[HSF] (no subject)

[A]

Hal:
I sent you two files on your personal email. Did you get them or I sent them
to some one else by mistake?
If you did not please let me know I will re-send.
Thanks 

Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Hgrmd at aol.com
Sent: Sunday, May 13, 2007 5:40 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] (no subject)

Tom,
  The CT shows circumferential root and arch calcification.   However, the 
distal ascending aorta has scattered plaquing only.  To me, it  appears that
it 
would be reasonable safe to instrument and clamp the distal  ascending
aorta.  
As for viability, I haven't done any studies as  yet.  Again, the TEE shows
a 
heavily calcified pig valve with leaflets that  are immobile.  There was 3+ 
MR with no prolapse and a central jet.  On  the transgastric view, the LV
was 
globally hypokinetic with walls of normal  thickness (I don't recall the 
dimensions, but it was definitely not LVH).   The transthoracic echo
revealed a 27mm 
gradient.  
  If I did offer surgery, what studies for viability would you  recommend?
I 
suppose I could do a Persantine-Thallium or a PET.   Unfortunately, a PET
has 
to be done as an outpatient due to billing  considerations.  As you know I'm

sure, in patient PET scans are not paid by  Medicare.
Hal



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