[HSF] Calcified aortic stenosis

[Tea Acuff]

I'll check if needed and if so I can track you down.
tea


----- Original Message ----
From: Mitch Lirtzman <drmitch at cox.net>
To: OpenHeart-L at lists.hsforum.com
Sent: Sunday, July 1, 2007 10:28:44 PM
Subject: Re: [HSF] Calcified aortic stenosis


Thanks Tea. I'll wait to hear from you. Will you need the TEE?At 09:22 PM 
6/30/2007, you wrote:
>This is probably the type of so called "not a surgical candidate" that 
>would be a candidate for a trans apical catther approach for a AVR. If you 
>agree I will try to get you in line for one. I am not an investigator but 
>they are doing it in Dallas.
>tea
>
>
>----- Original Message ----
>From: Mitch Lirtzman <drmitch at cox.net>
>To: OpenHeart-L at hsforum.com
>Sent: Saturday, June 30, 2007 6:48:53 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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