88 year old male presents with dyspnea and chest pain with a | Figure 1

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88 year old male presents with dyspnea and chest pain with an ECHO abnormality. Widened mediastinum when compared to the prior imaging lead to Cardiac MRI showing type A dissection with 8.5cm aneurysm of ascending aorta. Patient undergoes aortic valve replacement and ascending aorta replacement.

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Dilated aortic root and ascending aorta](https://app.figure1.com/case-detail/0a943454-fac1-4756-bc2c-435b031e5335)

Normal cardiac CT before aortic valve replacement](https://app.figure1.com/case-detail/1bb076de-8502-4190-9980-d8207db98a3f)

#aortic #phlegmon. Patient with #Marfan syndrome had previously undergone replacement of the aortic root and ascending aorta for a #dissection. A number of years later they developed an infection of the graft (the source of which was unknown). At operation the aorta was encased in a thick, fibrous covering with pus inside. This was all resected and replaced with a fresh graft.](https://app.figure1.com/case-detail/431d7283-c296-46de-be18-744120fe0d41)

Giant Aneurysm of the Ascending Aorta, and Severe Aortic Valve Stenosis
30-year-old female presented with chest pain and dyspnea
TTE
LV, EDD: 5.9 cm, end: 4.5 cm, EF: 45%, FS: 23%
LA: 3.9 cm
MV: Mild MR, EPSS: 2 cm
Normal RV and RA, mild TR
Aortic Valve: Bicuspid, fibrotic, severely Stenotic
Trans-Aortic Valve systolic gradient, mean: 67 mmHg, peak: 98 mmHg
Mild Aortic Regurgitation
Aortic Valve Annulus: 25 mm
Severely dilated Aortic Root and Ascending Aorta:
10.7 cm
Normal transverse Aorta and normal Descending Aorta](https://app.figure1.com/case-detail/740c3b03-00da-4942-a3d8-712872b324b3)