Heart and Vascular Institute
Heart and Vascular Institute
Put yourself on a path for heart health.
With a nationally recognized coronary artery bypass graft (CABG) program and staffed by board-certified specialists, doctors and highly skilled nurses and technicians, Mission Heart and Vascular Institute provides the highest level of cardiac care in South Orange County. From minimally invasive heart procedures and surgery options to our full cardiac surgery program, our institute is devoted to providing excellent patient care and safety through treatment, diagnosis, research, education and prevention.
Schedule an appointment:
Call us or fill out our online form to request an appointment with our expert heart care team.
The Heart and Vascular Institute makes use of advanced techniques and optimal treatments for a wide range of cardiovascular conditions and diseases, including:
- Atrial Fibrillation
- Chest Pain
- Congenital Heart Disease
- Coronary Artery Disease
- Heart Attack
- Heart Disease Risk Factors
- Heart Failure
- Rheumatic Heart Disease
- Sinus Bradycardia
- Ventricular Tachycardia
Our comprehensive and state-of-the-art diagnostic procedures include:
- Tilt Table
- Cardiovascular CT
- Cardiac Catheterization
- Cardiac MRI
- Cath Lab
- Electrocardiogram ECG or EKG
- Electrophysiology Test (EP)
- Endomyocardial Biopsy
- Holter Monitor
- Nuclear Studies
At Mission Hospital, our heart specialists provide treatments that reduce the stress and anxiety that comes with cardiovascular procedures. These low-risk procedures, such as TAVR, are provided by our comprehensive heart and vascular team with expertise in valve disease.
What is TAVR
TAVR is a minimally invasive surgical procedure used to replace a diseased and restricting aortic valve with a new valve. TAVR is used as a means to eliminate aortic stenosis. As your heart pumps blood throughout your body, the aortic valve helps regulate the flow. When someone is suffering from aortic stenosis, the leaflets of the valve calcify and thicken. The expanding leaflets restrict blood flow, forcing the heart to work harder and exhaust itself.
Unlike open heart surgery, which requires opening the sternum and stopping the heart, TAVR works by replacing the existing aortic valve via a small incision in the groin (transfemoral procedure) or chest (transapical procedure). Because TAVR is a minimally invasive and low-risk procedure, it’s the most viable option available for those who cannot forego the risks of open-heart surgery.
Due to the laparoscopic nature of the procedure, TAVR allows for minimal blood loss and smaller chance of infection at the incision site, resulting in faster recovery times and shorter hospital stays. TAVR helps improve the symptoms related to aortic stenosis and immediately helps improve patients’ quality of life.
What Can I Expect?
As with many surgical procedures, you will receive monitored anesthesia care (MAC) through an IV before undergoing your TAVR procedure. The benefit of MAC is that you do not need to undergo general anesthesia, allowing for a faster recovery and less complications.
Your team of cardiovascular surgeons and heart specialists will ensure that the procedure is performed under the most suitable and comfortable conditions, monitoring your heart function, rhythm and health throughout the 1 to 2-hour procedure.
- During the procedure, a small incision is made near the hip, allowing access to the femoral artery, which leads up to the heart. A catheter is inserted and, using imaging technology, is guided through the femoral artery and into the left ventricle of the heart, where the aortic valve is located.
- Using a tiny balloon, the catheter inserted during surgery expands at the site of the aortic valve, moving the restricting leaflets from the passageway and unconstricting the flow of blood from the heart.
- Once the valve opening has been expanded and the leaflets pushed aside, the catheter guides a second balloon to the valve site. The balloon contains a collapsible replacement valve attached to the end.
- After the new collapsible replacement valve is in place, the balloon is inflated, expanding the valve and securing it in place. The new valve takes over and begins working to regulate your blood flow immediately.
Our full spectrum of heart health care ranges from prevention and detection to diagnoses and treatment, as well as rehabilitation and support services. These services are provided by expert cardiovascular specialists and physicians within our comprehensive care centers.
Designated Cardiac Receiving Center
When time is critical, Mission Hospital has the experts to treat heart attacks in minutes, leading to better outcomes and saved lives.
Emergency Chest Pain Center
Chest Pain Center can diagnose and provide treatment in as little as 30 minutes, significantly improving the chance of a positive outcome.
