Background: Ascending aortic aneurysm is a common clinical
disease, whereas the aneurysm at the incision of ascending aorta after
valve replacement has not been reported. Aims: We report a case
of giant ascending aortic incision aneurysm requiring surgical
correction after double valve replacement. Materials &
Methods: A 45‐year‐old male was referred to our department with
dyspneic respiration after exercises for 1+ months, having previously
undergone a mitral and aortic valve bivalve replacement 15+ years ago.
The parasternal long-axis section of transthoracic echocardiography
provided that the diameter of ascending aorta was thickened( 59mm).
Computed tomography angiography (CTA) of the aorta showed a localized
anterior protrusion aneurysmal of the ascending aorta with a diameter of
approximately 69 mm, and the tube wall was severely calcified.
Results: Under cardiopulmonary bypass, the large aneurysm was
incised and the artificial blood vessels were replaced. The patient
achieved an uneventful postoperative recovery with no significant
complications. Discussion: Ascending aortic incision aneurysm
has the same treatment regimen as ascending aortic aneurysm although
it’s extremely rare. Conclusion: Open surgery was indispensable
in this case owing to the large aneurysm and the condition liable to