[HSF] Clotted Aneurysm

[Nasser F. Abou'Seada]

what is the indication for interference ?

NFA



On Feb 5, 2008 11:02 AM, Prasanna Simha M <prasannasimha at gmail.com> wrote:

> Talking of denying surgery
> 71 year old male , h/o stroke and can potter only a few steps, diabetic
> hypertensive borderline renal function has a post subclavian saccular
> aneurysm 5.2 cms calcified walls and fully clotted on MRI and incidentally
> poor landing zones for a possible stent. There is absolutely no flow in
> the
> aneurysm.
> I had a discussion with the family members and we came to an agreement to
> repeat a CT after 3 months  after  maximal beta blockade and ACE
> Inhibition
> and reassess . and then consider whether we would pursue medical
> management
> with monitoring with 6 monthly CT's versus surgery.
> Does this seem reasonable (patient very ambivalent about desire for
> surgery)
> . I thought observation was an option as the aneurysm had fully clotted
> off
> and is calcified.
> Prasanna Simha M
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