[HSF] (no subject)

[Hgrmd at aol.com]

Dear Members,
  I need an opinion. We've got an 86 yo man referred to our  service who 
presented with CHF not requiring intubation.  He's currently on  telemetry.  Cath 
revealed severe 3VD.  The EF was 15%.  There was  a 27 mm gradient across a 
19yo pig valve that appeared heavily calcified and  stenotic on TEE.  The root 
and arch showed extensive calcification, but the  distal aorta was OK.  He 
currently feels pretty well.   Surgery?
Hal



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