[HSF] Aortic Aneurysms and Bicuspid Valves

[psimha]

I have done eroding aneurysms (eroding the sternum) via median 
sternotomy. I have placed a small incision in the second (left) space to 
place a vent in the PA though you could possibly use a PA  endovent. 
Using fem fem bypass you can cool and drop flows while opening the 
aneurysm so that even if you enter things can be pretty controllable.
Prasanna
DukeB60 at aol.com wrote:
> 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
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