 승모판 역류증은 전 세계적으로 약 2,400만 명에게 영향을 미치고 있으며, 대동맥판 역류증은 이완기 고혈압과 함께 지속적으로 증가하고 있습니다. 심방중격결손증, 심실중격결손증, 난원공 개존증 등의 선천성 심장병은 여전히 전 세계에서 가장 흔히 진단되는 선천성 기형 중 하나이며, 미국에서는 전체 출생의 약 1%, 즉 연간 약 4만 명의 신생아가 선천성 심장병을 앓고 있으며, 그중 약 4명 중 1명의 영아가 즉각적인 치료가 필요합니다. 미국에서만 매년 500만 명 이상이 심장판막증으로 진단받고 있으며, 이와 관련된 사망자 수는 2만 5,000명을 초과합니다. 이러한 질환은 치료를 받지 않으면 심부전, 부정맥 또는 폐고혈압으로 진행되는 경우가 많기 때문에 수복 및 치환용 의료기기를 필요로 하는 대규모의 지속적인 환자층을 형성하며, 2034년까지 시장 성장 기반이 되고 있습니다.
경카테터 플랫폼의 기술적 진보
기기 설계와 중재술 기술 분야의 지속적인 혁신은 구조적 심장 질환 치료의 적용 범위와 안전성을 확대하는 데 있어 매우 중요한 역할을 해왔습니다. 차세대 경카테터 심장 판막, 저침습성 승모판 및 삼첨판 수복 시스템, 좌심방귀개 폐쇄 장치는 내구성, 정밀도 및 환자 예후 개선을 목표로 개발이 진행되고 있습니다. 실시간 영상 진단, 3D 심초음파 검사, AI를 활용한 시술 안내 분야의 상호 보완적인 발전으로 인해 정밀도와 의료진의 확신이 더욱 높아지고 있습니다. 최신 TAVR 시스템은 이첨판을 포함한 더 광범위한 환자의 해부학적 구조에 대응할 수 있도록 설계된 반면, Xeltis사가 개발을 진행 중인 수복형 및 생체 흡수성 폴리머 판막 플랫폼은 시간이 지남에 따라 생체 조직으로 변화하는 것을 목표로 하고 있습니다. 이러한 진보로 인해 치료의 적용 범위가 확대되고, 시장 성장이 촉진되고 있습니다.
시장 제약 요인
강력한 성장세를 보이고 있음에도 불구하고, 구조적 심장 질환용 기기 시장은 중대한 제약에 직면해 있습니다. 빈번한 제품 결함 및 리콜은 의료진의 신뢰를 훼손하고 치료의 보급을 저해하며, 제조업체에게 재정적·평판상의 문제를 야기하고 있습니다. 기기의 오작동이나 내구성 문제로 인해 제품 회수가 필요한 경우가 많으며, 이로 인해 시술이 지연되고 환자 안전에 대한 우려가 커지고 있습니다. 광범위한 임상시험, 장기간의 평가 기간, 엄격한 안전성 평가 등 제품 승인과 관련된 까다로운 규제 요건은 혁신을 지연시키고, 신규 시장 진출기업에게는 큰 진입 장벽이 되고 있습니다. 경카테터 플랫폼의 개발 및 제조에는 막대한 자본이 필요할 뿐만 아니라, 전용 하이브리드 수술실, 카테터 검사실, 고도로 훈련된 중재적 심장 전문의가 필요하기 때문에 신흥국이나 의료 자원이 부족한 의료 시스템에서의 도입이 제한되고 있습니다. 지역별 보험 급여 제도의 차이에 더해, 수입 의료기기 및 부품에 대한 관세로 인한 물류 및 비용 측면의 압박이 겹치면서, 질환 유병률 상승, 기술 혁신, 최소 침습 치료의 보급과 같은 근본적인 성장 요인이 여전히 견조하게 유지되고 있음에도 불구하고, 단기적인 성장은 더욱 억제되고 있습니다.