Edward and Ann Muldoon Cardiac Center
The highly advanced Muldoon Cardiac Center houses our state-of-the-art Cardiac Intensive Care Unit (CICU) and Cardiac Telemetry Units.
Cardiac Intensive Care Unit
All 27 private rooms in our CICU offer spacious, comfortable settings with windows that allow natural light and external views, promoting relaxation to aid in recovery.
Cardiac Telemetry Unit
Our 34-bed Cardiac Telemetry Unit provides personalized care for patients in stable condition who are recovering from a cardiac condition or procedure such as open-heart surgery, angioplasty, pacemaker implantation, a heart attack or abnormal heart rhythm.
Cardiopulmonary Rehab Center
Reducing risk factors associated with cardiovascular disease through exercise therapy, education, support and lifestyle modification.
A volunteer education/support group consisting of people who have heart disease, their spouses, family members, medical professionals and other interested individuals. This group is facilitated by a cardiac rehab professional. Newsletters are published each month and an educational program is presented at each meeting. Meets the third Wednesday of each month at 7 p.m. in the Mission Conference Center located at 26726 Crown Valley Parkway, Mission Viejo, CA 92621.
A Gift of Heart – An Organ Transplant and Donor Support Group
The Gift of Heart is an organ transplant and donor support group for patients and families of those who have received, are waiting for or who’s loved one has donated an organ. It provides a place to share the miracle and challenges that occur during this process. This group is facilitated by a registered nurse. Meets the fourth Monday of every other month at 7 p.m. in the Mission Conference Center located at 26726 Crown Valley Parkway, Mission Viejo, CA 92621. For more information call the CardioPulmonary Rehab Center at 949-364-7755.
Pulmonary Rehabilitation Education Program (PREP)
Mission Hospital’s Pulmonary Rehabilitation Education Program (PREP) is specifically designed to provide the treatment, resources and information for people with pulmonary conditions to lead healthy, productive lives. Our experts work to return patients to an optimum level of function by enhancing their exercise tolerance, minimizing the need for hospitalization and providing a full understanding of pulmonary dysfunction. As important, the team focuses on improving patients’ mental outlook providing the knowledge and strength to live healthier, happier lives.
PREP is a six-week program whereby participants attend classes three times a week for education and exercise at Mission Hospital’s Cardiopulmonary Rehab Center. Class sizes are kept small to provide highly personalized instruction. It is available to those individuals with chronic obstructive pulmonary disease or interstitial lung disease, however a physician’s order must be obtained prior to entering PREP. If you don’t have a regular doctor, please call (877) 459-DOCS to obtain a physician referral.
PREP classes are held Monday, Wednesday and Friday with education from 12:30 - 1 p.m. on Mondays and Wednesdays and exercise classes on Monday, Wednesday and Friday from 1 to 2 p.m. in the CardioPulmonary Rehab Center. Please call 949-365-2106 to register or find out more information about PREP.
Pulmonary Support Group
This is an educational/support group consisting of patients who have pulmonary disease, their spouses, family members, and other interested individuals. This group provides an opportunity for all individuals to ask questions, relate concerns and share common experiences with each other. The group is facilitated by the PREP coordinators. Newsletters are published each month and an educational program is presented at each meeting. Meets the second Thursday of each month at 12 p.m. in the Mission Conference Center located at 26726 Crown Valley Parkway, Mission Viejo, CA 92621. For more information call the CardioPulmonary Rehab Center at 949-364-2106.
Healthy Heart and Lifestyle Series
This is a series of educational classes designed to help you learn the basics for developing a healthy lifestyle. Topics addressed include modifying behaviors, how the heart works, risk factor modification, stress management, exercise/activity guidelines and nutritional information. The series is held in the CardiaoPulmonary Rehab Center, 26732 Crown Valley Parkway, Suite 281, Mission Viejo, CA 92621. For more information and dates for the topics of the next series please call 949-364-7755.
Heart Rhythms and Device Series
This is a series designed to help you learn more about your heart health related to an abnormal heart rhythm (such as Atrial Fibrillation) or an implanted device such as a pacemaker or internal cardiac defibrillator (ICD). Everyone is welcome to this fun, informal support group where you can express concerns with other people who have similar conditions. Meets the second Tuesday of every other month from 6 to 7 p.m. at the Mission Conference Center located at 26726 Crown Valley Parkway, Mission Viejo, CA 92621. For more information call the Cath Lab at 949-364-4880.