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About
“I believe the doctor–patient relationship is the cornerstone of exceptional care.”
I am an interventional cardiologist at University Health and an Associate Professor of Medicine at UT Health San Antonio. Currently, I serve as the Director of the University Health Structural Heart and Valve Center, where I lead a multidisciplinary team providing the region’s most advanced minimally invasive treatments for complex heart valve conditions.
Education
I earned my medical degree from the Jordan University of Science and Technology School of Medicine and completed my internal medicine residency at the University of Texas Medical Branch in Galveston. After my residency, I went on to complete cardiology and interventional cardiology fellowships at the University of Arkansas for Medical Sciences and Arkansas Heart Hospital in Little Rock, followed by advanced subspecialty training at Saint Luke’s Mid America Heart Institute in Kansas City, Missouri, with a focus on structural and valvular heart interventions.
Philosophy of Care
Every decision should be shared, and I approach each patient as I would a family member or friend. My goal is to educate, empower and support patients, ensuring they fully understand their condition and feel confident in the decisions we make together about their health.
Favorite Parts of Medicine
Contributing to innovative, life-changing care
Building relationships with patients and their families
Clinical Interests
I specialize in coronary and structural heart interventions, including transcatheter aortic valve replacement (TAVR), transcatheter mitral valve repair and replacement (MitraClip, TMVR) and emerging therapies for tricuspid valve disease.
I also have had the pleasure of being instrumental in introducing innovative transcatheter procedures to South Texas, expanding options for patients who are not candidates for traditional therapies.
Hobbies
Outside of medicine, I enjoy spending time with my wife and two daughters — whether sharing a family meal, exploring new places or enjoying quiet moments together. I also have a passion for fishing, traveling and discovering new cuisines — always finding balance and joy in time spent with family and in the outdoors.
Video
Articles & Publications
Book Chapters
Prasad A, Almomani A, Rodriguez R, Hakim Z, Alraies C. Impella Case Studies. A Practical Handbook for Impella Heart Pump Use. Publisher: HMP Global Publisher; 2020.
Almomani A, Kenchaiah S. Sex-Based Differences in Risk Determinants and Management of Heart Failure. Gender Differences in the Pathogenesis and Management of Heart Disease. Publisher: Springer Nature; 2018 .
Almomani A, Siddiqui A, Ahmad M. Echocardiography in Assessment of Complications Related to Permanent Pacemakers and Intracardiac Defibrillators. Comprehensive Textbook of Echocardiography. Publisher: Jaypee Brothers Medical; 2013..
Journal Articles
Hakeem A, Hou L, Shah K, Agrawal SK, Almomani A, Edupuganti M, Kasula S, Pothineni NK, Al-Hawwas M, Miller K, Zakir R, Ghosh B, Uretsky B. Derivation and validation of Pd/Pa in the assessment of residual ischemia post-intervention: A prospective all-comer registry. Catheter Cardiovasc Interv. 2021 June 8, online ahead of print. PMID: 34101336..
Prasad A, Panhwar S, Hendel R, Sheikh O, Mushtaq Z, Fatima D, Vinas A, Alraies C, Almomani A, Nguyen T, Amione-Guerra J, Foster M, Sisson C, Anderson A, George J, Kutkut I, Casillas J, Badin A. COVID-19 and The Cardiovascular System: A review of the current data, summary of best practices, outline of controversies, and illustrative case reports. Am Heart J. 2020 Aug; 226:174-187 PMID: 32599258.
Goldsweig AM, Al-Ani A, Almomani A. Pacemaker Requirements following Self-Expanding Transcatheter Aortic Valve Replacement. Cardiology 2020;145(1)35-37. PMID: 31645042.
Malik A, Omer M, Pflederer M, Almomani A, Gosch K, Jones PG, Peri-Okonny P, Badarin F, Brandt H, Arnold S, Main M, Cohen DJ, Spertus J, Chhatriwalla A. Association Between Diastolic Dysfunction and Health Status Outcomes in Patients Undergoing Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv 2019;12(24):2476-84 PMID: 31786216.
Almomani A, Chhatriwalla A. Bioprosthetic Valve Fracture During TAVR: A Step-by-step practical Guide for Performing BVF to Facilitate ViV TAVR. Card Interv Today 2019;13(2):38-41..
Almomani A, Abdel-Karim A, Uretsky B..Evaluating Equivocal Left Main Stenosis with Fractional Flow Reserve - Not all Daughter Vessels are Created Equally. Heart International. 2019;13(2):38-40.
Pothineni NV, Edupuganti MM, Almomani A, Payne J, Raina S, Fnu S, Abualsuod A, Wong J, Uretsky BF, Hakeem A. Comparison of the Prognostic Value of Non-ischemic Fractional flow reserve using Intracoronary versus Intravenous Adenosine. EuroIntervention 2018 Feb 20;13(14):1680-1687. PMID: 28606887.
Habash F, Gurram p, Almomani A, Duarte A, Hakeem A, Vallurupalli S, Bhatti S. Correlation Between Echocardiography Pulmonary Artery Pressure estimates and Right Heart Catheterization Measurement in Liver Transplant Evaluation. J Cardiovasc Imaging 2018 Jun;26(2):75-84. PMID: 29971269.
Megaly M, Abraham B, Saad M, Omer M, Elbadawi A, Tawadros M, Khalil C, Nairoz R, Almomani A, Sengupta J, Kalra A, Brilakis E, Gafoor S. Impact of atrial fibrillation on the outcomes after MitraClip®: A Meta-analysis. Structural Heart 2018 Sept; 2:531-537..
