Unusual non progressive idiopathic giant ascending aortic aneurysm-A rarity

Giant ascending aortic aneurysm: A rare case report

A giant ascending aortic aneurysm (AscAA), defined as an aneurysm larger than 10 cm, is a rare and potentially life-threatening condition that often remains asymptomatic until it reaches a critical size. Atherosclerosis is the most common cause in elderly patients, and imaging plays a crucial role in diagnosis and management. In this case, a 72-year-old man presented with intermittent sharp chest pain radiating to the back, progressive hoarseness over 5 years, and shortness of breath. Imaging revealed a 12.51 cm × 11.27 cm × 10.0 cm saccular aneurysm with calcified plaques, consistent with a Stanford Type A aortic aneurysm and underlying atherosclerosis. Surgical intervention remains the only definitive treatment, although it carries significant risks. Early diagnosis, timely surgical intervention, and postoperative surveillance are critical in improving patient outcomes for this high-risk condition.

Ascending Aortic Aneurysm in an Asymptomatic Young Woman Without Risk Factors

•Ascending TAA tend to be asymptomatic and are not rare, even in young individuals. •Consider Marfan, Ehlers Danlos, Loeys-Dietz, Turner, bicuspid aortic valve, or tertiary syphilis. •Familial thoracic aortic syndrome is a rare autosomal dominant cause. •All patients with a diastolic heart murmur should be investigated with TTE.

The Largest Reported Giant Ascending Aortic Aneurysm Presented with Superior Vena Cava Syndrome

Giant ascending aortic aneurysm is a rare condition. In this paper, we present an uncommon case of giant ascending aortic aneurysm with a maximal diameter of 14 cm in a 77-year-old woman presenting with unusual symptoms. The patient underwent a successful surgery involving ascending aortic replacement, and was discharged without any complication. After discharge, she was followed regularly and no major problem was observed in her control visits. To the best of our knowledge, our case is the largest ascending aortic aneurysm reported to date in the existing literature.