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Listen to Robert L. Smith, II, MD, as he discusses the quality outcomes of The Heart Hospital's valve program and the multidisciplinary approach to treatment used by the clinical team.


Treatment for Heart Valve Disease

Patients who are diagnosed with heart valve disease need answers about their treatment options. Led by some of the most highly regarded cardiologists and valve surgeons in the country, The Heart Valve Center of Texas offers a multidisciplinary and comprehensive approach providing optimum therapy opportunities for patients with complex heart valve disorders.

One of several specialty centers in the Center for Advanced Cardiovascular Care (CACC), The Heart Valve Center's team uses extensive surgical expertise and advanced imaging to diagnose and devise treatment plans for various heart valve disorders including:

  • Mitral valve regurgitation
  • Aortic stenosis
  • Mitral stenosis
  • Aortic insufficiency
  • Tricuspid valve disease
  • Aortic aneurysm
  • Aortic dissection

Surgeons on the medical staff of The Heart Valve Center of Texas are some of the same surgeons who perform the largest volume of valve surgery in the state of Texas at Baylor Scott & White The Heart Hospital – Plano.

Transcatheter Aortic Valve Replacement (TAVR)

The Heart Valve Center also specializes in the transcatheter aortic valve replacement (TAVR). TAVR is a procedure for select patients with severe symptomatic aortic stenosis (narrowing of the aortic valve opening) who are not candidates for traditional open chest surgery or are high-risk operable candidates. TAVR is performed on a beating heart and does not require cardiopulmonary bypass. Approximately 300,000 people worldwide suffer from severe aortic stenosis, which occurs when the heart's aortic valve is narrowed, restricting blood flow from the heart to the body. The TAVR valve is made of bovine (cow) pericardium and is supported with a metal stent.

Transfemoral Approach

A catheter is placed in the femoral artery (in the groin) similar to angioplasty and guided into the chambers of the heart. A compressed tissue heart valve is placed on the balloon catheter and is positioned directly inside the diseased aortic valve. Once in position, the balloon is inflated to secure the valve in place. This procedure is performed with general anesthesia in a hybrid suite (which has both catheterization and surgical capabilities). A team of interventional cardiologists and imaging specialists, heart surgeons and cardiac anesthesiologists work together, utilizing fluoroscopy and echocardiography to guide the valve to the site of the patient's diseased heart valve.

Patients who are candidates for TAVR include those with:

  • Critical aortic stenosis
  • Advanced age
  • Frailty or debility
  • Cerebral and peripheral vascular disease, lung disease and other co-morbidities

Also, patients who are turned down for conventional aortic valve surgery may be candidates.

Meet the Medical Directors »


Call 469.814.3480 to refer to the
CACC in Plano or McKinney.

Call 1.855.220.0887 to refer to the
Comprehensive Wound & Vascular Center in Denton.

Meet our Heart Team

  • Molly Szerlip, MD
    Medical Director, Inpatient/Outpatient
    Percutaneous Valve Services
  • William T. Brinkman, MD
  • David Brown, MD
  • Tim George, MD
  • Ambarish Gopal, MD
  • Deepika Gopal, MD
  • Paul Grayburn, MD
  • Srinivas Gunukula, MD
  • Katherine B. Harrington, MD
  • Kelley Hutcheson, MD
  • Michael Mack, MD
  • Srini Potluri, MD
  • William Ryan, MD
  • Sameh Sayfo, MD
  • Justin Schaffer, MD
  • Robert L. Smith, II, MD