ABSTRACT

Simultaneous aneurysms of coronary vessels and aorta were rarely reported with an involvement of abdominal aorta. Co-incidence of isolated thoracic aortic aneurysm (TAA) and coronary aneurysm is not known. Herein, we presented a silent TAA presented with aortic dissection. Previously performed coronary angiography via right radial route revealed large coronary aneurysm with a diameter of 12 mm. Ascending aorta was evaluated as normal size with echocardiography. “Clinical intuition” might be the only way to seek and detect asymptomatic TAA. Diffuse atherosclerotic coronary heart disease with coronary aneurysm should be an impulse to screen asymptomatic aortic aneurysms.