Dr. Nicholas Kouchoukos, MD

Thoracic Surgery  |  
Male  |  
Age 80
(23)
Insurances AcceptedSave
Dr. Nicholas Kouchoukos, MD
Dr. Nicholas Kouchoukos, MD is a thoracic surgery doctor who practices in Saint Louis, MO. He is 80 years old and has been practicing for 56 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

3009 N Ballas Rd Ste 360C

Saint Louis, MO 63131

Contact Information

(314) 996-5287

Dr. Nicholas Kouchoukos, MD

Dr. Nicholas Kouchoukos, MD

Accepted insurance

  • Aetna
  • Anthem Blue Cross Blue Shield
  • Blue Cross Blue Shield
  • Cigna
  • HAP Insurance
  • HealthLink
  • Humana
  • MultiPlan

*Please verify this information when scheduling an appointment.

Learn about Dr. Kouchoukos

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. Kouchoukos performs your care needs compared to other doctors.

Chest CT (incl. Heart and Lungs)
very high
more than 99% of peers
Aortic Dissection
very high
more than 98% of peers
Aneurysm
very high
more than 98% of peers

Dr. Kouchoukos'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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Care Philosophy

This content was provided by Dr. Kouchoukos "Our cardiac surgery practice at Missouri Baptist includes highly-skilled surgeons who work with each other on a daily basis in collaboration, not competition, treating each patient. Our group is unique in its level of experience and service provided at only one hospital. We discuss cases before, during, and after operations, and everyone is strongly committed to excellent outcomes. We have a dedicated team of cardiac anesthesiologists with an average of 25 years of experience who deal exclusively with our patients. Our ICU is solely dedicated to cardiothoracic patients, with experience far exceeding national norms. All of our recovery rooms are private, with a staff completely devoted to our patients. The office staff is patient-focused, and always available to help with any issues. Patients in our program can be assured they will be cared for with the best possible heart care. Dr. Kouchoukos has been recognized as a St. Louis Magazine Best Doctor since 2009."

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1

Specialties

  • Thoracic Surgery
2

Board Certifications

  • General Surgery
    Accredited by: Royal College of Physicians and Surgeons of Canada
  • Thoracic Surgery
    Accredited by: American Board of Thoracic Surgery*
45

Conditions Treated

  • Abdominal Aortic Aneurysm (AAA)
  • Aneurysm
  • Aneurysm of Heart
  • Angina and Acute Coronary Syndrome
  • Aortic Aneurysm
  • Aortic Diseases
  • Aortic Dissection
  • Aortic Ectasia
  • Aortic Embolism and Thrombosis
  • Aortic Stenosis
  • Aortic Valve Disease
  • Aortic Valve Regurgitation
  • Arrhythmias
  • Atrial Fibrillation
  • Atrial Flutter
  • Benign Tumor
  • Cancer
  • Cardiomegaly
  • Cardiomyopathy
  • Carotid Artery Disease
  • Congenital Heart Defects
  • Congenital Heart Disease
  • Coronary Artery Disease (CAD)
  • Coronary Artery Dissection
  • Empyema
  • Endocarditis
  • Esophageal Diseases
  • Heart Disease
  • Heart Tumors, Benign
  • 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 Arteriovenous Malformation
  • Pulmonary Disease
  • Pulmonary Valve Disease
  • Ruptured Aortic Aneurysm
  • Septal Defect
  • Thoracoabdominal Aortic Aneurysm
  • Thrombosis
  • Vascular Disease

