[HSF] Main PA 4.8 cm and CAD

zzhoumd at pol.net zzhoumd at pol.net
Tue Mar 4 13:32:15 EST 2008


Michael,

Just leave it alone, make sure pulmonary valve is OK.

Z Zhou


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-----Original Message-----
From: "Crittenden, Michael" <Michael.Crittenden at va.gov>

Date: Mon, 3 Mar 2008 23:10:46 
To:<OpenHeart-L at lists.hsforum.com>
Subject: [HSF] Main PA 4.8 cm and CAD


Dear HSF members,

 

I am doing a 'straightforward' coronary tomorrow on a 60 yo vet.  He has
a known 5.1 cm infrarenal AAA.  During vascular workup found to have a
main PA aneurysm.  The maximal diameter is 4.8 cm on axial views of the
chest.  It is 4.3 cm on sagittal views just above the valve.  There are
no peripheral pulmonary aneurysms.  No evidence on physical exam for
Bechet's.  His right heart cath demonstrated normal pulmonary pressures.

 

My partner and I have elected to leave it alone.  Anyone feel any
different?

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