Dr. Smalling is a native Texan who received his undergraduate degree in Aerospace Engineering, master’s degree in Bio-Medical Engineering, and Ph.D. from The University of Texas. He is an AOA graduate of The University of Texas Medical School at Houston and completed residency training and cardiology fellowship at University of California – San Diego. Dr. Smalling is board certified in internal medicine, cardiovascular medicine, and interventional cardiology and is past president of the American Heart Association, Texas Affiliate. He has been honored as a Distinguished Alumnus of The University of Texas Medical School at Houston, and the College of Engineering, University Texas at Austin.

Dr. Smalling has been named an America’s Top Doctor for the past seven years. He has received numerous awards from the American Heart Association including the Distinguished Service Award from the Texas Affiliate in 1990. He is on the editorial boards of Catheterization and Cardiovascular InterventionsThe Journal of Interventional Cardiology, and is a past Associate Editor for Circulation. In addition, he holds several patents and has formed a company, Windmill Cardiovascular Systems, to produce a new implantable left ventricular assist device.

Dr. Smalling specializes in coronary artery angiography and revascularization, treatment of adult congenital heart disease percutaneously, and the treatment of valvular heart disease percutaneously. He has significant expertise in treatment of peripheral vascular disease including carotid stenting, percutaneous endovascular repair of abdominal aortic aneurysm, renal, iliac, femoral and below-knee angioplasty and stenting. Additionally, his team is experienced in utilizing left ventricular assist devices to support high risk coronary angioplasty and complicated valve treatment procedures.

CV Richard Smalling, MD PhD

Richard Smalling MD PhD Physician Biography BRIEF

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  • James D. Woods Distinguished Chair in Cardiovascular Medicine
  • America’s Top Doctors and Texas Super Doctor
  • University of Texas Medical School, Houston: Distinguished Alumnus Award
  • The University of Texas at Austin, College of Engineering: Distinguished Alumnus Award
  • Distinguished Physician Award Memorial Hermann Hospital


Medical Degree
University of Texas-Houston Medical School
Doctoral Degree
University of Texas Graduate School of Biomedical Sciences - Houston
University of California, San Diego Medical Center
University of California, San Diego Medical Center

Areas of Interests

Clinical Interests

  • Structural Heart Disease including Percutaneous Aortic Valve Replacement (TAVR), Percutaneous Mitral Valve Repair (E-Valve), Mitral Valvuloplasty, Percutaneous ASD Repair, Septal Coiling for HOCM.
  • Peripheral Vascular Interventions Including Limb Salvage, Percutaneous EVAR under local anesthesia, and Carotid Stenting
  • Advanced Coronary Interventions including CTO and High Risk, Supported PCI with Percutaneous LV Assist

Research Interests

His research interests include advanced intravascular imaging procedures for coronary artery disease and mechanical and pharmacologic reduction of ischemic myocardial injury. Clinically, his team is actively pursuing the role of very early treatment of patients with acute myocardial infarction and evaluating new percutaneous methodologies for treating valvular heart disease.

Board Certifications

  • American Board of Internal Medicine
  • American Board of Internal Medicine – Cardiovascular Disease
  • American Board of Internal Medicine – Cardiology