PIG Meeting: 13th May 2021
80yr old female
Background
- Tissue AVR
- AF
Issues:
- Missed cardiologist F/U
- Missed annual TTE last year due to COVID issues
- Previous TTE showed EF 40% (reduced from 50% the year before) and small paravalvular leak
- DASI 6.6 METS
- Plays golf weekly
Discussion
- Should surgery proceed without cardiologist F/U and TTE
- Group consensus was that with reasonable exercise tolerance as per DASI and daily activities, nil clinical e/o heart failure, reasonable to proceed as planned.