Symptoms attributable to a thoracic aortic aneurysm (TAA) are a separate indication
for prophylactic repair, irrespective of aortic size. We present the case of a 56-year-old
female with a history of a thoracic ascending aortic aneurysm (TAAA) and four other
heart and arch vessel abnormalities who presented to us with chest pain radiating
to her back. Computed Tomography and echocardiography showed no evidence of a dissection
and revealed a maximal ascending aortic diameter of 4.2 cm. The patient subsequently
underwent root-sparing ascending aortic and hemiarch replacement due to her threatening
symptomatology. A focal dissection was discovered intraoperatively, resembling a similar
case previously reported by our team.
Keywords
thoracic aortic aneurysm - aortic dissection - aortic operation - symptomatic aneurysm
- intervention criteria - genetic testing for thoracic aortic aneurysms -
MYLK
