Dr. Brian Palafox, MD

Cardiac Surgery  ·  
Male  ·  
Age 67
(10)
Insurances Accepted  ·  Save
Dr. Brian Palafox, MD
Dr. Brian Palafox, MD is a cardiac surgery specialist in Orange, CA and has been practicing for 42 years. He graduated from University Of California, Irvine, College Of Medicine in 1975 and specializes in cardiac surgery and thoracic surgery.

Risks associated with the TAVR procedure include death, stroke and major bleeding

Important Risk Information for Patients

Indications:

The Edwards SAPIEN 3 transcatheter heart valve, model 9600TFX, and accessories are indicated for relief of aortic stenosis in patients with symptomatic heart disease due to severe native calcific aortic stenosis who are judged by a Heart Team, including a cardiac surgeon, to be at intermediate or greater risk for open surgical therapy (i.e., predicted risk of surgical mortality ≥ 3% at 30 days, based on the Society of Thoracic Surgeons (STS) risk score and other clinical co-morbidities unmeasured by the STS risk calculator).

The Edwards SAPIEN 3 transcatheter heart valve, model 9600TFX, and accessories are indicated for patients with symptomatic heart disease due to failure (stenosed, insufficient, or combined) of a surgical bioprosthetic aortic or mitral valve who are judged by a heart team, including a cardiac surgeon, to be at high or greater risk for open surgical therapy (i.e., predicted risk of surgical mortality ≥ 8% at 30 days, based on the STS risk score and other clinical co-morbidities unmeasured by the STS risk calculator).

Contraindications (Who should not use):

The Edwards SAPIEN 3 transcatheter heart valve and delivery system should not be used in patients who:

  • Cannot tolerate medications that thin the blood or prevent blood clots from forming.
  • Have an active infection in the heart or elsewhere.

Warnings:

  • There may be an increased risk of stroke in transcatheter aortic valve replacement procedures, compared to other standard treatments for aortic stenosis in the high or greater risk population.
  • If an incorrect valve size for your anatomy is used, it may lead to heart injury, valve leakage, movement, or dislodgement.
  • Patients should talk to their doctor if they have significant heart disease, a mitral valve device or are allergic to chromium, nickel, molybdenum, manganese, copper, silicon, and/or polymeric materials.
  • The SAPIEN 3 valve may not last as long in patients whose bodies do not process calcium normally.
  • During the procedure, your doctors should monitor the dye used in the body; if used in excess it could lead to kidney damage. X-ray guidance used during the procedure may cause injury to the skin, which may be painful, damaging, and long-lasting.
  • Transcatheter aortic heart valve patients should take medications that thin the blood or prevent blood clots from forming, except when likely to have an adverse reaction, as determined by their physician. The Edwards SAPIEN 3 transcatheter heart valve has not been tested for use without medications that thin the blood or prevent blood clots from forming.

Precautions:

The long-term durability of the Edwards SAPIEN 3 transcatheter heart valve is not known at this time. Regular medical follow-up is recommended to evaluate how well a patient’s heart valve is performing. Safety, performance, and durability of the SAPIEN 3 valve has not been established for placement inside a previously implanted transcatheter valve.

The safety and effectiveness of the transcatheter heart valve is also not known for patients who have:

  • An aortic heart valve that is not calcified, contains only one or two leaflets, has leaflets with large pieces of calcium that may block the vessels that supply blood to the heart or in which the main problem is that the valve leaks.
  • Previous prosthetic ring in any position.
  • Previous atrial septal occlude.
  • A heart that does not pump well, has thickening of the heart muscle, with or without blockage, unusual ultrasound images of the heart that could represent irregularities such as a blood clot, a diseased mitral valve that is calcified or leaking, or Gorlin syndrome, a condition that affects many areas of the body and increases the risk of developing various cancers and tumors.
  • Low white, red or platelet blood cell counts, or history of bleeding because the blood does not clot properly.
  • Diseased, abnormal or irregularly shaped vessels leading to the heart. Vessels which are heavily diseased or too small for associated delivery devices, or a large amount of calcification at the point of entry.
  • Allergies to blood-thinning medications or dye injected during the procedure.
  • For a valve in valve procedure, there is a risk of leakage if the previously implanted tissue valve is not securely in place or if it is damaged. There is also the possibility that a partially detached valve leaflet from the previously implanted valve could block a blood vessel.
  • Additional pre-procedure imaging will be completed to evaluate proper sizing.

