[HSF] Bicuspid aortic valve and dilated ascending aorta

[Tdmartin2000]

Great point Hal. We do take size into  consideration although we do not have an "index" per say. 
For true Marfans pts I would seriously start dialogue about surgery somewhere between 4 and 4.5cm. Bicuspids I would say 5 to 5.5cm.

Tom



In a message dated 04/30/07 07:09:20 Eastern Daylight Time, Hgrmd writes:
Tom, 
 Thanks for the reply.  Do you ever take a patient's size in  consideration 
as well?  To me, a 5 ft, 85 lb lady with a 5 cm ascending  aorta is a lot more 
concerning than a 6 ft 2 in, 200 lb man with the same.   I remember the 
Cleveland Clinic proposed indexing.  I think the size they  chose was 2.5cm/m2.   
 Also, what is the minimum size you recommend aortic  replacement for 
Marfan's or bicuspid aorta? 

Hal 



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