[HSF] Aortic Question?

[Salerno, Tomas]

Depends for what....

Ts

----- Original Message -----
From: openheart-l-bounces at lists.hsforum.com <openheart-l-bounces at lists.hsforum.com>
To: OpenHeart-L at lists.hsforum.com <OpenHeart-L at lists.hsforum.com>
Sent: Thu Feb 12 17:14:31 2009
Subject: Re: [HSF] Aortic Question?

71 is old in your book?

-michael.

On Feb 12, 2009, at 4:46 PM, hgrmd at aol.com wrote:

> I don't replace 3.8 cm aortas in old patients.
>
> Hal
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: "Salerno, Tomas" <TSalerno at med.miami.edu>
>
> Date: Thu, 12 Feb 2009 16:42:53
> To: 'OpenHeart-L at lists.hsforum.com'<OpenHeart-L at lists.hsforum.com>
> Subject: RE: [HSF] Aortic Question?
>
>
> There a few options, depending on finding at surgery.
>
> I either would live it alone, or replace the aortic valve, and then  
> tube graft of the ascending aorta segment that is dilated.
>
> He is 71 years of age!
>
> TS
>
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-bounces at lists.hsforum.com 
> ] On Behalf Of Goldman, Scott
> Sent: Thursday, February 12, 2009 4:21 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Aortic Question?
>
> Wrap it
>
> -----Original Message-----
>
> From:  "Michael Firstenberg" <msfirst at gmail.com>
> Subj:  [HSF] Aortic Question?
> Date:  Thu Feb 12, 2009 3:58 pm
> Size:  888 bytes
> To:  "openheart-l" <OpenHeart-L at lists.hsforum.com>
>
> I have a 71 year/old with the usual host of medical problems.
> Needs a LIMA-LAD a graft to the circ has moderate MR - ok that all  
> needs to
> be fixed.
>
> Has moderate to severe AI (hard to tell how much AS) - which  
> probably needs
> to be replaced
>
> but - her ascending aorta is dilated (3.6 x 3.9 cm) above the ST  
> junction
> (annulus slightly dilated) but the arch is OK.
> Her BSA=2.5 (141 kg).
>
> Would anyone replace her ascending while in there?
>
>
> -michael
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