What would you suggest? AVR or not?

60-something y/o male patient who isn’t physically active but does ADLs.  Scheduled for CABG but has AI, PVD, EF 40%, HTN, HLD.  Would you suggest an AVR or not…. along with the CABG?

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What would you suggest?

 

Author: Kris

Grew up in a small Texas town. Heavily involved in extracurricular activities: piano, violin, dance (ballet/jazz/tap), tennis, horseback riding (english/western), taekwondo, basketball, soccer, volleyball, percussion, drumline, orchestra, band, mascot, pageants. I had the typical Tiger Mom upbringing. Went to college, medical school, residency, and fellowship. Amidst the ups and downs of life, allow me to share with you my journey...as an "ordinary" person who happens to be an MD.

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