A 60-YEAR-OLD MAN with a past medical history significant for obesity, hypertension,
hypercholesterolemia, and a longstanding murmur presented with shortness of breath
and fatigue with exertion over a period of 1 week. A transthoracic echocardiogram
showed moderate aortic stenosis. A cardiac catheterization was performed and showed
severe aortic stenosis (peak gradient of 70 mmHg and valve area of 0.64 cm2), single-vessel coronary artery disease (60%-70% occlusion of mid-left anterior descending
artery), and dilation of the ascending aorta (5 cm). Given these findings in a symptomatic
patient, the decision was made to proceed to the operating room for a biologic Bentall
procedure and single-vessel coronary artery bypass graft surgery.
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Article info
Publication history
Published online: March 26, 2010
Identification
Copyright
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
