Dr. Thomas Pfeffer, MD

Cardiovascular Surgery  |  
Male  |  
Age 63
Insurances AcceptedSave
Dr. Thomas Pfeffer, MD
Dr. Thomas Pfeffer, MD is a cardiovascular surgery doctor who practices in Los Angeles, CA. He is 63 years old and has been practicing for 37 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

4867 W Sunset Blvd

Los Angeles, CA 90027

Contact Information

(800) 954-8000

Dr. Thomas Pfeffer, MD

Dr. Thomas Pfeffer, MD

Accepted insurance

  • Kaiser Permanente

*Please verify this information when scheduling an appointment.

Learn about Dr. Pfeffer

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Top Care Areas

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

Coronary Artery Bypass Graft (CABG) Surgery
normal
more than 77% of peers
Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary)
normal
more than 71% of peers
Aortic Valve Surgery
normal
more than 69% of peers

Dr. Pfeffer'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. Pfeffer "Health care leader whose mission is to keep you healthy. Under-one-roof convenience, 24-hour advice nurse, and online access to manage your health - anytime."
1

Specialties

  • Cardiovascular Surgery
1

Board Certifications

  • Thoracic Cardiovascular Surgery
    Accredited by: American Board of Thoracic Surgery*
41

Conditions Treated

  • Aneurysm
  • Aneurysm and Dissection 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
  • Cerebral Artery Thrombosis
  • Coarctation of the Aorta
  • Congenital Aortic Valve Disorders
  • Congenital Heart Defects
  • Congenital Heart Disease
  • Congestive Heart Failure
  • Coronary Artery Disease (CAD)
  • Endocarditis
  • Esophageal Cancer
  • Heart Attack (Acute Myocardial Infarction)
  • Heart Disease
  • Heart Tumors, Benign
  • Lung Cancer
  • Mitral Valve Disease
  • Mitral Valve Regurgitation
  • Mitral Valve Stenosis
  • Pericardial Disease
  • Peripheral Arterial Aneurysm and Dissection
  • Pulmonary Disease
  • Pulmonary Embolism
  • Pulmonary Valve Disease
  • Septal Defect
  • Thrombosis
  • Vascular Disease

More

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27

Procedures

  • Ablation for Treatment of Cardiac Arrhythmias
  • Aortic Valve Surgery
  • Cardiac Catheterization (incl. Coronary Angiography)
  • Cardiac Electrophysiology
  • Cardioverter-Defibrillator or Pacemaker Insertion, Removal or Repair
  • Carotid Endarterectomy (CEA) or Excision of Infected Graft
  • Coronary Angioplasty, Atherectomy and Stent
  • Coronary Artery Bypass Graft (CABG) Surgery
  • Heart Defect Repair
  • Heart Surgery
  • Impella Device
  • Insertion of Epicardial Lead for Pacemaker or Cardioverter and-or Defibrillator
  • Lung Surgery
  • Lymph Node Biopsy or Excision
  • Maze Procedure
  • Mitral Valve Surgery
  • Pacemaker Insertion or Replacement
  • Peripheral Artery Catheterization
  • Port Placements or Replacements
  • Removal or Revision of Pacemaker or Cardioverter and-or Defibrillator
  • Resection of Cardiac Tumor
  • 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

Background Check

0 Malpractice Claims

No malpractice history found for California.

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

  • University Of Washington School Of Medicine
    Medical School | Graduated 1980
  • UCSD
    Internship Hospital | Completed 1981
  • Cleveland Clinic Foundation
    Residency Hospital | Completed 1988
  • UCSD
    Residency Hospital | Completed 1986
  • Hospital Broussais
    Fellowship Hospital | Completed 1989

Awards & Recognition

Awards & Honors
  • Healthgrades Honor Roll
Media & Publications

Dr. Pfeffer has no media or publications listed.

Languages Spoken

  • English

Memberships & Professional Affiliations

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

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