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.