Meet Thomas J. Mulhearn IV, MD, FACC

Thomas J. Mulhearn IV, MD, FACC
Thomas J. Mulhearn IV, MD, FACC

Quick Facts about Dr. Mulhearn

  • Native of Southwest Louisiana
  • Pre-medical education at Louisiana State University
  • Medical doctorate from Louisiana State University School of Medicine, New Orleans
  • Internship and residency at the Johns Hopkins Hospital in the Osler Medical Housestaff Training Program
  • Fellowship in cardiovascular disease at the Duke University School of Medicine
  • Fellowship in interventional cardiology at the University of Alabama Birmingham
  • Board-Certified in interventional cardiology, cardiovascular disease and internal medicine
  • Fellow of American College of Cardiology
  • Special interest in interventional cardiology, cardiac stents, peripheral vascular disease intervention, carotid artery disease, abdominal aortic aneurysm, peripheral stents, peripheral atherectomy, carotid artery stenting, catheter based treatments for valvular and structural heart disease

“If you’re going to make a case for Protected PCI, this is the case for Protected PCI.” – Dr. Thomas Mulhearn

Dr. Thomas Mulhearn of Cardiovascular Specialists of Louisiana presents a complex PCI case in the setting of severe LV dysfunction.


The 49 year old male patient presented to a satellite office with chest pain. He had poorly controlled type II diabetes, hypertension, hyperlipidemia, and he was a smoker. An angiogram showed a normal left main, but significant LAD disease, a proximal lesion, an occluded vessel in the mid-segment, along with a circumflex that was non-dominant with high grade disease and an occlusion in the mid-segment. The team found a chronic total occlusion of the LAD and a near 100% occlusion in the mid-segment of the right coronary artery.

At the satellite office, Dr. Mulhearn placed a balloon pump because there were no other options at that location. The patient was transferred, referred for CABG, and was turned down due to profound LV dysfunction and comorbidities. The team therefore proceeded with a Protected PCI procedure with the Impella 2.5 heart pump using the left common femoral artery.

Watch the video to learn how the team revascularized this complex patient and how the patient’s hemodynamics remained stable throughout the case.


Additionally, learn more about Dr. Mulhearn’s decision-making process using hemodynamic support.

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