Abstract
INTRODUCTION: Giant thoracic aortic aneurysms (TAA) are extremely uncommon, and there are only a few cases reported in the literature. Most patients presented with symptoms before the size of the aneurysm reached a magnitude >10 cm, and most of the reported cases were treated with open repair. PRESENTATION OF CASE: Here we report a 15 cm asymptomatic thoracic aortic aneurysm of a 72-year-old male patient, treated successfully with thoracic endovascular aortic repair (TEVAR). The patient was discharged asymptomatic on postoperative day 2. DISCUSSION: Only 20 case reports of giant TAAs were found in the literature, and this is the biggest TAA reported treated with TEVAR. This procedure is a promising treatment as morbidity and mortality is lower when compared with open aortic repair (OAR). CONCLUSION: Even though there is limited documented experience, use of TEVAR seems a safe and promising option in the treatment of giant thoracic aneurysms as presented in this case.