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  • Homme, 62 ans
  • Antécédents :
    RAA avec RAo serré et IM sévère sur restriction de la VMA: Plastie aortique et mitrale en 2007 
         Décalcification de la valve aortique
         Patch d’élargissement de la VMA + anneau mitral Carpentier Edwards Classic de 28 mm élargi à 33 mm
    FA post-opératoire sous AVK
    Prothèse de hanche bilatérale
  • Facteurs de risque :
    Dyslipidémie
    Diabète sous insuline
  • Mode de vie : Retraité actif
  • Tableau clinique
    Dyspnée d’effort NYHA II depuis plusieurs mois
    Taille: 163 cm, Poids: 71 (IMC: 26,8)
  • Bilan biologique
    Hb= 14.5 g/dL 
    INR= 3,2
    Creatinine= 79 µmol/L
    Creatinine clearance (MDRD)= 87 ml/min
    NT ProBNP= 1642  pg/mL
    Troponin Hs= 0,027 ng/L
    CRP= 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
1 comment
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  • Antoun Y. Excellent case congrat

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