title: Unusual non progressive idiopathic giant ascending aortic aneurysm-A rarity.
abstract: BACKGROUND
  Ascending aortic aneurysm is the second most common aortic aneurysm to abdominal aortic aneurysm. Most ascending aortic aneurysm is diagnosed in sixth or seventh decade of life. Majority of patients of ascending aortic aneurysm do not have any clinical manifestations.
  
  
  METHODS
  45year old female patient presented with Dyspnoea on exertion (NYHA class II-III), palpitation and vague chest pain since 2 years. Patient had worsening of symptoms NYHA IV dyspnoea since last 1 month and the patient managed with medications since the patient was not willing for surgery. Patient is on regular follow up on medications since last 2 years.
  
  
  CONCLUSIONS
  Aneurysms are usually dilation of an arterial segment. It involves extensive area of the aorta and is a challenging surgical procedure especially when it involves aortic root. Computed Tomography (CT), and especially multi-detector CT (MDCT), is the most popular radiological modality for evaluating aortic aneurysms.
  
  
  CONCLUSIONS
  Aortic aneurysms are localized dilation of the wall of aorta. They can rupture or dissect involving the pericardium, aortic valve. Open surgical repair remains the standard approach to treating most large aortic aneurysm and results are believed to be more predictable and satisfactory.
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India. Electronic address: drnatrajsetty75@gmail.com.
authors.forename: Natraj Setty
authors.initials: NS
authors.lastname: Huliyurdurga Srinivasasetty
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
authors.forename: Raghu
authors.initials: R
authors.lastname: Thagachagere Ramegowda
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
authors.forename: Jayashree
authors.initials: J
authors.lastname: Kharge
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
authors.forename: Geetha
authors.initials: G
authors.lastname: Bachahalli Krishnanayak
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
authors.forename: Shivanand
authors.initials: S
authors.lastname: S Patil
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
authors.forename: Varada
authors.initials: V
authors.lastname: Raj
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
authors.forename: Nishanth
authors.initials: N
authors.lastname: Kandenahalli Ravindranath
authors.affiliation: Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
authors.forename: Manjunath
authors.initials: M
authors.lastname: Cholenahalli Nanjappa
keywords: 2D echocardiography; Ascending aortic aneurysm; CT aortogram; Cardiac MRI