Dr. Jonathan Fong, MD is a cardiothoracic surgery specialist in Sarasota, FL and has been practicing for 26 years. He specializes in cardiothoracic surgery.
Insurance Accepted
- Aetna
- Anthem
- Blue Cross Blue Shield
- Blue Cross Blue Shield of Florida
- CareFirst Blue Cross Blue Shield
- Cigna
- First Health (Coventry Health Care)
- MultiPlan
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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
Dr. Fong's Reviews
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In April of 2019 I was assigned Dr Fong for bypass and AVR surgery. There is good reason Dr. Fong has such great reviews. I trust Dr Fong as he exhibits strong traits of honor, integrity, and compassion. If I had to go through the very painful experience again, I would feel that another surgeon would fail to provide the total package of medical treatment that I received from Dr Fong.
God Bless Dr Fong.
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Bernard Forrestal – Feb 17, 2020
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Thank you for the comments!
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Saved my life, just amazing. From the moment of introduction there was a sense of confidence. The level of communication and follow up have made this a complete success. Thank you
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2Tom Hedge – Feb 07, 2020
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Thank you for the comments!
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It has been six monhs since undergoing surgery by Dr Fong. The experience was the most professional and rewarding experiences I have ever had. Dr Fong is a very through, understanding physician and most of all caring. After six bypasses I was up walking the next day, home in four and driving in three weeks. After cardiac rehab at SMH I feel great, am returning to teaching and enjoying life. My highest compliments and appreciation to Dr Fong.
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2Jim Aaron, Lakewood Ranch FL – Jan 02, 2020
Glad you are doing well. Thank you for the...Read More
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Dr. Fong was excellent and did a wonderful job explaining everything. He also took the time to answer all of our questions.
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Nov 25, 2019
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Great to hear, thank you!
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If you are reading these reviews, you are probably searching for a cardio surgeon. Now, please, stop your effort - you've found the best. Simply cannot go better. Not enough words to express my level of gratitude for everything Dr. Fong did for me on the very short notice - quintuple bypass surgery. His demeanor and bed-side manner is calm, positive, thorough, attentive, flexible, and personal. The Doctor likes to say that Lord is our ultimate surgeon and Doctor just has a hands that make an incision. Maybe he is right.. But Lord choose Dr. Fong' hands for a reason! Without any hesitation I recommend Dr. Fong to anyone in need of cardiac surgery.
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1Jeff Berger – Oct 31, 2019
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Very nice of you to say, thank you
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Had 7 bypasses. Dr Fong is truly a gentleman and a great surgeons. Highly recommend to anybody that needs the heart repaired.
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2Phillip from Punta Gorda – Oct 28, 2019
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Thank you for the comments
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It was a wonderful experience. He is a caring person who takes the time to listen to his patients and their families and helps them through a very stressful experience
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2Apr 09, 2019
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Thank you so much!
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Dr. Fong completed a Six-way bypass on me at the end of January 2018. He is a wonderful and humble man who pushed me to the front of the line to save my life. Thank you for your skill, knowledge, and compassion.
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1Mike McKeegan in Medford, OR – Feb 13, 2019
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Mike, thank you for the kind words!
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Dr. Fong has to be the best Cardiac Surgeon on Sarasota! My 85yr old father just had a 5 bypass and heart valve repair. Dr. Fong was fantastic! His bedside manners are incredible and follow up impeccable. I highly recommend him. I only hope if I have heart problems, he' the doctor on call in an emergency.
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1L. Dowd in Sarasota, FL – Jan 03, 2019
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That's very nice, thank you!
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Dr Fong is absolutely the very best surgeon in the area. My husband came to him literally dying, turned down by several other surgeons who said nothing could be done for him. DR. Fong took on this very risky and complex case and saved my husband's life. He is a humble man, listens well, and has skills and the confidence to use them. He is honest and up front and makes no grandiose promises. He will give you the unadulterated truth. When all seemed lost, Dr Fong saved my husband's life.
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1Jeanne Wagner in Venice, FL – Oct 31, 2018
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Thank you for your kind words!
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Dr. Fong was spectacular in every way. I would highly recommend him to family and friends. In addition to his clinical skills, he was very personable and made the whole experience much easier to tolerate. He has excellent communication skills.
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2Bertram Rapowitz in Longboat Key Florida – May 31, 2018
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Thank you Mr. Rapowitz!
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Dr. Fong saved my mother's life! He was skilled, professional, and an excellent communicator.
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2Brian in Sarasota – May 14, 2018
Hi Brian! Thank you for the kind words and taking...Read More
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Dr. Fong did everything in his power to give my dad triple heart bypass surgery on the same day as he went to emergency. This was a unexpected surgery! He did everything in his power to get him admitted so he could do this surgery. His communication was fantastic and put my mom's mind at ease during this difficult time. As all of our family resides in NY it was great knowing he was in my dad's corner. Thank you for giving my dad another chance at life. I am grateful. Robert Graus' daughter
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1Kathy Goodman in Rochester – Jan 08, 2018
Thank you for your kind words Kathy. I'm happy...Read More
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Two weeks ago Dr. Fong performed open heart surgery on me to replace my aortic valve and repair my mitral valve. He is an excellent communicator and I fully understood my options and the surgery that we decided on. His manner is friendly and warm. The results have been excellent and I am on the way to recovery and a healthy heart going forward. I would highly recommend Dr. Fong for Cardiac Surgery. I especially liked his caring manner and his frankness in discussing options with me.
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Howard Veit in ATLANTA – Dec 21, 2017
Good to hear from you Howard! Thank you for the...Read More
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Dr. Fong saved my mother's life! He performed a double bypass on her after she was admitted for a broken hip and had a heart attack. He was so informative and efficient. His bedside manner is the best we have ever encountered. Thank you Dr. Fong for giving my mother another chance at life. You are wonderful!
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1Jen Langford in Sarasota – Oct 27, 2017
Jen, thank you for your kind words. It was an...Read More
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Not only a wonderful surgeon, but his bedside manner is impeccable! His staff never made you feel rushed...they listened intently to all our concerns...and assured us that they will honor all our wishes in our choices of treatment. Look no further than Dr. Jonathan Fong.
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David Romine in Venice, FL – Jul 25, 2016
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After several ablations and shock treatments Dr. Fong thought it best to do the Maze procedure for my afib. Dr. Fong far exceeded my expectations during the entire event. He met with us several times prior to surgery, explained the procedure in depth step by step and we were very impressed with his expertise, skill and professionalism. He and his entire staff were very caring and considerate from our first visit to the post op visit. Feeling great and virtually no pain. Thank you Dr. Fong!!
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Woody Poffenberger in Venice, FL – Jun 13, 2016
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Dr. Fong is the best in my opinion. He did my surgery and it went perfect, I healed fast, no infection, and I feel great. Thank you Dr. Fong.
Mark Hilker Venice,Fl
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Mark Hilker in Venice, FL – May 06, 2016
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We were thoroughly pleased and impressed with his patient relationship. He is skilled and patiently explains and encourages throughout the entire surgical event -- from the office to the hospital discharge. We couldn't have been more pleased.
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Dave G. in Sarasota, FL – Apr 01, 2016
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Wonderful surgeon, very highly skilled, great patient relations.
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Dr. G. R. in Bradenton, FL – Mar 05, 2016
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