[HSF] Calcified aortic stenosis

[Mitch Lirtzman]

There is no mediastinal adenopathy and only the lesion lights up. Remember, 
she is calcified through the arch. I'll look at the CT again and confirm a 
" Landing zone" at distal arch or prox DTA.At 09:25 PM 6/30/2007, you wrote:
>Need a biopsy of lung lesion and then staging if pos for CA. If no 
>carcinoma or something possibley cureable? and no AI, then an apical 
>aortic conduit would be a consideration along with either a wedge 
>resection or lobectomy. You certainly can replace the entire root, 
>ascending?and arch with reasonable results as long as there is something 
>to sew to either in the distal arch or the prox descending.
>
>Tom Martin
>U of Florida
>Gainesville
>
>
>-----Original Message-----
>From: Mitch Lirtzman <drmitch at cox.net>
>To: OpenHeart-L at hsforum.com
>Sent: Sat, 30 Jun 2007 7:48 pm
>Subject: [HSF] Calcified aortic stenosis
>
>
>To the forum. I know we've covered this type of problem in previous 
>discussions, but...?
>?
>An old patient of mine, 62yo petite diabetic female, unrepentant smoker 
>2ppd x 50yrs, had successful CABx3 in 2001- LIMA/ 2 veins. She's been 
>complaining of increasing dyspnea for several months and referred her back 
>to her cardiologist to investigate. The bottom line is she has critcal AS 
>with AVA 0.3cms, normal EF, normal chambers, and all grafts are patent. 
>She just had her left subclavian stent redone to improve LIMA flow. The 
>problem is she is now totally calcified from valve through arch and LCCA 
>is occluded just after the origin. Additionally, she now has a 1.5cm LUL 
>nodule which lights up on PET. Surprisingly, her PFT is remarkably good 
>but she always reminds me that she had a difficult post op course from a 
>pulmonary standpoint.?
>Any thoughts besides the word NO??
>Thanks ahead of time.?
>Mitch Lirtzman?
>?
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