The heart specialists practicing at the Center for Advanced Heart Failure at the Memorial Hermann Heart & Vascular Institute-Texas Medical Center are leaders in the management and diagnosis of heart failure, especially in the case of more complex disease. With appropriate medical and surgical intervention and healthy lifestyle habits, patients with heart failure can continue to live full and productive lives.
Specialists at the Center for Advanced Heart Failure at the Memorial Hermann Heart & Vascular Institute-Texas Medical Center provide treatment for more complex cases, including medical management, percutaneous interventions and surgery.
Make an Appointment
For more information or to schedule an appointment, fill out the form to the right or call (713) 704-4300
There are many ways to ease the heart's workload. Lifestyle changes are often crucial: quitting smoking, limiting alcohol and controlling diet can all improve heart function.
- Diuretics - help rid your body of access fluids
- Inotropics - strengthen the muscle contractions that pump blood from the heart
- Vasodilators - widen the blood vessels
- Calcium channel blockers - open blood vessels and decrease blood pressure
- Beta-blockers - diminish the effects of adrenaline and other stress hormones
- ACE inhibitors - open blood vessels and decrease blood pressure
- Angiotension II receptor blockers-open blood vessels and decrease blood pressure
Minimally Invasive Procedures
Heart Valve Repair or Replacement
Open surgery for valve repair and replacement involves cutting and spreading the breastbone, which extends healing time and increases the risk of infection and complications. Our Minimally invasive valve program is unique in Houston in its primary focus on less-invasive approaches to valve surgery.
Minimally invasive approaches to valve repair and replacement decrease the need for blood transfusions, lower the risk of infection, shorten hospital stays and allow for an earlier return to productivity.
A pacemaker regulates and maintains a suitable heart rate or to stimulate the lower chambers of the heart (ventricles). A pacemaker may also be used to treat fainting spells (syncope) and congestive heart failure. Pacemakers are occasionally used in combination with an invasive procedure that disconnects the ventricles from the atria to control pulse rate during atrial fibrillation.
Implantable Cardioverter-Defibrillators (ICDs)
ICDs implanted in the chest continuously monitor heart rhythm and deliver electrical shocks to restore rhythm and prevent sudden cardiac arrest. ICDs work through cardioversion (a low-energy shock delivered at the same time as the heartbeat), a higher energy shock and antitachycardia pacing.
Cardiac Resynchronization Therapy (CRT)
Cardiac Resynchronization Therapy (CRT) uses a specialized implantable device to restore the symmetry of cardiac contractions, improving the efficiency of the heartbeat. This new and innovative form of therapy is useful in relieving symptoms of congestive heart failure in some patients.
Correction of Congenital Heart Defects
Research focused on novel percutaneous and endovascular therapies for the treatment of structural heart disease has opened the door to new minimally invasive treatments for a variety of non-coronary artery diseases. The benefits for patients are significant: less bleeding and need for blood transfusion, a shorter hospitalization and faster recovery.
Coronary Artery Bypass Surgery (Open Heart Surgery)
Off-Pump Coronary Artery Bypass
The off-pump procedure provides a safer alternative to the heart-lung machine. Surgeons attach the bypass grafts to the blocked arteries of the beating heart, a technique that leads to faster recovery. Bypass grafting with all-arterial conduits instead of veins, is also being performed off-pump, which may provide better long-term survival.
Minimally invasive coronary artery bypass
Robotic-assisted coronary artery bypass
This relatively new technological advance provides access to the coronary arteries without opening the sternum. The surgeon does not have direct contact with the patient but guides robotic instrumentation via a video monitor.
Mechanical Assist Devices (LVADs, RVADs, PVADs)
- Left ventricular assist devices (LVAD) assist with the work of the left ventricle.
- Right ventricular assist devices (RVAD) assist with the work of the right ventricle.
- Percutaneous ventricular assist devices (PVAD) can provide support to the left side of the heart, the right side of the heart, or both sides. Unlike LVVADs and RVADs, they can be placed through a minimally invasive procedure.
Extracorporeal Membrane Oxygenation (ECMO)
ECMO, like heart-lung bypass, uses an artificial lung located outside the body to oxygenate body tissue. It can used for a longer period of time than the traditional heart-lung bypass machines.