[HSF] Aortic Aneurysms and Bicuspid Valves

[DukeB60 at aol.com]

Hal,
    Interestingly, I have a 10cm. ascending aneurysm to  do on Monday.  I 
haven't seen the CT yet but am concerned about it's  relationship to the sternum 
so am contemplating a right chest approach if it is  adherent to the posterior 
table.  Did you have any problems with the  sternal entry?  I anticipate 
going on pump through the groin vessels prior  to opening the chest and will 
likely do only a tube graft, depending of coarse  upon what the sinuses look like, 
as he has minimal AI which should improve  with reorientation of the ST 
junction.  A 64 slice cor angio. is being done  today which will influence the 
approach but his coronaries were okay in  2001.  I'll try to get some images from 
the CT to share.
 
                                                                              
                              Ed
 
Edward P.  Raines, M.D., J.D.
BryanLGH Cardiothoracic Surgery
BryanLGH Medical Center  East
1600 South 48th Str.
Lincoln, Nebraska 68506
Office:  402-481-8430
Cell: 402-730-9242
Fax:  402-481-8429