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Hospital Discharge Report

Patient
Name: Lefèvre, Roger
DOB: 26-JUN-1944 (Age: 81)
Gender: male
ID: 4279-145450-9
Author
family_name, given_name
Hospital Discharge Report
Report Date: 02-AUG-2021
Hospital Admission: --
Hospital Discharge: --

Synthesis

Severe aortic stenosis, valve replacement performed

Hospital course note

Dear colleague, I am writing to inform you regarding your patient, an 81-year-old male admitted under our care for severe aortic valve stenosis. Upon admission, echocardiographic assessment confirmed critical aortic stenosis with significantly reduced valve area and elevated mean transvalvular gradient. Given his symptomatic presentation and the severity of findings, the patient was evaluated by our multidisciplinary heart team. Following careful risk stratification and cardiac catheterization, he underwent successful surgical aortic valve replacement without perioperative complications. Post-operative recovery was uneventful, with satisfactory haemodynamic parameters on discharge. Current medication adjustments have been made accordingly, and I kindly request continued follow-up including wound inspection, anticoagulation monitoring, and cardiac rehabilitation referral. Please do not hesitate to contact us should any concerns arise. With collegial regards.

Diagnosis at Discharge

Aortic (valve) stenosis 02-Aug-2021 active

    Significant procedures

    Administration of anesthesia AND/OR sedation (procedure) 31-Jul-2021 -