This 58-year-old patient on chronic hemodialysis for end-stage renal disease presented with acute systolic heart failure, metabolic acidosis, and hypotension. On ECHO his aortic valve area was 0.4 cm². The valve had a fixed opening and therefore the patient also had moderate-to-severe aortic insufficiency. He was stabilized and promptly taken to the operating room for surgical aortic valve replacement with a CryoLife On-X valve.
The choice of a mechanical valve was based on his young age, the fact that he was already on chronic anticoagulation, and the concern that a biological valve would deteriorate rapidly from the impact of hemodialysis.
This photograph shows the aortic valve specimen removed intact, revealing a donut of calcium and debris, along with a small fixed opening.
Recent Posts
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Success is often measured by accomplishments, titles, and recognition, but the greatest legacy we leave is found in the lives we touch. Dr. Singer reflects on the enduring impact of compassion, mentorship, and service, reminding us that our influence extends far beyond our careers.
250 Years of Medicine
Philadelphia is known as the birthplace of American democracy, but it is also the birthplace of American medicine. Dr. Raymond Singer reflects on the physicians, hospitals, and medical institutions that transformed healthcare and continue to shape medicine 250 years later.
The Most Dangerous Emotion
Anger is more than an emotion. It places real physical stress on the heart, raising blood pressure, increasing stress hormones, and contributing to cardiovascular disease. Dr. Raymond Singer discusses the medical effects of chronic anger and why choosing kindness, patience, and compassion benefits both our emotional well-being and our hearts.
Leadership is About Standards
Leadership is not about titles. It is about standards. The best leaders don’t ask others to do what they are unwilling to do themselves. They set the tone through integrity, consistency, humility, and kindness. Every interaction, every decision, and every challenge...
Stroke Survivor Shares Her Open Heart Surgery Recovery
After experiencing a stroke caused by tiny growths on her aortic valve, Tayshia underwent open heart surgery to prevent another stroke. Just eight hours later, she shares her experience, describing minimal pain, a successful valve repair, and renewed peace of mind.
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Pages
- Learn about heart valves. Heart Valves
- Read testimonials. Testimonials
- Did you know I have a consulting firm? Singer Heart/Lung Consulting
- Check out my TedTalk! Defining Success
Links
- Links page with more information about your heart. Links
- Dr. Adam Pick's Site: heart-valve-surgery.com
