Tetralogy of Fallot is the most common cyanotic heart defect. Total correction procedures are performed in most centers and pulmonary insufficiency can be problematic in long-term period.[1] Definite diagnosis is essential for the development of appropriate treatment. Cardiac magnetic resonance can provide comprehensive information about the nature of congenital heart defect in a safe fashion.[2] Herein, we present a 28-year-old female patient who underwent re-do surgery due to pulmonary homograft implantation for late pulmonary insufficiency with main pulmonary artery aneurysm detected by echocardiography and cardiac magnetic resonance during pregnancy 28 years later from total correction surgery of tetralogy of Fallot (Figures 1).

Figure 1: Arrows indicating an aneurysm of the main pulmonary artery.

Declaration of conflicting interests
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Funding
The authors received no financial support for the research and/or authorship of this article.