Potential risks associated with the procedure include:

  • Death, stroke, paralysis (loss of muscle function), permanent disability, or severe bleeding.
  • Risks to the heart, including heart attack or heart failure, a heart that does not pump well, irregular heartbeat that may result in a need for a permanent pacemaker, chest pain, heart murmur, false aneurysm, recurring aortic stenosis(narrowing), too much fluid around the heart, injury to the structure of the heart.
  • Risks to your lungs or breathing, including difficulty breathing, fainting, buildup of fluid in or around the lungs, weakness or inability to exercise.
  • Risks involving bleeding or your blood supply, including formation of a blood clot, high or low blood pressure, limited blood supply, a decrease in red blood cells, or abnormal lab values, bleeding in the abdominal cavity, collection of blood under the skin.
  • Additional risks, including life-threatening infection, dislodgement of calcified material, air embolism (air bubbles in the blood vessels), poor kidney function or failure, nerve injury, fever, allergic reaction to anesthesia or dye, reoperation, pain, infection or bleeding at incision sites, or swelling.

Additional potential risks specifically associated with the use of the heart valve include:

  • Valve movement after deployment, blockage or disruption of blood flow through the heart, need for additional heart surgery and possible removal of the SAPIEN 3 valve, a blood clot that requires treatment, damage to the valve (e.g., wear, breakage, recurring aortic stenosis), nonstructural valve dysfunction (e.g., leakage, inappropriate sizing or positioning, blockage, excess tissue in growth, blood cell damage, etc.) or mechanical failure of the delivery system and/or accessories.

CAUTION: Federal (United States) law restricts these devices to sale by or on the order of a physician.

Edwards, Edwards Lifesciences, the stylized E logo, Edwards SAPIEN, Edwards SAPIEN 3, SAPIEN, and SAPIEN 3 are trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners.

© 2017 Edwards Lifesciences Corporation. All rights reserved. PP--US-2507 v1.0

Edwards Lifesciences One Edwards Way, Irvine CA 92614 USA edwards.com

1310 W Stewart Dr Ste 503

Orange, CA 92868

Contact Information

(714) 997-2224

Dr. Brian Palafox, MD

Dr. Brian Palafox, MD

Accepted insurance

  • Aetna
  • Blue Cross Blue Shield
  • Blue Cross Blue Shield of California
  • Blue Shield of California
  • Cigna
  • First Health (Coventry Health Care)
  • MultiPlan

*Please verify this information when scheduling an appointment.

Learn about Dr. Palafox

Be confident in your decisions by checking out your provider's top areas of care, education, patient reviews and more. Learn about finding the right doctor for you.

Top Care Areas

See how frequently Dr. Palafox performs your care needs compared to other doctors.

Pericardial Disease
very high
more than 91% of peers
Lung Surgery
very high
more than 91% of peers
Chest CT (incl. Heart and Lungs)
high
more than 84% of peers

Dr. Palafox's percentages are based on the rate of treatment compared to peers nationwide from insurance data. Learn more info about our data and this Top Care Areas component.

2  Specialties

  • Cardiac Surgery
  • Thoracic Surgery

2  Board Certifications

  • General Surgery
    Accredited by: American Board of Surgery*
  • Thoracic Cardiovascular Surgery
    Accredited by: American Board of Thoracic Surgery*

