[HSF] PA Aneurysm

[Nasser F. Abou'Seada]

I do concur with Tea 
???? Mitral valve ? .... Ectopia Lentis ??? ....
NFA

> From: Tea Acuff
> For me I would replace the aortic valve with a mechanical valve and
repaced the asc
> aorta with a short tube graft. Would confirm that there was no residual
PDA or coart
> and probably explore the main PA and repair with verticle arterioplasty or
very short
> tube graft  possibly improving the PI. If the PAs are small and no PAH I
might do
> nothing to the PA.  Now that I have played  my cards, I would like to hear
from the
> pedi guys also.
> tea
> 
> From: jan koehler <akitagrl at yahoo.com>
> 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