Mitsali Thirafi, Dewi Dian Komala
Faculty of Medicine University of Padjadjaran, Dr. Hasan Sadikin General Hospital, Department of Radiology, Pasteur No.38, Bandung City, West Java 40161, Indonesia.
Radiol Case Rep. 2025 Mar 18;20(6):2797-2801. doi: 10.1016/j.radcr.2025.02.030. eCollection 2025 Jun.
A giant ascending aortic aneurysm (AscAA), defined as an aneurysm larger than 10 cm, is a rare and potentially life-threatening condition that often remains asymptomatic until it reaches a critical size. Atherosclerosis is the most common cause in elderly patients, and imaging plays a crucial role in diagnosis and management. In this case, a 72-year-old man presented with intermittent sharp chest pain radiating to the back, progressive hoarseness over 5 years, and shortness of breath. Imaging revealed a 12.51 cm × 11.27 cm × 10.0 cm saccular aneurysm with calcified plaques, consistent with a Stanford Type A aortic aneurysm and underlying atherosclerosis. Surgical intervention remains the only definitive treatment, although it carries significant risks. Early diagnosis, timely surgical intervention, and postoperative surveillance are critical in improving patient outcomes for this high-risk condition.
巨大升主动脉瘤（AscAA）定义为直径大于10厘米的动脉瘤，是一种罕见且可能危及生命的疾病，通常在达到临界大小之前一直无症状。动脉粥样硬化是老年患者最常见的病因，影像学在诊断和管理中起着关键作用。在本病例中，一名72岁男性出现间歇性尖锐胸痛并放射至背部，5年来声音逐渐嘶哑，伴有呼吸急促。影像学检查发现一个12.51厘米×11.27厘米×10.0厘米的囊状动脉瘤，伴有钙化斑块，符合斯坦福A型主动脉瘤及潜在的动脉粥样硬化。手术干预仍然是唯一的确定性治疗方法，尽管它具有重大风险。早期诊断、及时的手术干预和术后监测对于改善这种高危疾病患者的预后至关重要。
