[HSF] Aortic Dissection early after AVR with CABG

[Prasanna Simha M]

http://ctsurgcomplications.wikia.com/wiki/VOMIT:_victim_of_medical_%28or_modern%29_imaging_%28or_investigational%29_technology

and that is a reminder to people to edit the wiki !!!
Prasanna
On Thu, May 15, 2008 at 7:04 PM, <wftjrtyler at aol.com> wrote:

> OK.....I'll bite......what is VOMIT??????? bill turner
>
>
> -----Original Message-----
> From: Prasanna Simha M <prasannasimha at gmail.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Wed, 14 May 2008 9:12 pm
> Subject: Re: [HSF] Aortic Dissection early after AVR with CABG
>
>
>
> Has VOMIT been excluded . Has an Echo/TEE also shown the dissection ?
> Prasanna
>
> On Thu, May 15, 2008 at 6:37 AM, Tohru Asai <
> toruasai at belle.shiga-med.ac.jp>
> wrote:
>
> > Dear Members
> > The 73 yo male had underwent AVR(CEP) and double CABG (LITA-LAD,
> SVG-PDA),
> > and had shown good recovery. Prior to discharge, we evaluated contrast
> > enhanced CT to confirm graft patency. The study showed ascending aortic
> > dissection. Pseudolumen was widely patent from the level of very proximal
> > ascending to the proximal arch. No clot in the pseudolumen, which
> occupied
> > about half the lumen of the mid ascending. Outer dimention of the Aorta
> was
> > 4.5 to 5.0 cm. Our staff had waited a week to check the size until I came
> > back from NY. The repeat CT showed the same picture. The patient had
> never
> > experienced the dissection-like symptom at all. In OR, there was no sign
> of
> > aortic dissection.
> >
> > What should we do? Operate? Now 3 weeks from the initial surgery.
> > Any comments are welcome.
> > --
> > Tohru Asai
> > Shiga University of Medical Science
> > Otsu, Japan
> >
> >
> >
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>
>
> --
> Prasanna Simha M
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-- 
Prasanna Simha M