“…All our patients have been systematically screened for ascending aortic pathology with transthoracic echocardiogram, yet the small sample size precludes generalizing this finding. Apart from two isolated case reports of aortic dilatation in SCAD patients [6,7], Kaadan and associates [2] also reported a 2.6% prevalence of AA in their series (2 of 78), though they did not specify the aneurysm location. Conversely, Prasad and colleagues [3] only found 1 case of aortic dissection (in a patient with Marfan disease) among 115 patients with SCAD (0.9%).…”