Dr. L Graver, MD

Cardiac Surgery  |  
Male  |  
Age 64
(5)
Insurances AcceptedSave
Dr. L Graver, MD
Dr. L Graver, MD is a cardiac surgery doctor who practices in Manhasset, NY. He is 64 years old and has been practicing for 35 years.

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

300 Community Dr

Manhasset, NY 11030

Contact Information

(718) 470-7460

Dr. L Graver, MD

Dr. L Graver, MD

Accepted insurance

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • EmblemHealth
  • First Health (Coventry Health Care)
  • Humana
  • Medicaid
  • MultiPlan
  • MVP Health Care
  • Oxford Health Plans
  • UnitedHealthCare

*Please verify this information when scheduling an appointment.

Learn about Dr. Graver

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

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

Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary)
very high
more than 97% of peers
Pericardial Disease
very high
more than 95% of peers
Tricuspid Valve Surgery
very high
more than 94% of peers

Dr. Graver'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.

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2

Specialties

  • Cardiac Surgery
  • Cardiothoracic Surgery
2

Board Certifications

  • General Surgery
    Accredited by: American Board of Surgery*
  • Thoracic Cardiovascular Surgery
    Accredited by: American Board of Thoracic Surgery*
46

Conditions Treated

  • Aneurysm
  • Aneurysm of Heart
  • 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
  • Congenital Aortic Valve Disorders
  • Congenital Heart Defects
  • Congenital Heart Disease
  • Congestive Heart Failure
  • Coronary Artery Disease (CAD)
  • Coronary Artery Dissection
  • Empyema
  • Endocarditis
  • Esophageal Diseases
  • Head and Neck Cancer
  • Heart Attack (Acute Myocardial Infarction)
  • Heart Disease
  • Heart Tumors, Benign
  • Heart Tumors, Malignant
  • Lung Cancer
  • Mitral Valve Disease
  • Mitral Valve Regurgitation
  • Mitral Valve Stenosis
  • Pericardial Disease
  • Peripheral Arterial Aneurysm
  • Peripheral Arterial Aneurysm and Dissection
  • Peripheral Arterial Dissection
  • Pulmonary Disease
  • Pulmonary Embolism
  • Rheumatic Aortic Valve Disorders
  • Ruptured Aortic Aneurysm
  • Septal Defect
  • Thrombosis
  • Vascular Disease

More

Read More
41

Procedures

  • Ablation for Treatment of Cardiac Arrhythmias
  • Abscess or Cyst Drainage or Aspiration
  • Abscess or Fluid Incision and Drainage
  • Aortic Repair, Open or Repair of Arterial Aneurysm, Open
  • Aortic Valve Surgery
  • Automatic Implantable Cardioverter Defibrillator (ICD) Implantation
  • Cardiac Catheterization (incl. Coronary Angiography)
  • Cardiac Electrophysiology
  • Cardiac MRI (Magnetic Resonance Imaging) of Heart or Chest
  • Cardioverter-Defibrillator or Pacemaker Insertion, Removal or Repair
  • Carotid Endarterectomy (CEA) or Excision of Infected Graft
  • Chest CT (incl. Heart and Lungs)
  • Coronary Artery Bypass Graft (CABG) Surgery
  • Decortication and Pleurectomy
  • Esophageal Surgery
  • Head and Neck Surgery
  • Heart Defect Repair
  • Heart Surgery
  • Impella Device
  • Incision and Removal of Foreign Object
  • Insertion of Epicardial Lead for Pacemaker or Cardioverter and-or Defibrillator
  • Insertion of Left Ventricular Lead for Pacemaker or Cardioverter and-or Defibrillator
  • Lung Removal (Partial or Complete): Open, or Resection of Lung Tumor: Open
  • Lung Surgery
  • Maze Procedure
  • Minimally Invasive Surgery
  • Mitral Valve Surgery
  • Open Thymectomy
  • Pacemaker Insertion or Replacement
  • Peripheral Artery Catheterization
  • Port Placements or Replacements
  • Pulmonary Valve Surgery
  • Resection of Cardiac Tumor
  • Thoracentesis
  • Thromboendarterectomy or Excision of Infected Graft
  • Tracheal Surgery
  • Transcatheter Aortic Valve Replacement (TAVR)
  • Tricuspid Valve Surgery
  • Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary)
  • Vascular Surgical Procedure
  • Video-Assisted Thoracoscopic Surgery (VATS) or Thoracotomy

More

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Background Check

0 Malpractice Claims

No malpractice history found for New York.

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

  • Albany Medical College
    Medical School | Graduated 1977
  • Roosevelt Hospital
    Internship Hospital | Completed
  • Deaconess Hospital
    Residency Hospital | Completed 1985
  • Roosevelt Hospital
    Residency Hospital | Completed 1982
  • New York Presbyterian Hospital/weill Cornell Med Center
    Fellowship Hospital | Completed 1983
  • Ny Hospital Cornell Medical School
    Other Education | Completed

Awards & Recognition

Awards & Honors
  • Healthgrades Honor Roll
Media & Publications

Dr. Graver has no media or publications listed.

Languages Spoken

  • English
  • Spanish

Memberships & Professional Affiliations

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

Dr. Graver's Reviews

Likelihood of recommending Dr. Graver to family and friends
3.4
based on 5 total reviews (2 with comments)

Likelihood to Recommend (5)

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

Dr. Graver's Performance

Trustworthiness
VERY GOOD
Explains condition(s) well
VERY GOOD
Answers Questions
VERY GOOD
Time well spent
VERY GOOD

Office & Staff Performance

Scheduling
VERY GOOD
Office environment
VERY GOOD
Staff friendliness
VERY GOOD
Average wait time
16 to 30 minutes

Patient Comments (2)

in Jackson Heights, NY |
Dr. Graver operated on me (quadruple by-pass) over 5 years ago (2012). He was affront, cordial and a very nice doctor. He even provided me with his mobile# in case I have questions. After the operation, on my recuperation, I overheard a couple of his assistant/colleague suggesting that I be...more
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in Whitestone |
Thank you Dr.Graver for saving my moms life!
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Visit Dr. Graver

Now Accepting New Patients
Dr. Graver accepts 11 insurance carriers
  • Aetna
    Aetna HMO
    Choice Plus POS II
  • Blue Cross Blue Shield
    Blue Card PPO
  • Cigna
    Cigna HMO
    Cigna PPO
    Open Access
  • EmblemHealth
    GHI PPO
  • First Health (Coventry Health Care)
  • Humana
    Choice Care PPO
  • Medicaid
  • MultiPlan
    MultiPlan PPO
    PHCS Network PPO
  • MVP Health Care
    MVP Health Care PPO
  • Oxford Health Plans
    Freedom Plan
  • UnitedHealthCare
    Choice Plus POS
    Options PPO
    Oxford Liberty
    United Healthcare

*Please verify this information when scheduling an appointment.

Hospitals where Dr. Graver has admitting privileges

North Shore University Hospital
300 Community Dr
Manhasset, NY 11030
View Hospital Profile

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