[HSF] acute aortic insuffiency dure to BE

[hgrmd at aol.com]

Ani,
  The patient was cathed today.  He also needs grafts to the CX and RCA.  Therefore, the patient needs 3 valves and 2 grafts.  You're right, I should probably do it over the weekend.  However, with a bunch of patients and hospitals to cover, I plan to wait until Monday morning.  Don't tell me you haven't left a few severe, but stable left mains over the weekend.
Hal 
 
-----Original Message-----
From: anianyanwu at hotmail.com
To: OpenHeart-L at lists.hsforum.com
Sent: Fri, 16 Feb 2007 3:27 PM
Subject: Re: AW: [HSF] acute aortic insuffiency dure to BE


Hal

Why Monday (which is 72 hours time - why not earlier or why not later)?

Ani
  ----- Original Message ----- 
  From: Hgrmd at aol.com<mailto:Hgrmd at aol.com> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Friday, February 16, 2007 7:34 AM
  Subject: Re: AW: [HSF] acute aortic insuffiency dure to BE


  Roberto,
    I basically agree with you.  However, I don't believe the  patient was in 
  CHF.  The vegetation was 5 mm with no evidence of  emboli.  He was afebrile 
  with a mildly elevated WBC.  No positive  blood cultures.  All in all, I think 

  the patient will need surgery.  I  just don't think it is really urgent.
    In contrast, I was just referred a case of an 80 yo man with fever,  strep 
  bacteremia, and a small TIA.  Echo reveals a 1.7 cm vegetation on the  aortic 
  valve.  There is 4+ AI, 2+ MR, and 3+ TR with good LV  function.  He gets a 
  cath today.  He gets surgery Monday.
  Hal
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