[HSF] (no subject)

[Tea Acuff]

I don't think I would. I would certainly try medicine first and pray for the 4th horseman. Supposedly the onset of CHF carries a 50% two year survival. His age alone carries a 4 year 50% survival. It is not going to be easy in and out.
tea


----- Original Message ----
From: prasannasimha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, May 12, 2007 11:25:23 AM
Subject: Re: [HSF] (no subject)


Somewhere along the line I missed out the fact that this was a redo (pig 
valve in place).Now that adds to the fun.
Prasanna
Douville, Chuck wrote:
> Hal, in our program in Portland, we would not offer this 86 yo man with extensive aortic calcification and that level of lv dysfunction reoperative surgery.
>
> -----Original Message-----
> From: "Hgrmd at aol.com" <Hgrmd at aol.com>
> To: "OpenHeart-L at lists.hsforum.com" <OpenHeart-L at lists.hsforum.com>
> Sent: 5/12/07 6:32 AM
> Subject: [HSF] (no subject)
>
> 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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