Giant Dissecting Aortic Aneurysm in an Asymptomatic Young Male

Abstract

Giant aortic aneurysm is defined as aneurysm in the aorta greater than 10 cm in diameter. It is a rare finding since most patients will present with complications of dissection or rupture before the size of aneurysm reaches that magnitude. Etiological factors include atherosclerosis, Marfan's syndrome, giant cell arteritis, tuberculosis, syphilis, HIV-associated vasculitis, hereditary hemorrhagic telangiectasia, and medial agenesis. Once diagnosed, prompt surgical intervention is the treatment of choice. Although asymptomatic unruptured giant aortic aneurysm has been reported in the literature, there has not been any case of asymptomatic giant dissecting aortic aneurysm reported in the literature thus far. We report a case of giant dissecting ascending aortic aneurysm in an asymptomatic young male who was referred to our institution for abnormal findings on physical exam.

Asymptomatic long‐segmental type A aortic dissection diagnosed by transthoracic echocardiography: A case report and literature review

“…[1][2][3] We finally took on 13 cases of asymptomatic AD (Table 1). [4][5][6][7][8][9][10][11][12][13][14][15][16] Their main features were as follows:…”

“…We finally took on 13 cases of asymptomatic AD (Table 1). 4‐16 Their main features were as follows: (a) most of the asymptomatic AD patients were diagnosed incidentally; (b) there was no significant gender difference (7 males and 6 females); (c) asymptomatic AD can occur not only in elderly (the oldest case was 80‐year old) but also in young individuals (the youngest was 23‐year old), especially those with Marfanoid family history; (d) Of the 9 patients who had undergone TTE examination, 8 had shown suspected or distinct intimal flap; (e) aortic aneurysmal dilation was observed in 7 patients; (f) most patients had short‐segmental type A AD (10/13), while long‐segmental asymptomatic type A AD was rare (only 1 case).…”

Giant saccular abdominal aortic aneurysm with manifestation of gastric inlet obstruction mimicking a fundal gastrointestinal stromal tumor: A report on an unexpected case

“…Gastric inlet obstruction is a very rare manifestation of giant abdominal aortic aneurysm 1,2 . Aortic aneurysms with transverse diameters greater than 10 cm are considered giant; moreover, pulsatile mass in the abdominal wall, as the most common symptom of aortic aneurysm, can cause extrinsic compression on the surrounding structures.…”

Telescoping Technique to Engage Left Main Coronary Artery in a Case of Giant Aortic Aneurysm in a Geriatric Patient

“…[1] It is rare since most patients present with complications such as rupture before reaching that stage. The annual rate of rupture is 14%, once the diameter increases above 6 cm, and hence it is uncommonly seen in practice.…”

“…Some other causes are giant cell arteritis, tuberculosis, syphilis, HIV-associated vasculitis, hereditary hemorrhagic telangiectasia, and medial agenesis. [1]…”