@yassersadeknhi Size best measured directly. Ross, mechanical On-X, or Inspiris as preferred brands. Possible root enlargement if bio AVR.
If absolutely not a surgical candidate, likely 26 mm S3 Ultra Resilia based on the balloon interrogation, but may change based on TEE and CTA.
No immediate solution. But open AVR will become a higher mortality operation, fueling papers about the superiority of TAVI. Just like in CABG in full metal jacket patients. And the STS risk models will lag behind before capturing the true risk, endangering young surgeons’ careers
Why is this information becoming available only on the eve of Ticagrelor becoming generic? Publications by conflicted authors are tainting the medical literature. https://t.co/ZrylyivHuD
New consult: Large tissue SAVR at 45 years old followed by large ViV at 50 and now with critical AS and LVEF 25%. I thought that SAVR + ViV TAVR was a 30 year solution...😂. Surgeons, prepare for the tidal wave of these patients coming our way. #Bio4LIFE#fairytale#JustRoss
https://t.co/7AtA6So06O