[HSF] acute aortic insuffiency dure to BE

[nand kejriwal]

I agree with Roberto. I would operate sooner rather than later.

Three weeks back, I was referred a 52 yr old man with acute AR with pulm
edema. He was on dopamine and frusemide infusions. Creatinine 200. Blood
culture strep viridans. There was a 1.2cm mobile vegetation on the left
coronary cusp (picture attached). At operation, in addition there were three
perforations on the right coronary cusp. The patient wanted a bioprosthesis.
We were planning to filter him on bypass, but he passed 800ml of urine. We
loaded him with milrinone before coming off bypass.He recovered well in ICU.
Bak to ward day1. Had bilateral pleural effusions which were aspirated. Went
home day7 with normal creatinine.
Nand

On 2/16/07, Dr. Roberto Battellini <battr at medizin.uni-leipzig.de> wrote:
>
> The human biology must be seen as a complex system following the chaos
> theory. In these cases, man do not know why, but sometimes they
> decompensate
> suddenly and you loose the patient. If you decided to operate, do not wait
> unnecessarily. Tea would add some words about thinking in complexity and
> not
> linearly.
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von erdinç
> naseri
> Gesendet: Donnerstag, 15. Februar 2007 18:22
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: [HSF] acute aortic insuffiency dure to BE
>
> Patient has a fever of 38 degrees.Abd CT normal.TRYİNG TO SET THE hd
> APPARATUS İN THE ıcu. AS SOON AS İT İS READY WE will operate her.
> erdinc
>
>
>
> >From: erdinç naseri <enaseri at hotmail.com.tr>
> >Reply-To: OpenHeart-L at lists.hsforum.com
> >To: OpenHeart-L at lists.hsforum.com
> >Subject: Re: [HSF] acute aortic insuffiency dure to BE
> >Date: Thu, 15 Feb 2007 15:28:01 +0000
> >
> >
> >
> >
> >
> >How big is the vegetation?5 mm and pedunculated
> >What is LV like?normal function,no dilatation,mitral
> >insufficiency++,PAP45,Tric.regurg.+++
> >  WCC count, CRP?12000, not obtained yet
> >CT Abdo? in the process
> >
> >Any +ve blood cultures? not yet
> >
> >Erdinc
> >
> >
> >_______________________________________________
> >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
> >-----------------------------------------
>
>
> _______________________________________________
> 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
> -----------------------------------------
>
> _______________________________________________
> 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
> -----------------------------------------
>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: AV veget2.JPG
Type: image/jpeg
Size: 334163 bytes
Desc: not available
Url : http://mmp.cjp.com/pipermail/openheart-l/attachments/20070217/e5c30bc4/AVveget2-0001.jpe