[HSF] (no subject)

[Nasser F. Abou'Seada]

Dear Hal
what is the indication for operation? are his symptoms related to AS
or 3VD ? if AS doesn't constitute an indication for surgery per se,
can his symptoms be relieved medically ?

NFA


On 5/12/07, Hgrmd at aol.com <Hgrmd at aol.com> wrote:
> 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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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC