[HSF] Bicuspid aortic valve and dilated ascending aorta

[Mitch Lirtzman]

Thank you, Dr. Martin. And indeed, I take a long time in discussing surgery 
with my patients. ("Doc, none of my other doctors ever sat down and talked 
with me like that") It pays off.
MitchAt 07:54 PM 4/29/2007, you wrote:
>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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