Structural Heart Devices Market Summary
A structural heart device is a specialized medical technology designed to diagnose, repair, or replace abnormalities in the heart's structure, including its valves, chambers, walls, and associated vessels. Because structural heart disease encompasses both congenital defects, such as atrial septal defect, ventricular septal defect, and patent foramen ovale, and acquired valvular disorders, such as aortic valve stenosis and mitral regurgitation, treatment increasingly relies on catheter-based repair devices, including occluders, annuloplasty devices, and valvuloplasty devices, alongside surgical and transcatheter replacement devices, including mechanical and tissue heart valves. These technologies offer minimally invasive alternatives to open-heart surgery, reducing surgical trauma, shortening hospital stays, and expanding treatment access to elderly and high-risk patients who are often poor candidates for conventional surgery. The market is organized by product type across repair devices, including occluders, annuloplasty devices, valvuloplasty devices, and others, and replacement devices, including mechanical heart valves and tissue heart valves; by application across atrial septal defect, aortic valve stenosis, patent foramen ovale, ventricular septal defects, mitral regurgitation, and others; and by end-user across hospitals, ambulatory surgical centers, and others. Driven by the rising prevalence of cardiovascular and valvular disorders, continuous technological advancement in transcatheter platforms, and the accelerating global shift toward minimally invasive cardiac interventions, structural heart devices have become a cornerstone of modern interventional cardiology.
Structural Heart Devices Market Key Growth Drivers
Key Companies in Structural Heart Devices Market
The competitive landscape is led by the following active device manufacturers:
Factors Contributing to the Growth of the Structural Heart Devices Market
Market Drivers
Rising Prevalence of Cardiovascular and Valvular Disorders
The most powerful driver of the Structural Heart Devices market is the rising global burden of valvular and structural heart disease. Aortic valve stenosis has become the most common valvular pathology worldwide, affecting an estimated 9 million people, while mitral regurgitation affects nearly 24 million people globally, and aortic regurgitation continues to rise alongside diastolic hypertension. Congenital heart defects, including atrial septal defect, ventricular septal defect, and patent foramen ovale, remain among the most common birth anomalies diagnosed worldwide, with congenital heart defects affecting nearly 1% of all births in the United States, or roughly 40,000 babies each year, and about one in four of these infants requiring immediate intervention. In the United States alone, more than 5 million people are diagnosed with heart valve disease annually, with over 25,000 associated deaths. Because these conditions frequently progress to heart failure, arrhythmias, or pulmonary hypertension if untreated, they create a large and durable population requiring repair or replacement devices, anchoring market growth through 2034.
Technological Advancements in Transcatheter Platforms
Continuous innovation in device design and interventional technique has been pivotal in expanding the scope and safety of structural heart procedures. Next-generation transcatheter heart valves, minimally invasive mitral and tricuspid repair systems, and left atrial appendage closure devices are being engineered for improved durability, precision, and patient outcomes. Complementary advances in real-time imaging, 3D echocardiography, and AI-enabled procedural guidance have further enhanced accuracy and physician confidence. Newer TAVR systems are now designed to treat a wider range of patient anatomies, including bicuspid valves, while restorative and bioresorbable polymer valve platforms, such as those in development by Xeltis, aim to evolve into living tissue over time. These advancements are broadening treatment applicability and reinforcing market growth.
Market Restraints
Despite strong momentum, the Structural Heart Devices market faces material constraints. Frequent product failures and recalls undermine physician confidence, disrupt treatment adoption, and create financial and reputational challenges for manufacturers, with device malfunctions or durability issues often necessitating product withdrawals that delay procedures and raise patient-safety concerns. Stringent regulatory requirements for product approval, including extensive clinical trials, long evaluation timelines, and rigorous safety assessments, slow innovation and create significant barriers to entry for new players. The high capital intensity of developing and manufacturing transcatheter platforms, combined with the need for specialized hybrid operating rooms, catheterization labs, and highly trained interventional cardiologists, constrains adoption in emerging economies and lower-resourced healthcare systems. Reimbursement variability across geographies, alongside the logistical and cost pressures introduced by tariffs on imported medical devices and components, further tempers near-term growth, even as the underlying drivers of rising disease prevalence, technological innovation, and minimally invasive adoption remain firmly intact.
Structural Heart Devices Market Segment Analysis
The Structural Heart Devices by Market by Product Type (Repair Device [Occluders, Annuloplasty Devices, Valvuloplasty Devices, and Others] and Replacement Device [Mechanical Heart Valves and Tissue Heart Valves]), Application (Atrial Septal Defect, Aortic Valve Stenosis, Patent Foramen Ovale, Ventricular Septal Defects, Mitral Regurgitation, and Others), End-User (Hospital, Ambulatory Surgical Centers, and Others), and Geography (North America, Europe, Asia-Pacific, and Rest of World).
