[HSF] Clotted Aneurysm

[Nasser F. Abou'Seada]

Done elsewhere ???? ......... SBO "Surgical Billing Opportunity .... like
Cardiology Billling opportunity" ....!!!!!!

NFA

On Feb 5, 2008 11:33 AM, Prasanna Simha M <prasannasimha at gmail.com> wrote:

> Roberto by post subclavian I meant in the descending thoracic aorta after
> the subclavian (not in the subclavian artery). I do not have the CT's as
> the
> patient did not get admitted. 9It was done elsewhere)
> Prasanna
>
> On Feb 5, 2008 11:09 PM, Dr. Roberto Battellini <
>  battr at medizin.uni-leipzig.de> wrote:
>
> > Prasanna;
> > If the arm is ok and the collateral circulation is ok, you do not need
> to
> > operate the aneurysm, the great indication is because of rupture and
> > severe
> > ischaemia after rupture or clotting.
> >
> > Is the aneurysm right or left? Do you have pictures?
> > Roberto
> >
> > -----Ursprüngliche Nachricht-----
> > Von: openheart-l-bounces at lists.hsforum.com
> > [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Prasanna
> > Simha
> > M
> > Gesendet: Dienstag, 5. Februar 2008 18:03
> > An: OpenHeart-L
> > Betreff: [HSF] Clotted Aneurysm
> >
> > 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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>
> --
>  Prasanna Simha M
> _______________________________________________
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