Advanced Heart Failure and Cardiac Transplantation

Heart Failure intro

The Advanced Heart Failure and Cardiac Transplant Team has one of the most active advanced heart failure programs in the region, providing innovative medical and state-of-the art surgical solutions for patients with heart failure. The program is the only program to offer mechanical circulatory left ventricular assist devices (LVADs) in the region, and has performed more than 500 heart transplants in 20-plus years of clinical experience.

The Advanced Heart Failure program is actively engaged in performing clinical, basic and translational research, and is one of seven Regional Coordinating Centers for the National Heart Lung and Blood Institute’s Heart Failure Clinical Research Network. The program also offers a one year ABIM certified training program in advanced heart failure and cardiac transplantation.


Gregory Ewald, MD, FACC

Clinical expertise

  • A multidisciplinary team of specialists provides a collaborative, compassionate approach to care of patients with advanced heart failure
  • Expert care of acutely decompensated heart failure patients
  • Expert care of patients with cardiogenic shock including extracorporeal membrane oxygenation (ECMO)
  • Mechanical devices for stabilization, bridge to transplant or destination therapy
  • One-, three- and five-year transplant survival rates that surpass national statistics
  • Robust heart failure management program, including:
    • Tailored medical therapy
    • Cardiac resynchronization therapy/ICD therapy
    • High-risk myocardial revascularization
    • Investigational drugs and devices available only through clinical research trials


Patient information

Learn more about heart failure at the Heart & Vascular Center »

Make an appointment

Referring Physicians: 314-362-1291
Patients: 314-362-1291 or 888-210-8375


Washington University and Barnes Jewish Heart & Vascular Center
Center for Advanced Medicine
Washington University Medical Center
4921 Parkview Place, Suite 8A
St. Louis, MO 63110
Phone: 314-362-1291

Heart & Vascular Center in West County
1020 North Mason, Suite 100
St. Louis, MO 63141
Phone: 314-362-1291