[HSF] Bicuspid aortic valve and dilated ascending aorta

[Tdmartin2000]

I think the indications for an asymptomatic (i.e. one that has not ruptured or dissected as those are usually the only symptoms of ascendings) ascending repair depends a lot on the pt. How old are they, what are their comorbidities etc. For any non Marfan pt that has a tricuspid valve and an ascending aneurysm of 5cm or more I will spend at least 45min to 1 hr with them drawing pictures and expaining to them the natural history of the disease and it's risks. I will also explain to them the operation necessary to repair their problem along with all the risks and benefits. In the end the pt and I will review the expected risks and benefits of both treatment plans (including the % risk of morbidity and mortality of both) and then I let the patient make the final decision. 

Tom Martin
U of Florida
Gainesville


In a message dated 04/28/07 16:43:52 Eastern Daylight Time, Hgrmd writes:
Mitch, 
 The classic indication for asymptomatic ascending aortic aneurysm is  6 cm. 
However, people seem to be getting progressively more  aggressive.  Among 
others, we need to hear from Drs. Bachet and  Martin. 
Hal 



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