[HSF] acute aortic insuffiency dure to BE

[prasannasimha]

Same approach.
Prasanna
Ben Bidstrup wrote:
> 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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