[HSF] Bicuspid aortic valve and dilated ascending aorta

[Zhandong Zhou]

The ascending aorta is dilated as well as the root. It is difficult to predict who is going to develop dissection in the future. I would like to have a good discussion with the patient. 



----- Original Message ----- 
From: "Igor Rudez" <rudi at kbd.hr>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Tuesday, April 24, 2007 3:38 AM
Subject: RE: [HSF] Bicuspid aortic valve and dilated ascending aorta


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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