Difficult Vascular Case ... for Tomorrow

74 y/o M brought in by EMS with syncope, hypotension. FOUND TO HAVE AN 11 X 13 CM INFRARENAL AAA!!! The catch ... also found to have critical AS with a peak gradient of 85 mmHg and an AVA of 0.75 cm2 with a BNP of > 6000 and EF of 50%, "recently placed on home oxygen 2 L NC". The patient was discharged from another regional hospital because "the vascular surgeon refused to operate". The patient was admitted to Hospice and told that death would be imminent secondary to ruptured AAA, however,...

Difficult Vascular Case ... for Tomorrow

Difficult Vascular Case ... for Tomorrow