83M with + FOBT and CT abdo showing suspicious bowel thickening.

Background

• Known AS with recent progression of severity on TTE, PHTN (peak 73mmHg).
• Extreme SOB on minimal exertion.

Issues

• Timing of TAVI v. colonoscopy

Discussion

• Short duration of anticoagulation requirement after TAVI which will not preclude bowel resection (if indicated)
• Colonoscopy results will allow prognostication, dictating the urgency or necessity of the TAVI (e.g. operable lesion v. palliative pathway)

Plan

• Proceed to Colonoscopy