[HSF] Re: FW: Incidence of pseudoaneurysm...

[rwmfglycar at aol.com]

Just a complete confirmation of Prasanna's comment on this subject. I never cut out the shelf because I was scared that it would weaken the wall. While in infants the tissues were often supple enough to bring the descending aorta up under the arch an create a wide open anastamosis, older patients with stiffer tissues and a long narrowing were much better corrected with a patch than an end to end under tension. I used some Goretex but mostly pericardium. In both cases the patch  was oversized to allow for growth.
Bob
 
-----Original Message-----
From: prasannasimha at gmail.com
To: OpenHeart-L at lists.hsforum.com
Sent: Thu, 3 May 2007 1:15 AM
Subject: [HSF] Re: FW: Incidence of pseudoaneurysm...


Vipin - recurrent pseudoaneurysm was associated with excision of the 
coarctation shelf and incidentally the BCH data of patching with Goretex did 
not lead to a higher pseudoaneurysm formation (which incidentally does not 
occur at the patch but in the aortic wall opposite to the patch.This should 
also be extendable to traumatic patching 
Prasanna 
 
On 5/3/07, Prasanna Simha M <prasannasimha at gmail.com> wrote: 
> 
> 
> 
> ---------- Forwarded message ---------- 
> From: Vipin Zamvar <zamvarv at hotmail.com> 
> Date: May 3, 2007 10:21 AM 
> Subject: FW: Incidence of pseudoaneurysm... 
> To: prasannasimha at gmail.com 
> 
> Dear Prasanna, 
> 
> I cannot access the HSF list for some reason. Can you post this question 
> to members please? 
> 
> Thanks 
> 
> Vipin 
> 
> 
> 
> 
> 
> 
> ------------------------------ 
> From: *"Vipin Zamvar" <zamvarv at hotmail.com >* 
> To: *OpenHeart-L at lists.hsforum.com, OpenHeart-L at hsforum.com* 
> Subject: *Incidence of pseudoaneurysm...* 
> Date: *Thu, 03 May 2007 04:45:58 +0000* 
> 
> 
> Dear members, 
> 
> A 35 year old man sustained a localised transection of the aorta just 
> distal to the left subclavian artery after being involved in a road traffic 
> accident. He underwent patch repair of the aorta. 
> 
> What would be the chance of developing a pseudoaneurysm at the site of 
> patch repair? Are you aware of anything in the literature that can help 
> answer this question? 
> 
> Vipin Zamvar 
> 
> 
> 
> 
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> -- 
> Prasanna Simha M 
 
 
-- Prasanna Simha M 
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