[HSF] [OT] Calcified aortic stenosis

[Nasser F. Abou'Seada]

On 6/30/07, prasannasimha <prasannasimha at gmail.com> wrote:
>
> Just Plain Frigging Ran Out of Gas
> Prasanna


Good ... I got the individual meaning of each word .... yet just excuse my
cultural ignorance ... I need to understand the meaning behind the lines and
inbetween the lines .... !! .... and the relation to the case situation ....
hahah ... sorry for my ignorance .... email me privately if needed ..

NFA




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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