Video : Live Case 4 : Valve-in-Valve (Mitroflow)

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Cardiology / Valvular / Aortic / Case in the box

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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%

Shooting date : 2017-11-23
Last update : 2021-06-09