biostudies-literature00460Unknown63Hannoun I<h4>Introduction</h4>and importance: Dissected saccular aneurysm of the ascending aorta is an extremely rare clinical entity. It has a greater risk for rupture due to its different histological structure compared to other forms of aneurysms; hence, it mandates urgent management.<h4>Case presentation</h4>A 64-year-old retired pilot was referred to our hospital complaining of vague chest pain along with numbness in his upper limbs, Chest X-ray showed widening of the upper mediastinum, and transesophageal echocardiography showed a dilated ascending aorta measuring 7.5 cm.<h4>Clinical discussion</h4>Transesophageal echocardiography and CT angiography confirmed the presence of a dissected saccular aneurysm in the ascending aorta, along with a dissection of the aorta that spanned the area between the dissected saccular aneurysm and the root of the innominate artery. As a surgical management, the ascending aorta was replaced with Dacron graft, the postoperative period was uneventful.<h4>Conclusion</h4>We report this case to highlight that surgical repair should be offered immediately when a dissected saccular aneurysm is diagnosed.Annals of medicine and surgery (2012)102178https://www.ebi.ac.uk/biostudies/studies/S-EPMC7905340biostudies-literatureDissected saccular aneurysm of the ascending aorta after percutaneous coronary intervention: A case report.PMC7905340Bara AHannoun I46falseDissected saccular aneurysm of the ascending aorta after percutaneous coronary intervention: A case report.<h4>Introduction</h4>and importance: Dissected saccular aneurysm of the ascending aorta is an extremely rare clinical entity. It has a greater risk for rupture due to its different histological structure compared to other forms of aneurysms; hence, it mandates urgent management.<h4>Case presentation</h4>A 64-year-old retired pilot was referred to our hospital complaining of vague chest pain along with numbness in his upper limbs, Chest X-ray showed widening of the upper mediastinum, and transesophageal echocardiography showed a dilated ascending aorta measuring 7.5 cm.<h4>Clinical discussion</h4>Transesophageal echocardiography and CT angiography confirmed the presence of a dissected saccular aneurysm in the ascending aorta, along with a dissection of the aorta that spanned the area between the dissected saccular aneurysm and the root of the innominate artery. As a surgical management, the ascending aorta was replaced with Dacron graft, the postoperative period was uneventful.<h4>Conclusion</h4>We report this case to highlight that surgical repair should be offered immediately when a dissected saccular aneurysm is diagnosed.2021-01-01T00:00:00Z2021 Mar2021-03-09T08:12:32Z2021-03-06T08:18:25ZS-EPMC79053403366495410.1016/j.amsu.2021.102178