[HSF] PA Aneurysm

[prasannasimha]

I have seen it once and the patient had Marfans - underwent root 
replacement and PA plasty

Prasanna

jan koehler wrote:
>   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
>  
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