Ayoub K, Habash F, Almomani A, Xu J, Marji M, Shaw-Devine A, Paydak H, Vallurupalli. Long Term Risk of Recurrent Atrial Fibrillation and Ischemic Stroke after Post-Operative Atrial Fibrillation Complicating Cardiac and Non-Cardiac Surgeries. J Atr Fibrillation 2018 Apr 30;10(6):1660. PMID: 29988296.
Saad M, Nairooz R, Pothineni NV, Almomani A, Kovelamudi S, Sardar P, Katz M, Abdel-Wahab M, Bangalore S, Kleiman N, Block P, Abbott JD. Long-term Outcomes with Transcatheter Aortic Valve Replacement in Women Compared to Men: Evidence from A Meta-analysis. JACC Cardiovasc Interv 2018 Jan 8;11(1):24-35. PMID: 29055767.
Almomani A, Pothineni NV, Edupuganti MM, Payne J, Agarwal SK, Uretsky BF, Hakeem A. Outcomes of Fractional Flow Reserve-Based Deferral in Saphenous Vein Graft Narrowing. Am J Cardiol 2018 Sept 1;122(5):723-728. PMID: 30064860 .
Almomani A, Abualsuod A, Paydak H, Peer W, Maskoun W. Chronic lead malposition diagnosis and management: discussion of two cases and literature review Clin Case Rep. 2017 Feb 1;5(3):270-276. PMID: 28265389.
Agrawal S, Kasula S, Almomani A, Hacioglu Y, Ahmed Z, Uretsky B, Hakeem A. Clinical and Angiographic Predictors of Persistently Ischemic Fractional Flow Reserve after Percutaneous Revascularization. American Heart Journal 2017 Feb;184:10-16. PMID: 27892882.
Agrawal SK, Kasula S, Edupuganti MM, Rania, Shailesh F, Almomani A, Payne JJ, Pothineni NV, Uretsky BF, Hakeem A. Clinical Decision-Making for the Hemodynamic "Gray Zone" (FFR 0.75-0.80) and Long-Term Outcomes. J Invasive Cardiol 2017 Nov;29(11):371-376. PMID: 28420802.
Hakeem A, Almomani A, Uretsky B. Role of FFR in The Evaluation and Management of Patients with Acute Coronary Syndrome. Current Opinion in Cardiology 2017 Nov;32(6):767-775. PMID: 28799978.
Almomani A, Hakeem A, Uretsky BF. Use of Fractional Flow Reserve in ACS. http://www.acc.org. Sept. 27, 2017. Accessed [http://www.acc.org/latest-in-cardiology/articles/2 017/09/27/07/18/use-of-fractional-flow-reserve-in-a cs]. .
Maskoun W, Pino M, Ayoub K, Llanso O, Almomani A, Nairooz R, Hakeem A, Miller J. Incidence of Atrial Fibrillation after Atrial Flutter Ablation. JACC Electrophysiology 2016 Nov;2(6):682-90. PMID: 29759746.
Hakeem A, Edupuganti M, Almomani A, Pothineni N, Payne J, Abualsoud A, Bhatti S, Ahmed Z, Uretsky B. Long term prognosis of deferred acute coronary syndrome lesions based on non-ischemic fractional flow reserve. Journal of American College of Cardiology (JACC) 2016 Sep 13;68(11):1181-91. PMID: 27609680.
Ayoub K, Nairooz R, Almomani A, Marji M, Paydak H, Maskoun W. Peri-operative Heparin Bridging in Atrial Fibrillation Patients Requiring Temporary interruption of Anticoagulation: Evidence from meta-analysis. Journal of Stroke and Cerebrovascular Diseases 2016 Sep;25(9):2215-21. PMID: 27289185.
Al Emam AR, Almomani A, Gilani SA, Khalife WI. Spontaneous Coronary Artery Dissection: One Disease, Variable Presentations, and Different Management Approaches. Int J Angiol 2016 Sep;25(3):139-47. PMID: 27574379.
Nairooz R, Ayoub K, Sardar P, Payne J, Almomani A, Pothineni NV, Shailesh F, Aronow WS, Mukherjee D. Uninterrupted new oral anticoagulants compared to uninterrupted Vitamin K antagonists in ablation of atrial fibrillation, A Meta-analysis. Canadian Journal of Cardiology 2016 Jun;32(6):814-23. PMID: 26810476.
Ramineni R, Almomani A, Kumar A, Ahmad M. Role of multimodality imaging in transcatheter aortic valve replacement. Echocardiography 2015 Apr;32(4):677-98. PMID: 25471463.
Almomani A, Siddiqui K, Ahmad M. Echocardiography in patients with complications related to pacemakers and cardiac defibrillators. Echocardiography 2014;31(3):388-399. PMID: 24341293.
Almomani A, Modi S, Ahmad M. Real time three-dimensional transthoracic echocardiography in assessment of stented coarctation of aorta: a case-based presentation. Echocardiography 2014;31(10):E310-314. PMID: 25231011.
Al Emam AR, Almomani A, Gilani SA. Spontaneous Coronary Artery Dissection and Hemodynamic Instability: Can Emergent PCI Be Life Saving? Report of Two Cases and Literature Review. Int J Angiol 2014 Dec;23(4):275-80. PMID: 25484560.
Patel T, Israel K, Dunn C, Almomani A, Dacso M. Trimethoprim-sulfamethoxazole-induced leukocytoclastic vasculitis. Consultant 2014;54(2). .
Almomani A, Morsy M, Dimaano M, Ahmad M. Incremental value of transthoracic real time three-dimensional echocardiography in assessment of a right ventricular mass. Echocardiography 2013;30(6):E175-178. PMID: 23551136.
