[HSF] Ascending Aortic Aneurysm

[mdavalle at aol.com]

Exactly where is the proper leval to measure the ascending aorta? Sinotubular junction? coronary sinuses? There is often 1 to 1.5 cm difference at these levels so I am not sure where they are referring when it comes to the size that requires replacement. 
 
-----Original Message-----
From: smschwartz at mac.com
To: OpenHeart-L at lists.hsforum.com
Sent: Mon, 30 Apr 2007 10:28 PM
Subject: [HSF] Ascending Aortic Aneurysm


59 yo male with "atypical chest pain" had CT scan of chest done. 6 cm ascending aortic aneurysm identified, reportedly ends at level of innominate artery. 
My question centers around a recent echo which showed an aortic valve area of 1.4 cm2. 
Should the valve be addressed? Just a "tube graft"? 
Steve Schwartz 
 
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