Advanced Heart Failure and Transplant Cardiology

The University of Texas Southwestern Medical Center (UTSW) is pleased to offer a one-year, ACGME-accredited, clinical fellowship in Advanced Heart Failure and Transplant Cardiology.

Our program has successfully performed heart transplantation since the program’s inception in 1988, and routinely performs up to 40 transplants per year. Our one- and three- year survival rates post-transplant routinely exceed national averages. We have also continuously implanted durable left ventricular assist devices (LVADs) since 1989. UTSW physicians currently implant the HeartMate 3 LVAD as well as all forms of temporary mechanical circulatory support while relying on our extensive experience to support those patients previously implanted with either the HeartMate II or HeartWare durable LVAD.

Our fellows benefit from UTSW’s reputation as a regional and national referral center. Our Advanced Heart Failure program was “Highly Ranked” by U.S. News and World Report each of the last several years, the highest designation that this periodical assigns to our field. Fellows receive specialized training in the pathophysiology and management of advanced cardiac disease, including end-stage heart failure, mechanical circulatory support, and cardiac transplantation. This is further enhanced by their ability to care for diverse patient populations, both at our namesake 800-bed quaternary-care academic medical center, as well as at Parkland Hospital, our affiliated 1000-bed public hospital.

Working alongside the twelve heart failure specialists within the Division of Cardiology, our fellows become proficient in:

  • The clinical evaluation of patients with advanced heart failure, including evidence-based inpatient and outpatient management strategies.
  • Evaluating a patient’s candidacy for heart transplantation and/or durable MCS.
  • Perioperative management of heart transplant and MCS recipients.
  • Chronic management of durable MCS, including post-implant complications.
  • The physiology of the transplanted heart, management of immunosuppressive therapy, and the assessment and management of post-transplant complications (including acute and/or chronic rejection).
  • Performing and interpreting cardiopulmonary stress testing, right heart catheterization, and endomyocardial biopsy.

In addition, our fellows work alongside the University’s vast array of subspecialists, including – but definitely not limited to – experts in Cardiac Amyloidosis, Cardiac Sarcoidosis, Hypertrophic cardiomyopathy, Pulmonary Hypertension and Transplant Infectious Disease. Fellows also participate in primary research projects and quality improvement projects.

Upon successful completion of this fellowship, trainees are eligible to sit for the ABIM board examination in Advanced Heart Failure and Transplant Cardiology.

We invite you to further explore our website for additional information regarding our fellowship, including faculty biographies, application requirements and deadlines. As always, if we can provide additional information, please do not hesitate to contact us.

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