[HSF] The unresolved ascending aorta.

[erdinç naseri]

As has been proposed by other members w emust have an aortic diameter index and treat the patients accordingly.
erdinc
> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] The unresolved ascending aorta.> Date: Sat, 9 Jun 2007 18:56:45 -0400> From: tdmartin2000 at aol.com> CC: > > > The size of the aorta that you replace depends totally on the patient and not on an exact size. Many other things come into play such as  AGE, comorbidities, pt lifestyle, work, other related cardiac problems that might warrent a sternotomy, and last but not least is what the pt wants after a long detailed discussion of all the options.> > So, I can't put an exact number on size. I would say that a general rule of thumb that I use is at 5 to 5.5cm I am serioously thinking of surgical intervention. In the young marfan's whose descending is 2 cm then I talk seriously to them about surgery at 4cm or larger. There is no doubt that an elective operation has much better results than an emergency one and a dissection, even if corrected/salvaged has long term consequenses. You also have a much better chance of saving the aortic valve with an elective procedure.> > Tom Martin> U of Florida> Gainesville> > > -----Original Message-----> From: erdinç naseri <enaseri at hotmail.com.tr>> To: openheart-l at lists.hsforum.com> Sent: Fri, 8 Jun 2007 11:52 pm> Subject: RE: [HSF] The unresolved ascending aorta.> > > > > > ear Dr.Martin,> or ascending aorta and aortic root we still follow the rule of 5.5 cm in > onmarfan and 4.5 in marfan.This patients measurements are far from these > umbers.Can you comment on this and give any literature references if possible.> rdinc> S:references for our cardiology colleagues.> To: OpenHeart-L at lists.hsforum.com> > ubject: Re: [HSF] The unresolved ascending aorta.> Date: Fri, 8 Jun 2007 > 1:15:22 -0400> From: tdmartin2000 at aol.com> CC: > > 54 and female, fix it now or > ix it 2 to 5yrs from now as a redo and hope she doesn't have a dissection > efore then.> > Tom Martin> U of Florida> Gainesville> > > -----Original > essage-----> From: Michael Firstenberg <msfirst at gmail.com>> To: > penHeart-L at lists.hsforum.com> Sent: Thu, 7 Jun 2007 6:18 pm> Subject: [HSF] The > nresolved ascending aorta.> > > I was just referred a healthy 54 year/old who > as found to have moderated MR > from a prolopsed posterior leaflet - ok, will > ix that. > But, on a MRA she was found to an asc. aneurysm (3.8 cm at the Sinus > f > valsalva) and 4.0cm a the level of the PA with a normal arch (the studies > > one do not comment on the aortic valve) > Obviously she needs a cath, but I am > nclined to fix the ascending aorta > while in there? I do not know her BSA, but > dont think she is big > > > thoughts? > > > -michael > > ______________________________________________ > OpenHeart-L mailing list > > > end postings to: > OpenHeart-L at lists.hsforum.com > > To UNSUBSCRIBE, to CHANGE > mail 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 > isclaimers posted at: > http://www.hsforum.com/listdisclaim > > ---------------------------------------- > > > ________________________________________________________________________> > OL now offers free email to everyone. Find out more about what's free from AOL > t AOL.com.> _______________________________________________> OpenHeart-L > ailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To > NSUBSCRIBE, 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 > > isclaimers posted at:> http://www.hsforum.com/listdisclaim> > ----------------------------------------> ______________________________________________> penHeart-L mailing list> Send postings to:> OpenHeart-L at lists.hsforum.com> To UNSUBSCRIBE, to CHANGE email address, or to view archives:> ttp://mmp.cjp.com/mailman/listinfo/openheart-l> All messages transmitted by the OpenHeart-L are subject to the policies and > isclaimers posted at:> ttp://www.hsforum.com/listdisclaim> ----------------------------------------> > > ________________________________________________________________________> AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com.> _______________________________________________> 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> -----------------------------------------