[Fwd: Re: [HSF] Low Gradient Aortic Stenosis with very Poor LV Function]

[prasannasimha]

No I did not mean "do anything because the patient wants it". I meant we 
can consider an option if he "truly wants it". If he doesn't then there 
is no point pursuing the particular option.
Prasanna

-------- Original Message --------

Prasanna,
  I've no idea what his stroke volume is, but I suspect it's not  much.  The 
short axis view of the LV on TEE showed a fairly thinned out LV  wall.  If 
there was massive LVH, it might make a difference in decision  making.  I 
disagree with your assertion that the patient has the right to  demand surgery, even 
though you are convinced it's futile.  Personally, I  won't knowingly 
participate in "suicide by surgeon."
 
Hal



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