By Product Type
Dominant Subsegment: Replacement Device.
Dominant: Replacement Device ~ 63%
The replacement device segment accounted for approximately 63% of the Structural Heart Devices market in 2025. Replacement devices, spanning surgical and transcatheter mechanical and tissue heart valves, lead the market because transcatheter aortic valve replacement has become standard care across high-risk, intermediate-risk, and increasingly low-risk patients with severe aortic valve stenosis. Tissue heart valves dominate replacement volumes given their favorable hemodynamic profile and lower long-term anticoagulation burden relative to mechanical valves, while mechanical heart valves, championed by durable platforms such as On-X, remain the standard for younger patients requiring extended device longevity. The breadth of approved transcatheter valve platforms from Edwards Lifesciences, Medtronic, Abbott, and Boston Scientific, combined with continuous innovation extending TAVR to bicuspid and lower-risk anatomies, sustains great and dependable demand for replacement devices. While repair devices, particularly annuloplasty systems, are the fastest-growing product category, propelled by the expansion of transcatheter mitral and tricuspid repair, the sheer procedural volume and clinical maturity of valve replacement secure the segment's leadership across the forecast period.
By Application
Dominant: Atrial Septal Defect ~ 29%
The atrial septal defect segment accounted for approximately 29% of the Structural Heart Devices market in 2025. Atrial septal defect repair leads the application segment because ASDs are among the most common congenital heart defects diagnosed worldwide, and left untreated, they can progress to pulmonary hypertension, arrhythmias, and heart failure, creating consistent, recurring treatment demand. The rapid adoption of minimally invasive occluder devices has transformed ASD management, allowing physicians to close defects through catheter-based intervention rather than open-heart surgery, reducing procedural risk and recovery time while improving long-term outcomes. Ongoing innovation in occluder design, improved intraprocedural imaging, and expanding awareness and early detection are further driving adoption. While aortic valve stenosis represents the largest single valvular disease burden globally, with an estimated 9 million people affected, and mitral regurgitation is the fastest-growing application on the back of expanding transcatheter repair adoption, the high incidence and established treatment pathway for atrial septal defect secure its leadership across the forecast period.
Structural Heart Devices Market Region Analysis
Dominant Region: North America
North America accounted for approximately 50% of the global Structural Heart Devices market revenue in 2025, representing the highest regional market share globally. The region's dominance reflects a mature interventional cardiology ecosystem, a strong clinical-research base, and a favorable regulatory environment supported by frequent FDA product approvals and new device launches from leading manufacturers. Congenital heart defects affect nearly 1% of all births in the United States, impacting approximately 40,000 babies each year, while more than 5 million Americans are diagnosed with heart valve disease annually, with over 25,000 associated deaths, underscoring persistent clinical need. North America hosts the largest concentration of hybrid operating rooms, catheterization labs, and skilled structural heart programs, and sponsors benefit from proximity to leading manufacturers, including Medtronic, Edwards Lifesciences, Abbott, and Boston Scientific. Strong reimbursement frameworks, regulatory clarity, and continued capacity investment anchor the region's continued leadership across the forecast period.
Fastest Growing Region: Asia-Pacific
Asia-Pacific is the fastest-growing region in the Structural Heart Devices market. The region's elevated CAGR is driven by rising cardiovascular and valvular disease prevalence, rapid expansion of interventional cardiology infrastructure, and growing healthcare investment across China, Japan, India, South Korea, and Australia. A growing elderly population, combined with lifestyle-related risk factors such as diabetes, hypertension, and obesity, is significantly increasing the incidence of structural heart conditions. Leading manufacturers are expanding their regional presence, partnering with local distributors, and pursuing regulatory approvals to accelerate market entry, while regional players such as Microport, Meril Life Sciences, and Venus Medtech scale local manufacturing capacity. The combination of high disease burden, infrastructure build-out, and improving physician training positions Asia-Pacific as the principal source of incremental growth over the forecast period.
Regional Commentary
North America
North America accounted for approximately 50% of the global Structural Heart Devices market revenue in 2025. The United States dominates on the strength of its interventional cardiology infrastructure, clinical-research base, FDA regulatory clarity, and the concentrated presence of leading device manufacturers, while continued investment in hybrid operating rooms and catheterization capacity reinforces its leadership.
