Giant ascending aortic aneurysm--a case report and review.

We present a case report and review of the literature on a giant ascending aortic aneurysm in a previously asymptomatic and healthy 40-year-old male patient who presented in extremis and had a successful emergency surgical repair. The need for early referral and surgery is stressed for better outcome. The review also discusses the natural history, presentation and treatment options and results of this uncommon entity justifying the need for an operation for survival.