[HSF] acute aortic insuffiency dure to BE

[Tdmartin2000]

Hopefully by the time you get this you have already operated on her.

Tom Martin
U of Florida
Gainesville



In a message dated 02/15/07 09:16:05 Eastern Standard Time, benjamin.bidstrup at bigpond.com writes:
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 
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