Video : Live Case 5 : TAVI - Calcified Valve

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Cardiology / Valvular / Aortic / Case in the box

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Homme, 83 ans
Facteurs de risque :

H.T.A.

Dyslipidémie

Diabète (non insulino-dépendant)

Tabagisme sevré
Style de vie : Retraité, il vie de manière autonome
Antécedents :

AVC avec aphasie et monoparésie en 09/2010

Angioplastie+stents actifs bifurcation TC-IVA-CX et IVA 3 en 07/2014

Angioplastie+stents actifs IVA1 et IVA2 et CDt 2 en 05/2015

Angioplastie+stent actif de la resténose intrastent du TC en 06/2016

Angioplastie au ballon actif de la resténose intrastent de l’IVA proximale et moyenne le 24/10/2017
Clinical presentation :

Dyspnée pour des efforts modest en augmentation depuis 6 mois (NYHA II-III)

Taille: 171, Poids: 61 (IMC: 20)
Résultats d'analyses :

Hb= 13.9 g/dL

Creatinine= 80 µmol/L

Creatinine clearance (MDRD)= 81 ml/min

NT ProBNP= 3180

Troponin Hs= 0.018 ng/L

CRP= 65.1 ml/L (N<5)
Échocardiographie transthoracique :

Hypertrophie septale modérée

FE= 42%

Surface aortique= 0.54 cm2

Gradient moyen= 38 mmHg

PAPs= 32 mmHg
Scores de risque :

Logistic Euroscore: 10,32%

Euroscore II: 8,03%

STS-score: 4,022%

Shooting date : 2017-11-24
Last update : 2018-04-24