[HSF] Calcified aortic stenosis

[psimha]

Mitch do I post your pictures or have you given up ? (You had asked me 
to wait).
Prasanna
Mitch Lirtzman wrote:
> 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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