[HSF] Aortic dissection

[Tea Acuff]

Besides what the aotas look like, what do the control group of observed patients look like.

tea


----- Original Message ----
From: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Sunday, December 23, 2007 9:30:29 PM
Subject: Re: [HSF] Aortic dissection

Great pics- howdid you do that?
first, that is a bad dissection with the dissection going up into the innom and the L subclavian.?I would probably consider some type of debranching procedure at the first operation, replacing the ascending and placing a bifurcated graft to the innom and L com carotid with the prox portion of the graft coming off the very prox portion of the ascending graft. That would leave you open to come back and drop a stent graft all the way across the arch and down to the celiac. We have now done about 40 or so dissections with stent grafts with excellent results. Most of the time the false lumen thromboses all the way down to the celiac. Some even have come back a? yr later and you can't even tell they had?a dissection in the descending. 

Tom Martin
U of Florida
Gainesville

-----Original Message-----
From: Edward Bender <ebender001 at charter.net>
To: OpenHeart-L <OpenHeart-L at hsforum.com>
Sent: Sun, 23 Dec 2007 12:08 pm
Subject: [HSF] Aortic dissection


64 year old male came to ER with resolved neck pain and numbness at right side of mouth. He had undergone infra-renal abdominal aortic aneurysm repair with a tube graft (open, not endograft) 6 months previously at another hospital. His family said the surgeon told him that he had other "problems" that they were going to watch for now. Attached is the CTA sequence. After repair of the proximal portion of this dissection, what would the aortic specialists recommend for the downstream problems??
?
Ed Bender, MD?
?





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