[HSF] Calcified aortic stenosis

[Ben Bidstrup]

>To the forum. I know we've covered this type of problem in previous 
>discussions, but...
>
>An old patient of mine, 62yo petite diabetic female, unrepentant 
>smoker 2ppd x 50yrs, had successful CABx3 in 2001- LIMA/ 2 veins. 
>She's been complaining of increasing dyspnea for several months and 
>referred her back to her cardiologist to investigate. The bottom 
>line is she has critcal AS with AVA 0.3cms, normal EF, normal 
>chambers, and all grafts are patent. She just had her left 
>subclavian stent redone to improve LIMA flow. The problem is she is 
>now totally calcified from valve through arch and LCCA is occluded 
>just after the origin. Additionally, she now has a 1.5cm LUL nodule 
>which lights up on PET. Surprisingly, her PFT is remarkably good but 
>she always reminds me that she had a difficult post op course from a 
>pulmonary standpoint.
>Any thoughts besides the word NO?
>Thanks ahead of time.
>Mitch Lirtzman
>
>
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JPFROG

-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon