[HSF] Bicuspid aortic valve and dilated ascending aorta

[Zhandong Zhou]

Dear Hal,

I agree with you that mini AVR first then follow him with yearly CT.

I used to do AVR through mini sternotomy. I recently started using mini 
thoracotomy by entering 2nd ICS with femoral cannulation. I attach a picture 
to show the incision. It is more difficult to do it. However, patients like 
it.

Z Zhou



----- Original Message ----- 
From: <Hgrmd at aol.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Monday, April 23, 2007 9:14 PM
Subject: Re: [HSF] Bicuspid aortic valve and dilated ascending aorta


> Dear Dr. Zhou,
>  I've never done an AVR through a 2nd ICS mini thoracotomy.  I  always use
> the "L" from the sternal notch to the right 4th ICS.  It's not  as nice
> cosmetically, but you can easily go to a full sternotomy should  technical
> difficulties arise.  This approach is especially nice for  redos.
>  As for the 4 cm aorta, I don't think that meets criteria in a non 
> Marfan's
> patient.  I thought the cut off was 4.5 cm.  Tom Martin, what  do you 
> think?
> Hal
>
>
>
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