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- Homme, 62 ans
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Antécédents :
RAA avec RAo serré et IM sévère sur restriction de la VMA: Plastie aortique et mitrale en 2007Décalcification de la valve aortiquePatch d’élargissement de la VMA + anneau mitral Carpentier Edwards Classic de 28 mm élargi à 33 mmFA post-opératoire sous AVKProthèse de hanche bilatérale -
Facteurs de risque :
DyslipidémieDiabète sous insuline - Mode de vie : Retraité actif
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Tableau clinique
Dyspnée d’effort NYHA II depuis plusieurs moisTaille: 163 cm, Poids: 71 (IMC: 26,8) -
Bilan biologique
Hb= 14.5 g/dLINR= 3,2Creatinine= 79 µmol/LCreatinine clearance (MDRD)= 87 ml/minNT ProBNP= 1642 pg/mLTroponin Hs= 0,027 ng/LCRP= 2,6 mg/L (N<5) -
Scores de risque
Logistic Euroscore: 9,88 %Euroscore II: 3,54 %STS-score: 3,67 %
Shooting date : 2017-11-23
Last update : 2021-06-09
Last update : 2021-06-09
Antoun Y. Excellent case congrat