[HSF] PA Aneurysm

[jan koehler]

  A 39 yo normal appearing and healthy female presented to her primary care physician with chest pain. He ordered a 64-slice CT scan which showed a 4.6cm main pulmonary artery aneurysm and a 5.2 cm ascending aortic aneurysm originating at the root and tapering to normal size at the inominate artery. 
   
  A TEE demonstrated a bicuspid aortic valve with severe aortic insufficiency, trivial pulmonary insufficiency, and a slightly depressed left ventricle. Angiogram showed normal coronaries.
   
  What type of operation would you perform?
  Has anyone encountered this situation in an adult where both aorta and pulmonary artery need to be addressed?  
  Looking forward to comments:



Jan Koehler, PA-C


Jan Koehler, PA-C
 
---------------------------------
Everyone is raving about the all-new Yahoo! Mail beta.