[HSF] Bicuspid aortic valve and dilated ascending aorta

[Donald Ross]

They  actually have  a propensity to dissect and unless there is  
sinus dilatation all you need to do is replace the ascending aorta  
and apparently if the n/c sinus is dilated ( the commonest  
situation ) it can be included in the replacement and a Bentall  is  
not required.
Don
On 24/04/2007, at 5:38 PM, Igor Rudez wrote:

> Zhou,
> Is asc.ao. dilated and how much and how far?
> Be aware of an unpleasant tendency of bicuspid patients that they  
> tend to
> develop late aortic dilatation due to "soft" collagen tissue within  
> aortic
> wall.
>
> Igor
>
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of  
> Zhandong Zhou
> Sent: Tuesday, April 24, 2007 12:22 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: [HSF] Bicuspid aortic valve and dilated ascending aorta
>
>
> To Forum,
>
> I have a 51 year old patient with bicuspid aortic valve, severe AR  
> with 4.0
> cm root. choices between mini-invasive AVR (through 2nd intercostal  
> space,
> 2.5 inch incision) vs full sternotomy with Bentall. I personally  
> prefer mini
>
> AVR then see what happens in the future.
>
> Any suggestions?
>
> Z Zhou
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the  
> policies and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the  
> policies and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------