[HSF] abdominal aortic aneurysm and malena

[Nasser F Abou'Seada]

That is certainly very critical news .. 
Dear Aasem ... you are in KSA ? ... right ??  
There are some hospitals there that are patronaged by some who would be
willing to cover the expenses  
I'll email the address to your private email .... 

Thank you for sharing your experience with us 

NFA

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of ASEEM PAWAR
Sent: Friday, October 24, 2008 10:25 AM
To: OpenHeart-L at lists.hsforum.com
Subject: RE: [HSF] abdominal aortic aneurysm and malena

sorry, cannot update you on that as the patient left AMA (against medical
advice) inspite of all efforts due to lack of funds (private hosp). Due to
the same reason endoluminal therapy wwas never considered as an option.
-aseem
--- On Thu, 23/10/08, Nasser F Abou'Seada <nfaabouseada at gmail.com> wrote:

From: Nasser F Abou'Seada <nfaabouseada at gmail.com>
Subject: RE: [HSF] abdominal aortic aneurysm and malena
To: OpenHeart-L at lists.hsforum.com
Date: Thursday, 23 October, 2008, 12:52 AM

The operation for AAA should impose no difficulty for surgeons familiar with
it, especially that the patient seems a good risk patient -NDM, NTHN,
Active, no other medical History - 

?? Aneurysm ERODING distal duodenum and Jejunum ? any endoscopy verifying
suspected fistula ? was A aortic angio- performed? 

A typical ABG leaving the sac in place - no dissection of the aneurysm sac -
should resolve any fistula relating queries.

Good luck for you and your patient. 
Keep us informed.

NFA 


-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of ASEEM PAWAR
Sent: Wednesday, October 22, 2008 11:07 AM
To: OpenHeart-L at lists.hsforum.com
Subject: [HSF] abdominal aortic aneurysm and malena

dear forum members,
need your inputs on-
72yrs/M/NDM/NHTN, h/o of malena couple of times in the recent past.No malena
for last 3-4 days. Has no other complaint, active and has no other medical
history.
On investigation was found to have  AAA.
CT- infra renal saccular aneurysm ,with a patent and thrombosed lumen
and 7x4x2 in size. Aneurysm eroding distal duodenum and jejunum.
Coronary Angiography- 50-60% prox LAD lesion, RCA non dominant.
Considering that- in presence of AAA and h/o malena one shud have a high
suspicion of aortoenteric fistula.....how to approach this case?wot bowel
aspects to expect.
thanks,
-aseem


      
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