Dr. Robert Pascotto Jr, MD

Thoracic Surgery  |  
Male  |  
Age 47
(14)
Insurances AcceptedSave
Dr. Robert Pascotto Jr, MD
Dr. Robert Pascotto Jr, MD is a thoracic surgery doctor who practices in Naples, FL. He is 47 years old and has been practicing for 14 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

399 Tamiami Trl N Ste 300

Naples, FL 34102

Contact Information

(239) 624-4200

Dr. Robert Pascotto Jr, MD

Dr. Robert Pascotto Jr, MD

Accepted insurance

  • Aetna
  • Blue Cross Blue Shield
  • Blue Cross Blue Shield of Florida
  • Cigna
  • Humana
  • MultiPlan

*Please verify this information when scheduling an appointment.

Learn about Dr. Pascotto Jr

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. Pascotto Jr performs your care needs compared to other doctors.

Heart Surgery
high
more than 85% of peers
Coronary Artery Disease (CAD)
high
more than 82% of peers
Lung Surgery
normal
more than 80% of peers

Dr. Pascotto Jr'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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1

Specialties

  • Thoracic Surgery
0

Board Certifications

Dr. Pascotto Jr does not have any board certifications listed.

47

Conditions Treated

  • Aneurysm
  • Aneurysm and Dissection of Heart
  • Angina and Acute Coronary Syndrome
  • Aortic Aneurysm
  • 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
  • Cerebral Artery Thrombosis
  • Congenital Heart Defects
  • Congenital Heart Disease
  • Coronary Artery Disease (CAD)
  • Coronary Artery Dissection
  • Empyema
  • Endocarditis
  • Esophageal Diseases
  • Heart Disease
  • Heart Tumors, Benign
  • Lung Cancer
  • Lung Neoplasms, Not Specified as Malignant
  • Mediastinal Tumors, Malignant
  • Mitral Valve Disease
  • Mitral Valve Regurgitation
  • Mitral Valve Stenosis
  • Neuroendocrine Tumors
  • Pericardial Disease
  • Peripheral Arterial Aneurysm
  • Peripheral Arterial Aneurysm and Dissection
  • Peripheral Arterial Dissection
  • Pleura Cancer
  • Pleural Cancer
  • Pulmonary Disease
  • Pulmonary Embolism
  • Pulmonary Valve Disease
  • Septal Defect
  • Thrombosis
  • Vascular Disease

More

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48

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
  • Cardiac Catheterization (incl. Coronary Angiography)
  • Cardiac Electrophysiology
  • Cardioverter-Defibrillator or Pacemaker Insertion, Removal or Repair
  • Carotid Artery Stent Placement
  • Carotid Endarterectomy (CEA) or Excision of Infected Graft
  • Chest CT (incl. Heart and Lungs)
  • Coronary Artery Bypass Graft (CABG) Surgery
  • Decortication and Pleurectomy
  • 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
  • Lobectomy, Open
  • Lung Removal (Partial or Complete): Open, or Resection of Lung Tumor: Open
  • Lung Removal, Open
  • Lung Surgery
  • Lymph Node Biopsy or Excision
  • Maze Procedure
  • Mitral Valve Surgery
  • Nerve Block, Sympathetic
  • Non-Coronary Angioplasty, Atherectomy, and Stenting
  • Open Diaphragmatic and-or Paraesophageal Hiatal Hernia Repair
  • Open Thymectomy
  • Paracentesis
  • Peripheral Artery Catheterization
  • Port Placements or Replacements
  • Resection of Cardiac Tumor
  • Segmentectomy, Open
  • Thoracentesis
  • Thoracoscopic Lobectomy
  • Thoracoscopic Segmentectomy
  • Thoracoscopic Wedge Resection
  • Thromboendarterectomy or Excision of Infected Graft
  • 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

0 Malpractice Claims

No malpractice history found for Florida.

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

  • Creighton University
    Medical School | Graduated 1997
  • Albany Med Center
    Internship Hospital | Completed 1998
  • Albany Med Center
    Residency Hospital | Completed 2002
  • University of Arizona
    Fellowship Hospital | Completed 2004

Awards & Recognition

Awards & Honors

Dr. Pascotto Jr has no awards or honors listed.

Media & Publications

Dr. Pascotto Jr has no media or publications listed.

Languages Spoken

  • English

Memberships & Professional Affiliations

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

Dr. Pascotto Jr's Reviews

Likelihood of recommending Dr. Pascotto Jr to family and friends
4.1
based on 14 total reviews (4 with comments)

Likelihood to Recommend (14)

  • 5
    (11)
  • 4
    (0)
  • 3
    (0)
  • 2
    (0)
  • 1
    (3)

Dr. Pascotto Jr's Performance

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

Office & Staff Performance

Scheduling
EXCELLENT
Office environment
EXCELLENT
Staff friendliness
EXCELLENT
Average wait time
10 to 15 minutes

Patient Comments (4)

St Petersburg, FL |
Zero likelihood of recommending Pascatto for anything.
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Minneapolis, MN |
A talented surgeon with a good team supporting him.
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Naples, FL |
Worst Dr! He does not care about his patients. Does not take time to explain anything. He replaced a valve in my father and put too small of one in and instead of going right back in to fix it he decided to lie and ignore it which ended my father life over it. He was only 62! Every Dr I talked to...more
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in Cape Coral |
I have been a health care provider for 44 years. Dr. Pascotto Jr. is one of the nicest and highly skilled surgeons that I have met. Both he and his staff are the best. I have had both a Lobectomy and CABG surgery by Dr. Pascotto. I would highly recommend his services.
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