[HSF] AAA and CABG

[Erez Sharoni]

Michael,

Vascular service is a different one from CT service in Israel - we are
working together in concomitant CEA+CT surgery and Endovascular stents. The
Pt was evaluated by cardiologist pre op - thalium scan - abnormal but was
cleared by this cardiologist for the AAA operation - anaesthesia (actually -
head of anaesthesia was called for consultation since the attending vascular
anaesthesia - very experienced one - had a "discussion" with chief of
vascular surgery - and the another cardiology consultation - cath etc..
BTW pt was operated today - doing fine meanwhile - will update.
Thanks again
Erez Sharoni

On Wed, Apr 16, 2008 at 1:38 AM, Michael Firstenberg <msfirst at gmail.com>
wrote:

> OK, I will ask the question that I am sure everyone else is thinking....
>
> What were the indications for the AAA repair (size alone?  symptoms?  rate
> of growth?)
>
> Why was an emergent cath ordered?
>
> What was his pre-operative cardiac evaluation (we discussed this recently
> and there is some question as to how much pre-operative testing should be
> performed prior to vascular surgery)
>
>
> .... dont go asking questions that you do not want to know the answer to.
>
>
>
> On 4/15/08, Erez Sharoni <erezsharoni at gmail.com> wrote:
> >
> > Dear Friends,
> > Thanks - the Pt was actually on the table for AAA then the anaesthesia
> > cancelled him and ordered emergency cath - which was done from the rt
> > radial.
> > Thanks again especially for Passover
> > Yours
> > Erez Sharoni
> >
> > On Tue, Apr 15, 2008 at 8:16 PM, <tdmartin2000 at aol.com> wrote:
> >
> > > Is the aneurysm amenable to endografting? If he is not and
> > not?symptomatic
> > > then I would do the coronaries first and follow with AAA in 3 to 5
> days.
> > > Tom Martin
> > > U of Florida
> > > Gainesville
> > >
> > >
> > > -----Original Message-----
> > > From: Erez Sharoni <erezsharoni at gmail.com>
> > > To: OpenHeart-L at lists.hsforum.com
> > > Sent: Mon, 14 Apr 2008 3:55 pm
> > > Subject: [HSF] AAA and CABG
> > >
> > >
> > >
> > >  Dear Colleagues,
> > > I remember this was a discussed issue once - looking for a reference
> > about
> > > timingg of  CABG operation in a 7 cm AAA - before, after -
> concomitant?
> > > We have a Pt with a 7 cm AAA who was sent by anaesthesia for a cath
> > based
> > > on
> > > abnormal perfusion scan (cleared by cardiology for operation based on
> > this
> > > scan) sure enough - TVD - needs CABG.
> > > Needs some urgent answers Based on the literature and personal
> > experience.
> > > Thanks in advance
> > > Erez Sharoni
> > > Israel
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