58  Conditions Treated

  • Aneurysm
  • Angina and Acute Coronary Syndrome
  • Aortic Aneurysm
  • Aortic Dissection
  • Aortic Ectasia
  • Aortic Stenosis
  • Aortic Valve Disease
  • Aortic Valve Regurgitation
  • Arrhythmias
  • Atrial Fibrillation
  • Atrial Flutter
  • Benign Tumor
  • Cancer
  • Cardiomegaly
  • Cardiomyopathy
  • Carotid Artery Disease
  • Coarctation of the Aorta
  • Congenital Aortic Valve Disorders
  • Congenital Heart Defects
  • Congenital Heart Disease
  • Congestive Heart Failure
  • Coronary Artery Disease (CAD)
  • Coronary Artery Dissection
  • Empyema
  • Endocarditis
  • Esophageal Cancer
  • Esophageal Diseases
  • Head and Neck Cancer
  • Heart Attack (Acute Myocardial Infarction)
  • Heart Disease
  • Heart Tumors, Benign
  • Heart Tumors, Malignant
  • Lung Cancer
  • Lung Neoplasms, Not Specified as Malignant
  • Mediastinal Tumors, Malignant
  • Mediastinal Tumors, Not Specified as Malignant
  • Mitral Valve Disease
  • Mitral Valve Regurgitation
  • Mitral Valve Stenosis
  • Neuroendocrine Tumors
  • Patent Ductus Arteriosus
  • Pericardial Disease
  • Peripheral Arterial Aneurysm
  • Peripheral Arterial Aneurysm and Dissection
  • Peripheral Arterial Dissection
  • Pleura Cancer
  • Pleural Cancer
  • Pulmonary Disease
  • Pulmonary Embolism
  • Pulmonary Valve Disease
  • Rheumatic Aortic Valve Disorders
  • Ruptured Aortic Aneurysm
  • Secondary Hypertension
  • Septal Defect
  • Tetralogy of Fallot
  • Thrombosis
  • Thymomas
  • Vascular Disease
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61  Procedures

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Background Check

0 Malpractice Claims

No malpractice history found for California.

0 Sanctions

No sanctions history found for the years that Healthgrades collects data.

0 Board Actions

No board actions found for the years that Healthgrades collects data.

Education

  • University Of California, Irvine, College Of Medicine
    Medical School | Graduated 1975
  • Orange Cnty Med Center
    Internship Hospital | Completed 1977
  • Orange Cnty Med Center
    Residency Hospital | Completed 1976
  • University Ca
    Residency Hospital | Completed 1981
  • University Ca Irvine Med Center
    Residency Hospital | Completed 1983

Awards & Recognition

Awards & Honors
  • Healthgrades Honor Roll
Media & Publications

Dr. Palafox has no media or publications listed.

Languages Spoken

  • English
  • Spanish

Memberships & Professional Affiliations

Dr. Palafox does not have any memberships or affiliations listed. If you are Dr. Palafox and would like to add memberships or affiliations, please update your profile.

Dr. Palafox's Reviews

4.0
Likelihood of recommending Dr. Palafox to family and friends
10 total reviews (2 have comments)

Likelihood to Recommend (10)

  • 5
    (6)
  • 4
    (2)
  • 3
    (0)
  • 2
    (0)
  • 1
    (2)

Dr. Palafox's Performance

  • Trustworthiness

    VERY GOOD
  • Explains condition(s) well

    VERY GOOD
  • Answers questions

    VERY GOOD
  • Time well spent

    VERY GOOD

Office & Staff Performance

  • Scheduling

    EXCELLENT
  • Office environment

    VERY GOOD
  • Staff friendliness

    VERY GOOD
  • Average wait time

    10 to 15 minutes

Patient Comments (2)

I just found out about this today, 04/17/2018. Here you go: I was a patient of Dr. Brian Palafox and he did my open heart bypass, on 01/20/2011. He is the best! I really like what he explained to me and my wife, before the open heart surgery. He also visited me, after the surgery and took care of...more
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Dr. Palafox did a quadruple bypass on my father this week and I just can't say enough about him - his caring compassion, thorough explanation of what he would be doing in surgery, and gentle, unassuming bedside manner make him a fantastic doctor. Everyone in the hospital raved about him is a...more
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Now Accepting New Patients

Dr. Palafox accepts 7 insurance carriers

  • Aetna
    Aetna HMO
    Basic HMO
    Choice Plus POS II
    Vitalidad Plus California Con Aetna
  • Blue Cross Blue Shield
    Blue Card PPO
  • Blue Cross Blue Shield of California
    Blue Cross Blue Shield of California PPO
    Priority Select HMO
    Select Plus HMO
  • Blue Shield of California
    Access Plus Savenet
    Local Access Plus HMO
  • Cigna
    Cigna HMO
    Cigna PPO
    LocalPlus
    Open Access Plus
  • First Health (Coventry Health Care)
    First Health (Coventry Health Care) PPO
  • MultiPlan
    MultiPlan PPO
    PHCS Network PPO
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*Please verify this information when scheduling an appointment.

Dr. Palafox's affiliated hospitals

Saint Joseph Hospital
1100 W Stewart Dr
Orange, CA 92868
View hospital profile

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