Dr. James Scharff, MD

Thoracic Surgery  ·  
Male  ·  
Age 44
(11)
Insurances Accepted  ·  Save
Dr. James Scharff, MD
Dr. James Scharff, MD is a thoracic surgery specialist in Saint Louis, MO and has been practicing for 9 years. He graduated from Wake Forest University in 2000 and specializes in 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

3023 N Ballas Rd Ste 150D

Saint Louis, MO 63131

Contact Information

(314) 996-5287

Dr. James Scharff, MD

Dr. James Scharff, MD

Accepted insurance

  • Accepts most major Health Plans. Please contact our office for details.

*Please verify this information when scheduling an appointment.

Background Check

Healthgrades does not collect malpractice information for Missouri
No disciplinary actions found for the years we collect data
No board actions found for the years we collect data
Learn more about background checks

Experience Check

Check Dr. Scharff's experience treating your condition or procedure

Dr. Scharff's Top Procedures and Conditions

Treatment Frequency
Mitral Valve Surgery
very high
very high

Treatment Frequency

Dr. Scharff performs Mitral Valve Surgery more than 100% of his peers

Dr. Scharff performs this procedure more than 100% of his peers

Rating Includes other areas of care:

  • Mitral Valve Repair
  • Mitral Valve Replacement
  • Transcatheter Mitral Valve Repair
  • Transcatheter Mitral Valve Replacement
Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary)
very high
very high

Treatment Frequency

Dr. Scharff performs Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary) more than 94% of his peers

Dr. Scharff performs this procedure more than 94% of his peers

Rating Includes other areas of care:

  • Aortic Valve Repair
  • Aortic Valve Replacement
  • Aortic Valvuloplasty
  • Heart Valve Replacement
  • Mitral Valve Repair
  • Mitral Valve Replacement
  • Percutaneous Balloon Valvuloplasty
  • Transcatheter Mitral Valve Repair
  • Transcatheter Mitral Valve Replacement
  • Tricuspid Valve Repair / Replacement
  • Valvuloplasty
Maze Procedure
very high
very high

Treatment Frequency

Dr. Scharff performs Maze Procedure more than 90% of his peers

Dr. Scharff performs this procedure more than 90% of his peers

Rating Includes other areas of care:

  • Mini-Maze Procedure

About Me

Biography

Dr. James Scharff, MD is a thoracic surgery specialist in Saint Louis, MO and has been practicing for 9 years. He graduated from Wake Forest University in 2000 and specializes in thoracic surgery.

Specialties

  • Thoracic Surgery

Board Certifications

  • General Surgery
  • Thoracic Cardiovascular Surgery
  • Thoracic Surgery

Education

  • 2009
    Saint Louis University Hospital
    Fellowship Hospital
    2009
  • 2005
    Saint Louis University Hospital
    Residency Hospital
    2005
  • 2001
    Saint Louis University Hospital
    Internship Hospital
    2001
  • 2000
    Wake Forest University
    Medical School
    2000
  • 1996
    Amherst College
    Undergraduate School
    1996

Languages

  • German
  • English

Awards

Dr. Scharff's Reviews

Likelihood to recommend Dr. Scharff

4.3

Based on 11 reviews

5 Stars
81.81818181818181%
(9)
4 Stars
0%
(0)
3 Stars
0%
(0)
2 Stars
0%
(0)
1 Star
18.181818181818183%
(2)

Leave a review

How likely are you to recommend
Dr. Scharff?
(Select your rating)
Average Wait Time
  • 10 – 15 minutes
Dr. Scharff's Performance
  • Trustworthiness
  • Explains condition(s) well
  • Answers questions
  • Time well spent
Office & Staff Performance
  • Scheduling
  • Office environment
  • Staff friendliness
What People Say About Dr. James Scharff, MD
RecentHighestLowestMost Helpful
Reply
Dr. Scharff is exceptional - given the circumstances the experience could not have been any better. I highly recommend this provider.
Was this helpful?
thumbs up icon option
thumbs down icon option
×Post a ResponseAre you Dr. James Scharff, MD?
Reply
bad practice a lot of complications
Was this helpful?
thumbs up icon option
thumbs down icon option
×Post a ResponseAre you Dr. James Scharff, MD?
Reply
Dr scharff performed a quintuple bypass. The surgery went very well, recovery has gone as planned and the incision has healed after a few months with little to no pain. Dr scharff nurse (Carol) is wonderful and very responsive. Very happy with the surgery and outcome.
Was this helpful?
thumbs up icon option2
thumbs down icon option1
×Post a ResponseAre you Dr. James Scharff, MD?

Leave a review

How was your experience with Dr. Scharff?

Locations

Insurance accepted

Accepted insurance can change. Please double-check when making an appointment.

Accepts most major Health Plans. Please contact our office for details.

Affiliated Hospitals

Check the quality of care at hospitals where Dr. Scharff treats patients.

Learn more