Trans-femoral TAVR (Edward Sapien Valve)

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Trans-femoral TAVR (Edward Sapien Valve)

By Pediatric and Adult Interventional Cardiac Symposium FEATURING Roberto Cubeddu

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March 16, 2014

History:

• 88 year old male with critical aortic stenosis + CHF NYHA III

• ...
read more ↘ High risk / high frailty index

• Moderate pulmonary HTN

Co-morbidities:

• History of prostate CA

• Essential HTN

• COPD

• CHF

• Hyperlipidemia

Physical Findings:

• BP 128/66 mmHg, NSR rate 68/min, RR 18/min, O2 Sat 97%

• Frail elderly male

• HEENT/Neck: no JVD

• CV: RRR, 3/6 high pitch SEM with soft S2.

• Ext: warm, 1+ pitting edema

• High frailty index

Pertinent Tests:

EKG:

• Normal sinus rhythm, RBBB, rate 74 bpm

Echo:

• Preserved LV size and function: EF 55%

• Critical AS: AVA 0.8cm2; mean gradient 41mmHg, Vmax 4.1m/s

• Moderate MR

• Moderate pulmonary HTN

Labs:

• Normal serum creatinine and Hb

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