[HSF] acute aortic insuffiency dure to BE

[Ben Bidstrup]

How big is the vegetation?
What is LV like?
  WCC count, CRP?
CT Abdo?

Any +ve blood cultures?

Get some antibiotics on board, top up Hb and operate soon.
You aren't going to make her kidneys any worse than they are so 
aprotinin not a problem, assuming you believe that it might possibly 
be associated with an increase in renal failure.
The fact that she is the mother of someone should not alter your management.


>Dear members,
>65 y/o lady,Chronic renal failure on HD.(daily urine 100 cc)Sudden 
>onset of  dyspnea,No fever.
>TTE:Aortic insuffiency +++(no known previous valvular pathology) 
>,mobile vegetation in and out of LV
>Hb droped from 9 gr/dl to 6gr/dl in the last week.( no obvious 
>bleeding site and stool blood -)Creatnin 2.5
>(She is mother of one of our colleauges)
>How fast should we act?
>
>Erdinc Naseri
>
>
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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon