[HSF] Severe AS in a frail male patient

[erdinç naseri]

Opinion requested:
73 Y/O male very frail .Admitted with dyspnea and effort intolerance( can't walk witout help),gave a history of hemoptysis
CXR: increased broncovascular markings,CM,calcification of aortic root very clearly seen
Chest CT:bronchiectasis,severe calcification of aortic valve
ECG:LVH
Echo:EF( simpson's) 25%,Aortic gradient 90 mmHg,AR+++,( leaflets mobility very decreased),MR++
CAG:previously stented LAD open
Cre:2.1 mgr/dl
 
treated for lung condition and now it is our turn.I have got the impression that he won't survive the operation.
erdinc