[HSF] Calcified aortic stenosis

[Mitch Lirtzman]

Go right ahead. Thanks.At 07:47 PM 6/30/2007, you wrote:
>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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