Infrarenal Aortic Obstruction
Renal/mesentric, AorticCase and Plan:
61-year-old male presents with c/o exertional bilateral hip pain for past few months. Lifestyle limiting claudication (Rutherford class II/category 4).
PMH: HTN, HLD, CAD, known PAD s/p left SFA PTA
Medications: Aspirin, Atorvastatin, Plavix, Cilostazole 100, Metoprolol
Labs: Hgb/Hct 13.2/39.3, Plts 201, INR 1.2
ABI: R 0.71 L 0.62
Arterial duplex: Suggestive of bilateral aortoiliac disease and SFA disease.
CTA: Focal near complete occlusion of the distal abdominal aorta
Abdominal aorta at celiac origin: 1.8 cm
Infrarenal aorta: 1.5 cm
20:26
CoreValve Evolut-R TAVR (29mm) via Percutaneous Femoral Access
Week of June 14th 2016
20:02
TMVR with 29mm Sapien-3 Valve
Week of January 9th 2018
20:02
TAVR with 23mm Sapien-3
Week of November 14th 2017
20:02
Complex PCI in the setting of Severe AS
Week of April 17th 2018
20:02
Recanalization of prox RCA CTO In-stent Restenosis
Week of June 19th 2018