[HSF] 3V CAD + AnLV + AAA

[Dr Patricio Villanueva]

Dear Igor:
               Could you do first an endovascular treatment of AAA, (low 
risk) and after cardiac surgery.

Patricio F. Villanueva
Argentina
----- Original Message ----- 
From: "Igor Rudez" <rudi at kbd.hr>
To: <OpenHeart-L at hsforum.com>
Sent: Monday, August 27, 2007 2:16 PM
Subject: [HSF] 3V CAD + AnLV + AAA


> Dear Forum members,
> Dear friends,
>
> I would like to hear your opinion about a patient referred to me:
> 71-y.o. male with triple vessel CAD (occluded LAD, OM1-2, and RCA) with LV
> aneurysm (MR 1+) and LVEF of 30%. In addition he has infrarenal AAA which
> seems to be growing (from 70 mm up to 90 in couple of months).
> Refused cardiac surgery so far but now he is willing to do everything one
> can do to survive.
> What to do?
> Perform cardiac surgery first and the do AAA as a second stage? Do it
> simultaneously? Do AAA first? Not to do anything?
>
> Every comment is highly appreciated.
> Thanks in advance.
>
> Igor
>
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