Europe
Europe is a large and advanced regional market, supported by established CE Mark regulatory pathways, strong government-backed reimbursement in Germany, France, and the United Kingdom, and a leading role in clinical research and trial activity for next-generation mitral and tricuspid repair systems. Capacity investments by JOTEC GmbH, Braile Biomedica's European distribution partners, and continued transcatheter innovation reinforce the region's role in both diagnostic and therapeutic structural heart programs.
Asia-Pacific
Asia-Pacific is the fastest-growing region, propelled by rising cardiovascular and valvular disease incidence, rapid infrastructure build-out, and growing healthcare investment across China, Japan, India, South Korea, and Australia. Expanding TAVR and septal defect closure adoption, combined with growing local manufacturing capacity from regional players, is accelerating regional structural heart device growth.
Rest of World
The Rest of World region, spanning Latin America, the Middle East, and Africa, is an emerging growth frontier. Expanding cardiac care infrastructure, rising demand for minimally invasive valve therapy, and efforts to align regulatory frameworks with global standards are gradually broadening access, while international partnerships support the build-out of regional interventional cardiology capacity.
Structural Heart Devices Market Competitive Landscape
The Structural Heart Devices market is classified as Moderately Consolidated. A group of global leaders with broad product portfolios and deep clinical evidence, including Medtronic, Edwards Lifesciences, Abbott, and Boston Scientific, anchors the top tier through robust transcatheter valve, repair, and occluder platforms, while specialized and fast-scaling providers such as Valcare Medical, XELTIS BV, JOTEC GmbH, Braile Biomedica, W. L. Gore & Associates, and Cardiovascular Systems compete through focused technologies, niche clinical indications, and regional manufacturing strength, increasing competition across the fastest-growing repair segments.
The competitive landscape can be evaluated across the following dimensions:
Structural Heart Devices Market Recent Developmental Activities
In May 2026, Artivion, Inc., the parent company of JOTEC GmbH, completed its acquisition of Endospan Ltd. for an upfront net purchase price of USD 135 million, adding the NEXUS Aortic Arch System to its structural and aortic repair portfolio.
In February 2026, Valcare Medical, Inc., announced the successful first U.S. transseptal implantation of its AMEND Transcatheter Mitral Valve Repair Annuloplasty System as part of its ongoing Early Feasibility Study.
Structural Heart Devices Market Segmentation
Structural Heart Devices Market by Product Type
Structural Heart Devices Market by Application
Structural Heart Devices Market by End-User
Structural Heart Devices Market by Geography
Key Takeaways from the Structural Heart Devices Market Report Study
Target audience who can benefit from this structural heart devices market report study
Q1. What is the growth rate of the structural heart devices market?
The structural heart devices market is projected to expand at a CAGR of 10.08% during the forecast period from 2026-2034.
Q2. What is the market size of the structural heart devices market?
The structural heart devices market is estimated at USD 12.94 billion in 2025 and is projected to reach USD 30.62 billion by 2034.
Q3. Which region dominates the structural heart devices market?
North America dominated the Structural Heart Devices market with a 50% share of global revenue in 2025, supported by a mature interventional cardiology ecosystem, a strong clinical-research base, favorable reimbursement, and the concentrated presence of leading device manufacturers. Asia-Pacific is the fastest-growing region over the forecast period.
Q4. What are the key drivers of the structural heart devices market?
The principal drivers are the rising global prevalence of cardiovascular and valvular disorders, including aortic valve stenosis affecting an estimated 9 million people and mitral regurgitation affecting nearly 24 million people worldwide; continuous technological advancement in transcatheter repair and replacement platforms; growing demand for minimally invasive cardiac interventions; and accelerating regulatory approvals and label expansions.
Q5. Who are the major players in the structural heart devices market?
The major players include Medtronic, Boston Scientific Corporation, Braile Biomedica, JOTEC GmbH, Edwards Life Sciences Corporation, Valcare Medical, W. L. Gore & Associates, Inc., Abbott Laboratories, Cardiovascular Systems, Inc., and XELTIS BV, among other active providers profiled in the Competitive Landscape section. Medtronic, Edwards Lifesciences, Abbott, and Boston Scientific lead through broad transcatheter portfolios and deep clinical evidence.