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Case Synopsis A 73-year-old man presents with a history of aortic stenosis, coronary artery disease, peripheral vascular disease, dyspnea at rest, and chronic renal failure (creatinine level 1.6 mg/dL). Myocardial function is moderately reduced (left ventricular ejection fraction is 35%).…
Case Synopsis An 81-year-old woman with dyspnea at rest due to aortic stenosis (valve area 0.4 cm 2 , mean gradient 50 mm Hg) presents for aortic valve replacement. Past medical history is significant for a recent pulmonary embolism, for…