[HSF] Severe AS in a frail male patient

[erdinç naseri]

Prasanna,
I started cardiac surgical (and in parallel cardiac cath lab by my colleaugues) in Tokat medical school in mid 2003 and these are those patients who have either been ignored by the health workers or themselves  for years.Besides ,there are 3 inavsive cardiologists in our center which can and do PCI to most of the lesions of coronary arteries.Result: I am left with these patients.
The problem for this patient is his extreme weakness and  whether his myocardium is in reversible or irreversible state(i.e myoc. fibrosis).Reviewing litterature ,and would be happy to have your and other experts inputs.
erdinc> Date: Fri, 7 Sep 2007 17:39:14 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Severe AS in a frail male patient> CC: > > 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 > > > > > > > > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies and > > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> >> > > > > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------