[HSF] Calcified aortic stenosis
prasannasimha
prasannasimha at gmail.com
Sun Jul 1 08:26:19 EDT 2007
Just Plain Frigging Ran Out of Gas
Prasanna
Nasser F. Abou'Seada wrote:
> On 6/30/07, Ben Bidstrup <benjamin.bidstrup at bigpond.com> wrote:
>
> "JPFROG"
>
> Please explain
>
> NFA
>
>
>
>
>
>
>
>> >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
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