Ahmed Almomani, MDCardiology Interventional Cardiology
Edward Sako, MDCardiothoracic Surgery
Kenneth Stone, MDCardiology Echocardiography
Pioneers in Nonsurgical Heart CareWe’re proud to be at the forefront of heart care in San Antonio. Highly-trained cardiologists collaborate at University Health’s Heart and Vascular Institute to treat heart conditions in adults and children. Our cardiothoracic surgeons constantly learn and even pioneer new heart care treatments, particularly less invasive and nonsurgical procedures.
We bring innovative nonsurgical treatments such as, the transcatheter pulmonary valve procedure, that offers an alternative to repeated open heart surgeries for kids and adults with congenital heart defects.
Additionally, we pursue cutting-edge treatments and technology to ensure that we continually provide the best possible care for our patients.
Partners in Pediatric Cardiology
Pediatric heart specialists work together with physicians and surgeons at UT Health San Antonio at the Pediatric Heart Center. Our expertise means your child has access to the most advanced heart care in the region.
Most Advanced Options Available in South TexasCardiovascular nonsurgical treatments are used to restore and improve blood flow to your heart. In some cases, these advanced procedures may even replace more invasive open-heart surgeries.
Alcohol Septal AblationAn alcohol septal ablation is performed to help treat patients with hypertrophic cardiomyopathy, which is an inherited condition in which the heart muscle is too thick. The walls of the left and right ventricles and septum thicken in an abnormal manner – as a result the septum may push into the left ventricle and potentially block or restrict proper blood flow. This type of ablation treatment helps to reduce symptoms such as fatigue and shortness of breath. Getting treatment frequently helps to minimize the likelihood of future heart problems as well.
Atrial Fibrillation AblationThis type of ablation is used when taking medication or other treatments aren’t successful at controlling your irregular heartbeat. An atrial fibrillation ablation procedure is performed to destroy heart tissue where faulty electrical signals originate. This helps to prevent an arrhythmia, a condition that occurs when your heart beats too quickly, too slowly or with an irregular rhythm.
Complex Atrial Arrhythmia AblationPrior to this type of ablation procedure, as with others, you will likely undergo a number of imaging tests so your team of cardiologists have a clear picture of your heart muscle and its chambers before the day of your scheduled complex atrial arrhythmia ablation.
During this procedure a number of soft catheters are inserted into large blood vessels in your groin or your neck and moved along toward the inner chambers of your heart. Precisely positioned, the electrode at the end of each of the catheters is used to map out the electrical activity of your heart to determine the areas of heart tissue that are causing your arrhythmia.
Each trouble spot is treated with a radio-frequency electrical current to burn out or get rid of the area or areas that are causing your abnormal heart rhythm. This is done until the arrhythmia is no longer detected.
Flutter AblationThis procedure locates and cuts off the abnormal electrical pathway in your heart that causes your atrial fibrillation – or the quiver – in your heart’s rhythm.
Radiofrequency AblationThis technique cuts through the abnormal electrical pathways in your heart by using “heat” transferred through the tip of a specialized catheter. The catheter is guided by either X-ray imaging or 3-D mapping.
Ventricular Tachycardia AblationA ventricular tachycardia ablation is used to help patients get rid of erratic electrical signals that cause your heart to beat ineffectively. For some people, the lower heart chambers don’t work properly and cause the heart to beat too fast. This type of ablation treatment helps to get your heart back into a consistent, normal heart beat again.
This type of ablation treatment isn’t suitable for all types of ventricular tachycardia. Each scenario is different and your heart specialist will recommend what is best for your unique medical circumstances.
Also called patent foramen ovale (PFO) and patent ductus arteriosus (PDA) closure.
During this corrective procedure, your doctor will insert a device in the “hole” in the walls between the different chambers of your heart where blood escapes instead of flowing along its normal route. The closure device is delivered through a small hole in your groin by a catheter.
Directional AtherectomyOur specialists use a catheter equipped with a tiny blade to remove plaque from your blocked artery. A special collection chamber on the catheter captures the plaque, and is then removed along with the device.
Rotational AtherectomyInstead of a blade, we use a catheter with a diamond-coated tip to grind away the plaque on your artery walls. The small particles wash away safely in your bloodstream, and your liver and spleen filter them out.
The LARIAT® procedure, the specific type of procedure we use to perform a left atrial appendage closure, is a minimally invasive procedure performed to help prevent a stroke in those patients with AFib who are unable to take blood thinning medications. We insert one catheter under the patient’s rib cage and use another to guide it into place within the heart's left atrial appendage.
Once in place, the LARIAT® Suture Delivery Device tightens a loop around the base of the left atrial appendage. The loop stitch permanently seals off this tiny cavity from the rest of the heart to block blood clots from traveling to the brain. Over time, the tied-off appendage turns into scar tissue.