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Aortic aneurysm is one of the vascular pathologies which may results in fatal complications such as rupture and dissection. Dilatation of the aortic vessels increases the pressure on the entire aortic wall, leading to more dilatation and risk of dissection or rupture. Surgical intervention should take place, when the aortic diameter reaches the level that may associate with such complications. Herein, we report a case with previous aortic valve replacement due to an ascending aorta, aortic arch, and proximal descending aortic aneurysm, extending to the aortic arch branches and right subclavian artery.

Replacement of ascending aorta and aortic arch and its main branches with reimplantation of coronary arteries in aneurysmatic aorta