[HSF] aortic arch aneurysm

[Michael Firstenberg]

Stent graft?

-michael/iPhone

On Oct 13, 2009, at 11:38 PM, "Douville, Chuck"  
<ecdouville at orclinic.com> wrote:

> Colleagues, this woman is 49. She had vague chest pain and a history  
> of hypertension and tobacco use. A ct was done and shows her aortic  
> arch to maximum 4.9 cm at the ligamentum arteriosum with extensive  
> calcification in the aortic wall. Upon further questioning, she  
> gives a history of a high velocity motor vehicle accident (60 miles  
> per hour) as a restrained driver; she was not ejected from the car.
> She  is  asymptomatic but is clearly twice the size of her normal  
> aorta and I cannot be certain it has been there for 30 years,  
> although it seems likely.. Would anyone not operate on this patient?  
> If yes, would you use a stent graft on such a young woman?   I have  
> attached a Jpeg file; if it does not come through, I will ask  
> Prasanna to kindly post it for review.
>
> thanks chuckdouville
> <DF9.jpg>
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