AW: [HSF] type III dissection

[erdinç naseri]

Robertto,
You are right . The false lumen can be seen on control CT as proximal as the ostium of Innominate artery.,
BTw if it's confined to arch do we still calssify as retro type A.
erdinc> From: battr at medizin.uni-leipzig.de> To: OpenHeart-L at lists.hsforum.com> Subject: AW: [HSF] type III dissection> Date: Thu, 31 Jan 2008 14:53:52 +0100> CC: > > Erdinc, Tom,> I asked where the entry was because Erdinc wrote "false lumen from proximal> arch", would mean a Retro "A" and not a Type III which is a typical Type B. > Of course, if a classical Type B I would do the same conservative treatment.> Is the tear in the arch? > Roberto> > -----Ursprüngliche Nachricht-----> Von: openheart-l-bounces at lists.hsforum.com> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von> tdmartin2000 at aol.com> Gesendet: Donnerstag, 31. Januar 2008 06:18> An: OpenHeart-L at lists.hsforum.com> Betreff: Re: [HSF] type III dissection> > Most of the pleural effusions in these pts is serous from inflammation of> the aorta. I would treat him medically and repeat the CT before he leaves> the hospital and then again in 3 months. We treat almost everyone like this> in the hospital for at least 10 to 14 days.> > Tom Martin> U of Florida> Gainesville> > > -----Original Message-----> From: erdinç naseri <enaseri at hotmail.com.tr>> To: openheart-l at lists.hsforum.com> Sent: Wed, 30 Jan 2008 4:54 pm> Subject: [HSF] type III dissection> > > > > 2 y/o male diagnosed as type III AD and transferred to our hospital. BMI >> 40% > severe COPD.CT showed false lumen from proximal arch up to mid abdominal > evel.On beloc,Ca blockers and niprus for the last 48 hours . BP 110/80 in L > adial artery and 85/60 in R femoral artery.No pain,no organ or peripheral > alperfusion. Hemodynamics stable. Neurologically intact.Control Ct this> evening > howed moderate fluid in the L hemithorax.Proceed with surgery or continue > edical therapy?> rdinc> ______________________________________________> penHeart-L mailing list> Send postings to:> OpenHeart-L at lists.hsforum.com> To UNSUBSCRIBE, to CHANGE email address, or to view archives:> ttp://mmp.cjp.com/mailman/listinfo/openheart-l> All messages transmitted by the OpenHeart-L are subject to the policies and > isclaimers posted at:> ttp://www.hsforum.com/listdisclaim> ----------------------------------------> > > ________________________________________________________________________> More new features than ever. Check out the new AOL Mail ! -> http://webmail.aol.com> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------