[HSF] Aortic Aneurysms and Bicuspid Valves

[Tea Acuff]

When do you think this aneurysm was last 9 cm? What is the relative difference in rupture of 9 vs. 10 cm aneurysms? Maybe the cards should emergently cath everyone who has had chest pain in the past few weeks. Maybe we should recommend it to them or their patients. Why bother with an elective schedule at all? Once a decision is made something bad could happen at anytime! The patient might change their mind.
Tea


----- Original Message ----
From: "DukeB60 at aol.com" <DukeB60 at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, January 13, 2007 1:28:36 PM
Subject: Re: [HSF] Aortic Aneurysms and Bicuspid Valves


CT shows 10cm ascending aneurysm with ST junction  splayed open but not 
terribly dilated.  Aorta near normal at beginning of  the arch.  It does not touch 
the sternum nor does it compress the PA and  doesn't compress the trachea.  
LVEF 45%, 2+ AI.  Should be a straight  forward tube graft.  Would anyone 
consider this to be an emergent case that  should be done today or tomorrow simply 
due to the size of the aneurysm?  I  have scheduled the case for Monday AM but 
the cards seem to think it should be  done ASAP.  64 slice angio not done yet.

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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