Case:
Structural Heart Live Case: DT, 64 Y/O F
Presentation: Presents with progressive dyspnea on exertion & LE
edema, NYHA class IlI
PMH: Severe AS s/p SAVR with 23 mm Magna Ease + aortic root enlargement + ascending aorta replacement in 2013, complicated with type B aortic dissection from mid aortic arch-aorto-iliac bifurcation.
Hodgkin's Lymphoma (1986) s/p chemo + XRT, cardiobacterium hominis endocarditis, chronic bilateral pleural effusion.
Medications: Aspirin, metoprolol, furosemide, rosuvastatin
Labs: Hgb 12.2, PLT 282K, Cr 0.8, INR 1.1
EKG: NSR with incomplete LBBB
TTE: Moderate-severe bioprosthetic AR, LVEF 55%, moderate-severe MR with MAC, mild-moderate TR Cath: non-obstructive CAD
18 июн 2024
