[HSF] Main PA 4.8 cm and CAD

[Tea Acuff]

No, especially it there is otherwise normal pressures and flow.

tea



----- Original Message ----
From: "Crittenden, Michael" <Michael.Crittenden at va.gov>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, March 3, 2008 10:10:46 PM
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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