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| Paper 1 | |
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| Patient Name | Nahed Ahmed Ahmed |
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| Age | 79 |
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| Clinical evaluation | |
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| Consultation date | 09/09/2024 |
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| Previous assessment for TAVI | yes |
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| History and risk factors | |
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| Prior CABG | no |
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| Prior aortic valve procedure | no |
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| Prior other valve procedure | no |
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| Number of previous cardiac surgery | none |
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| Prior arrhythmia | no |
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| Permanent peacemaker | no |
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| Other history | |
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| Previous CVA or TIA | no |
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| Extracardiac arteriopathy | no |
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| Hypertension | yes |
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| Diabetes melitus | yes |
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| Renal insufficiency requiring dialysis | no |
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| Renal insufficiency requiring renal transplant | no |
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| Chronic lung disease | yes |
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| Malignancy (prior or current) | no |
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| Paper 2 | |
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| Clinical evaluation continued | |
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| Syncope | no |
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| CCS | no |
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| NYHA | I |
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| Clinical data | |
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| Height (cm) | 163 |
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| Weight (kg) | 78 |
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| Body mass index (BMI) | 29.4 |
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| Hemoglobin (g/dl) | 10.7 |
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| Creatinine (mg/dl) | 1.4 |
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| Creatinine clearance | 53 |
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| Pre-operative special investigations | |
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| ECG | |
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| Rhythm | Regular |
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| PR Interval (ms) | 135 |
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| QRS Duration (ms) | 80 |
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| ECHO (TTE or TOE) | |
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| Mean gradient across aortic valve (mm Hg) | 47 |
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| Aortic valve area (cm2) | 0.8 |
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| Ejection fraction (%) | 65 |
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| Associated valvular lesions | |
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| Aortic insufficiency | none |
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| Mitral insufficiency | none |
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| Mitral stenosis | none |
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| Tricuspid insufficiency | none |
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| Tricuspid stenosis | none |
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| Pulmonary insufficiency | none |
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| Pulmonary stenosis | none |
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| Paper 3 | |
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| TAVI evaluation | |
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| Risk profile | |
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| Predicted operative risk | Low |
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| STS score (%) | 1.56 |
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| Euroscore II (%) | 1.3 |
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| Contra-indication to surgery | no |
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| Reason for contra-indication to surgery | |
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| Frailty | no |
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| Porcelain aorta | no |
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| Patent LIMA graft | no |
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| Hostile thorax | no |
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| Further investigations | |
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| Lung function tests | no |
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| Angiogram | no |
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| PCI or revascularization indicated | no |
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| CT coronary angiogram | no |
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| Pre TAVI CT Assessment | |
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| Aortic Annulus | |
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| Perimeter (mm) | 75.3 |
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| Perimeter derived (mm) | 23.5 |
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| AREA (mm2) | 435.3 |
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| Area derived (mm) | 23.5 |
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| LVOT | |
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| Perimeter (mm) | 69.3 |
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| Perimeter derived (mm) | 22.5 |
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| AREA (mm2) | 357.3 |
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| Area derived (mm) | 21.1 |
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| Sinus of Valsalva | |
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| Left | 31.7 |
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| Right | 28.3 |
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| Non | 32.3 |
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| MAX Ascending Aorta Angle | 36.3 |
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| STJ Angle | 28.4 |
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| Measurements | |
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| Aortic Annulus | |
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| Min Aortic Annulus Diameter (mm) | 21.2 |
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| Max Aortic Annulus Diameter (mm) | 26.3 |
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| Average Aortic Annulus Diameter | 23.5 |
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| LVOT | |
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| Min LVOT diameter | 18.3 |
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| Max LVOT diameter | 25.3 |
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| Average Aortic Annulus Diameter | 21.7 |
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| STJ angle | |
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| Min | 28.3 |
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| Max | 29.7 |
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| Average | 28.7 |
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| LCA Height | 11 |
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| RCA Height | 16 |
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| Aortic Valve Calcification | Severe |
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| Aortic Root Angulation | 64 |
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| Paper 4 | |
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| TAVI procedure | |
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| Procedure date | 09/09/2024 |
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| TOE used intra-operatively | no |
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| Valve in valve procedure | no |
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| Procedural success | yes |
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| Procedural complications (VARC < 72 hours) | |
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| Intra-procedural mortality | no |
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| Consequent mortality < 72 hr post-procedure | no |
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| Myocardial infarction | no |
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| Stroke or TIA | no |
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| New PML | no |
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| Bleeding complications | no |
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| Vascular complication | no |
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| Valve dysfunction | no |
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| Other thrombotic or embolic complications | no |
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| Cardiopulmonary bypass required | no |
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| Other procedural complications | no |
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| Conversion to open heart surgery | no |
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| Device information | |
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| Number of valves implanted | 1 |
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| Valve 1 | |
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| Type implanted | Boston |
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| Medtronic data | |
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| Boston data | |
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| Model implanted | ACURATE neo2 |
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| Size implanted | L |
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| Valve result | not-detectable |
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| Hospital stay | |
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| Days in ICU | 1 |
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| Days in ward | 1 |
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| Paper 5 | |
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| Follow up information | |
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| General follow up | |
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| Stroke / TIA since TAVI | no |
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| PPM since TAVI | no |
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| Hospital admission | no |
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| Follow up 30 days | |
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| Stroke / TIA since TAVI | no |
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| PPM since TAVI | no |
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