VIV TMVR with Sapien 3

80 y/o s/p cabg 20 years ago. Redo sternotomy for severe Mitral regurgitaiton 15 years ago. Other hx: Bil Fem-pop bypass, h/o stroke, severe COPD and severe pulm htn on ATC O2. Chronic pain, CKD, etc. Presented at valve conference for failure of mitral bpv. Mean gradient of 15 mmHg. It was decided that we would proceed with VIV TMVR with a Sapien 3. On paper, it sounded like a bad idea. Once I met the patient, it was clear to me she wanted this done as her severe MS was going to... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums