[HSF] Calcified aortic stenosis

[prasannasimha]

Smoker with ? lung Ca
Is the valve replacement worth it ? if worth it then - probably would be 
a candidate for those percut valves. Why chop her up excessively ?
Prasanna
tdmartin2000 at aol.com wrote:
> Need a biopsy of lung lesion and then staging if pos for CA. If no carcinoma or something possibley cureable? and no AI, then an apical aortic conduit would be a consideration along with either a wedge resection or lobectomy. You certainly can replace the entire root, ascending?and arch with reasonable results as long as there is something to sew to either in the distal arch or the prox descending.
>
> Tom Martin
> U of Florida
> Gainesville
>
>
> -----Original Message-----
> From: Mitch Lirtzman <drmitch at cox.net>
> To: OpenHeart-L at hsforum.com
> Sent: Sat, 30 Jun 2007 7:48 pm
> Subject: [HSF] Calcified aortic stenosis
>
>
> 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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