[HSF] Severe AS in a frail male patient
Zhandong Zhou
zzhoumd at pol.net
Fri Sep 7 14:09:35 EDT 2007
Can you do a mini invasive valve replacement?
Z Zhou
----- Original Message -----
From: "psimha" <prasannasimha at gmail.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Friday, September 07, 2007 8:09 AM
Subject: Re: [HSF] Severe AS in a frail male patient
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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