Case of the Month

Operator: Dr. Kent SO

Leak to Shock

An 81-year-old male with hypertension and chronic kidney disease presented with heart failure symptom. Echocardiogram showed severe aortic stenosis and mild aortic regurgitation with peak pressure gradient 92mmHg and mean pressure gradient 52mmHg. The calculated aortic valve area was 0.9cm2. His STS score for SAVR was 8.3% for Predicted Risk of Mortality. CT showed occluded right external iliac artery, diseased left external iliac artery and 4.7cm infra-renal aortic aneurysm. The annulus perimeter and perimeter derived mean diameter are 78mm and 24.8mm respectively (22 x 28mm), with severely calcified aortic leaflets .....


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