[HSF] aortic cusp mass

[Tea Acuff]

An interesting query. Perhaps it is ambiguous whether the woman, the mass, or the valve are all indeed asymptomatic or if there were symptoms would the three be related.
 
Your solution raises the issue as to whether your present calling of LVAD director is a logical symptom of your avoidance of asymptomatic (HF?)patients.

And since I have been ragging on guidelines for a while, at what age are they considered inappropiate (at least for "asymptomatic" patients).

Nothing in this of course means that have any disagreement with your question or admonition.

Lastly for Ben. Should we put a comma in "asymptomatic, 80 year old woman" or not? What would be the "quideline"? Who gets to decide on the symptoms the doctor or patient? Is any 80 year old completely asymptomatic? Is any 30 year old?

tea

tea



----- Original Message ----
From: Ani Anyanwu <anianyanwu at hotmail.com>
To: openheart-l at lists.hsforum.com
Sent: Friday, November 30, 2007 6:56:49 AM
Subject: RE: [HSF] aortic cusp mass

What business did an asymptomatic 82 year old have going near an echocardiogram machine? Only in America I suppose. The poor sleeping dog has probably been asleep for years if not decades and now is awake and has woken up too all those around this poor lady. Another reminder to us not to run tests in asymptomatic patients except one is ready to deal with whatever one finds.

Ani



> Date: Thu, 29 Nov 2007 21:23:08 -0800> From: tacuff at swbell.net> To: OpenHeart-L at lists.hsforum.com> CC: > Subject: [HSF] aortic cusp mass> > I have an 82 year old woman asymptomatic with a 2cm smooth polypoid mass based on a tricuspid leaflet of the aortic valve. My partner recently did an resection for a fibroelastoma of the same which there are a few reported cases. Anyone seen this or a complication of this? It does not look or move like a vegetation.> > tea> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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