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Case Report

An 81-year-old female presented to the emergency department with a 2-month history of worsening shortness of breath, also had an extensive past medical history significant for hypertension, AIT, aortic stenosis, and coronary artery disease. she was hemodynamically stable, but hypoxic with oxygen saturation of 90% at room air, which improved to 95% with 3 L/min of oxygen. On pulmonary auscultation, breath sounds were decreased on the left basal lung. Chest radiograph demonstrated a large hiatal hernia containing bowel, however, the patient refused surgery because of the high surgical risk.

Similar Cases

70-year-old male with no significant past medical history or surgical history. Presents with visas, shortness of breath, and chest pain. In the emergency department, patient has saturation of 79% on room air, and is in Moderate respiratory distress. It requires 10 L of nasal oxygen high flow to obtain 93% oxygen saturation. Patient is also febrile to 101°F. Social history: non-smoker, non-drinker. Surgical history: no surgical history.

During setup for an Aortic Valve replacement. #perfusion #perfusionist #CVOR #Aortic-valve #OpenHeart.

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