More

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35

Procedures

  • Abscess or Cyst Drainage or Aspiration
  • Abscess or Fluid Incision and Drainage
  • Aortic Aneurysm Repair
  • Aortic Repair, Open or Repair of Arterial Aneurysm, Open
  • Aortic Valve Surgery
  • Cardiac Catheterization (incl. Coronary Angiography)
  • Cardiac Electrophysiology
  • Cardiac Myocardial Perfusion Imaging
  • 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
  • Endovascular Repair of Aorta
  • Endovascular Repair of Thoracic Aorta
  • Esophageal Surgery
  • Head and Neck Surgery
  • Heart Defect Repair
  • Heart Surgery
  • Hernia Repair
  • Impella Device
  • Incision and Removal of Foreign Object
  • Lung Surgery
  • Maze Procedure
  • Mitral Valve Surgery
  • Non-Coronary Angioplasty, Atherectomy, and Stenting
  • Open Diaphragmatic and-or Paraesophageal Hiatal Hernia Repair
  • Paracentesis
  • Peripheral Artery Catheterization
  • Port Placements or Replacements
  • Thoracentesis
  • Tracheal Surgery
  • Tricuspid Valve Surgery
  • Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary)
  • Vascular Surgical Procedure
  • Video-Assisted Thoracoscopic Surgery (VATS) or Thoracotomy

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Background Check

Malpractice Claims not available

Healthgrades does not collect malpractice information for Missouri.

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

  • Washington University St Louis
    Medical School | Graduated 1961
  • Washington University School of Medicine/ Barnes-Jewish Hospital
    Internship Hospital | Completed 1962
  • Barnes Jewish Hospital
    Residency Hospital | Completed 1967
  • University Ala Hosps
    Residency Hospital | Completed 1970
  • University Ala Hosps
    Fellowship Hospital | Completed 1968

Awards & Recognition

Awards & Honors
  • Healthgrades Honor Roll
  • The Society of Thoracic Surgeons, Board of Directors, 2005
  • 53 Textbooks and Chapters,
  • Physician's Recognition Award, American Medical Association, 1978,1981,
  • 400 Medical Journal Publications,
  • The Hugh D. McCulloch Award, American Heart Association, Midwest Affiliate-Greater St. Louis Area, 2006
  • Hellenic Medical Society of New York - Physician of the Year, 1981
  • St. Louis Magazine Best Doctor List, 2009-2011
  • National Marfan Foundation - Who's Who in America; Who's Who in Health Care; Who's Who in Medicine and Healthcare; Who's Who in the Midwest, 2012
  • 125 Published Medical Abstracts,
  • Antoine Marfan Award, 2012
  • Distinguished Service Award, The Society of Thoracic Surgeons, 2005
  • 340 Medical Presentations,
  • Distinguished Scientist Award, Bicuspid Aortic Foundation, 2007
  • Physician of the Year, Hellenic Medical Society of New York, 1991
  • United States Food and Drug and Administration Consultant, Circulatory Systems Devices Panel,
  • Mid-America Transplant Services, Board of Directors,
Media & Publications

Dr. Kouchoukos has no media or publications listed.

Languages Spoken

  • English

Memberships & Professional Affiliations

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

Dr. Kouchoukos' Reviews

Likelihood of recommending Dr. Kouchoukos to family and friends
4.8
based on 23 total reviews (2 with comments)
Dr. Kouchoukos' Performance
  • Trustworthiness
    EXCELLENT
  • Explains condition(s) well
    EXCELLENT
  • Answers Questions
    EXCELLENT
  • Time well spent
    EXCELLENT
Office & Staff Performance
  • Scheduling
    EXCELLENT
  • Office environment
    EXCELLENT
  • Staff friendliness
    EXCELLENT
  • Average wait time
    16 to 30 minutes
Patient Comments (2)
in Hamden, CT |
Dr. Kouchoukos did my Ross procedure (double-valve replacement, aortic-pulmonary) Dec 2000, 16+ yrs ago. I just had my reg post-op echocardiogram this morning (@ Yale New Haven, CT), and again my cardiologist marvelled. He can't even hear a murmur with a stethoscope, and he could barely tell even from the echo that I had had surgery. The best comments were from my previous visit: "Don't come back next year; make it two years next time"; and, "If I ever have this surgery, I'm going to St Louis!"
in Columbia, MO |
It was first visit so he had to look at my records and discs of condition of my problem and that's why it took. Little longer to wait. I felt very good talking with him. He actually made drawing when explaining my problem. Very easy to talk to and ask questions!
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