[HSF] Severe AS in a frail male patient

[erdinç naseri]

Dear Dr.Zhou,
Though I did only 3 cases of minimally invasive AVR throughout my carrier ,my main concern is the detrimental effects of open heart surgery on noncardiac organs of this gentelman.
erdinc> From: zzhoumd at pol.net> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Severe AS in a frail male patient> Date: Fri, 7 Sep 2007 13:09:35 -0400> CC: > > 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 > > > > > > > > _______________________________________________> > 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> -----------------------------------------