[HSF] (no subject)

[prasannasimha]

Has he had a dobutamine stress echo ?
If he is asymptomatic what is expected to be gained (since 87 year old 
fellow would probably require some really major procedure would it be 
worth it)
Prasanna

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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