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Cardiology / Valvular / Mitrale / Case in the box
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76 y.o man
  • Risk Factor  : ex smoker, Diabetic , HT , dyslipidemia
  • 172 cm/ 78 kg
  • Life Style: decreased physical activity because of breathlessness
  • Prior history: AMI 1993 ▻LAD stent  
    RCA and Circ : DES 2016
 
Clinical presentation
  • NYHA II 
  • Acute pulmonary oedema 6 month ago
  • No angina
  • No syncope
  • ECG :  CRTP : sinus Rythm , QRS= 90ms
 
Laboratory Investigations
  • Hb= 14,5 g/dl
  • Creatinine = 81 µmol/l
  • Creatinine Clearance = 80
  • CRP=3,4 mg/l
  • BNP = 650
 
Trans thoracic echo
  • Aortic stenosis  AVA = 0,83 
  • Mean Grad 15mmHg 
  • LEVF:34% 
  • Diffuse hypokinesia.
  • No aortic leak
  • SPAP= 35 mmHg
 
Risk Evaluation
  • Logistic Euroscore : 11%
  • Euroscore II :  8,2%
  • STS score : 14,3%
  • High risk patient…
  • Heart Team decision: TAVI

 

Shooting date : 2018-04-05
Last update : 2021-06-09
Thomas Hovasse
Massy, France
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MLSF 2018: Live Cases

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  • Pecheux M.

    Pecheux M. Vert good

    2019-10-26, 9h36
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