[HSF] The unresolved ascending aorta.

Mon Jun 11 10:50:32 EDT 2007

Hal
any reference as to the points of reference for measurements for the
ascending aorta ?

NFA

On 6/10/07, hgrmd at aol.com <hgrmd at aol.com> wrote:
>
>
> Erdinc,
>
> I was the onewho mentioned the aortic diameter index. The only time I ever
> read about it was from some paper from the Cleveland Clinic. I suspect it
> was 2.7 cm/m2 for the ascending aorta. Whatever, it is obvious that a 5.5cm ascending aorta in an 85 lb grandmother is a much different animal than
> the same aorta in a 6ft 2 inch 250 lb man.
>
> Hal
>
>
> -----Original Message-----
> From: erdinç naseri <enaseri at hotmail.com.tr>
> To: openheart-l at lists.hsforum.com
> Sent: Sun, 10 Jun 2007 5:42 am
> Subject: RE: [HSF] The unresolved ascending aorta.
>
>
>
>
>
> s has been proposed by other members w emust have an aortic diameter index
> and
> reat the patients accordingly.
> rdinc
> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] The unresolved
> ascending
> orta.> 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
> ot on an exact size. Many other things come into play such as  AGE,
> omorbidities, pt lifestyle, work, other related cardiac problems that
> might
> arrent a sternotomy, and last but not least is what the pt wants after a
> long
> etailed discussion of all the options.> > So, I can't put an exact number
> on
> ize. I would say that a general rule of thumb that I use is at 5 to 5.5cmI am
> erioously thinking of surgical intervention. In the young marfan's whose
> escending is 2 cm then I talk seriously to them about surgery at 4cm or
> larger.
> here is no doubt that an elective operation has much better results than
> an
> mergency one and a dissection, even if corrected/salvaged has long term
> onsequenses. You also have a much better chance of saving the aortic valve
> with
> n elective procedure.> > Tom Martin> U of Florida> Gainesville> > >
> ----Original Message-----> From: erdinç naseri <enaseri at hotmail.com.tr>>
> To:
> penheart-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
> orta and aortic root we still follow the rule of 5.5 cm in > onmarfan and
> 4.5
> n marfan.This patients measurements are far from these > umbers.Can you
> comment
> n this and give any literature references if possible.> rdinc>
> S:references for
> ur 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>
> rom: tdmartin2000 at aol.com> CC: > > 54 and female, fix it now or > ix it 2
> to
> yrs from now as a redo and hope she doesn't have a dissection > efore
> then.> >
> om Martin> U of Florida> Gainesville> > > -----Original > essage----->
> From:
> ichael Firstenberg <msfirst at gmail.com>> To: > penHeart-L at lists.hsforum.com
> >
> ent: 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
> R > from a prolopsed posterior leaflet - ok, will > ix that. > But, on a
> MRA
> he was found to an asc. aneurysm (3.8 cm at the Sinus > f > valsalva) and
> 4.0cm
> the level of the PA with a normal arch (the studies > > one do not comment
> on
> he aortic valve) > Obviously she needs a cath, but I am > nclined to fix
> the
> scending aorta > while in there? I do not know her BSA, but > dont think
> she is
> ig > > > thoughts? > > > -michael > >
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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC