[HSF] Severe AS in a frail male patient

[psimha]

Erdinc , you have a cruel referring cardiologist !!
You may have to do a bioprosthetic AVR as he has h/o hemoptysis. If you 
need to do it quick in and out and the minimal necessary surgery.
Prasanna
erdinç naseri wrote:
> 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 
>  
>  
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