[HSF] 3V CAD + AnLV + AAA

[Igor Rudez]

Dear Patricio,
Unfortunately endovascular treatment is not possible in my institution, at
least not yet.

Thnx, Igor


-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Dr Patricio
Villanueva
Sent: Monday, August 27, 2007 10:40 PM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] 3V CAD + AnLV + AAA


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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