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Chapters (2)
Description
Shooting date : 2017-11-23
Last update : 2018-04-24
Language(s) : Français
  • Femme, 78 ans
  • Antécédents :
    Remplacement valvulaire aortique 28.05.2010 (Mitroflow 21mm)
    Hystérectom...
  • Femme, 78 ans
  • Antécédents :
    Remplacement valvulaire aortique 28.05.2010 (Mitroflow 21mm)
    Hystérectomie
    Fibrillation auriculaire paroxystique
  • Facteurs de risque :
    HTA,DNID,hypercholesterolémie
  • Mode de vie : Autonome à domicile
  • Tableau clinique
    Dyspnée progressive depuis 3 mois 
    Taille: 148 cm, Poids: 59 (IMC: 26.9)
  • Bilan biologique
    Hb= 11.8 g/dL 
    Creatinine= 89 µmol/L
    Creatinine clearance (MDRD)= 54 ml/min
    NT ProBNP= 783 pg/mL
  • ETT
    FEVG= 70 %
    DTDVG= 48mm/ DTSVG=  27mm
    OG diam 51mm
    Dégénérescence sténosante de la bioprothèse aortique   
         Gmoy 53 mmHg    V max 4.5m/sec
         Surface effective 0.48cm2
         Valsalva 38mm
         Tubulaire 34mm
    PAPs= 56 mmHg
  • Scores de risque
    Logistic Euroscore: 17.1  %
    Euroscore II:   7.66%
    STS-score:   5.69%

 

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Journées REVES : TAVI ViV aortique

Live case diffusé depuis la Clinique Pasteur Toulouse

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