[HSF] Bicuspid aortic valve and dilated ascending aorta

[Igor Rudez]

Don,
That would be my next comment, hahahahhhh! Anyway, good to know we're
thinking the same way!

Igor

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Donald Ross
Sent: Tuesday, April 24, 2007 10:22 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] Bicuspid aortic valve and dilated ascending aorta


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
>
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