A 66-year-old male suffering from dysphagia with progressive severity of about three months’ duration was admitted to the Emergency department. During the last week, he had drooling and hoarseness. In the past week, he described two times of syncope. And he indicated chronic cough and mild sputum recently. An incidental chest radiography showed evidence of marked dilation of the AORTIC arch and deviation of trachea. Echocardiography revealed LVEF of 55% and a grade 1 left ventricular diastolic dysfunction. Also, ANEURYSMal dilation of thoracic AORTIC curve containing crescentric form thrombosis with calcification mostly suggestive of thrombosis within ANEURYSM was seen. With 100% stenosis of LAD, Major Diagonal and RCA, he was recommended for CABG. ANEURYSM of the thoracic aorta is a very rare cause of dysphagia and it must be differentiated from other causes, since proper managements can significantly reduce the morbidity and mortality of this disease. Discussion: Etiologies of esophageal dysphagia include neuromuscular disorders (such as achalasia and scleroderma), intrinsic structural lesions (like esophageal carcinoma, esophageal rings and webs and eosinophilic esophagitis) and extrinsic structural lesions (like mediastinal lesions and vascular compression). ANEURYSM of the thoracic aorta is a very rare cause of dysphagia and it must be differentiated from other causes, since proper managements (like urgent surgical interventions if needed) can significantly reduce the morbidity and mortality of this disease. Treatment of dysphagia caused by AORTIC ANEURYSM can be conservative, surgical or palliative depending on the severity of the symptom. By accurate management, prognoses of the patients are almost always good. In coping with dysphagia, gastrointestinal disorders should not be the only complications that is payed attention and dysphasia must be considered as a rare sign of ANEURYSMs. The case report on this rare cause should contribute to better diagnosis of dysphagia AORTICa and swallowing difficulties in general.

Ascending AORTIC ANEURYSM is a relatively rare complication of Takayasu's arteritis. We report a 54 year old lady, a known case of Takayasu's syndrome, who was operated for the second time because of aneurismal change in the ascending aorta.

A 28- year- old woman was admitted because of uncontrolled hypertension following delivery. Aortography showed severe coarctation of the AORTIC arch, and a large- sized ANEURYSM that was located in the AORTIC arch distal to the left common carotid artery. The patient was scheduled for surgery. The coarctation was removed and the AORTIC arch was replaced with a 28-mm Dacron tube, and the left subclavian artery was reimplanted to the Dacron tube. The patient tolerated the procedure well and was discharged from hospital 15 days later.

Syphilis is the infectious disease that named "great imitator" because can imitate manifestations of other diseases and can involve any organ in body. Late manifestations of syphilis in cardiovascular system and central nervous system (CNS) are important. A case of huge syphilitic AORTIC ANEURYSM who visited in Shahid Rajai Hospital, is being reported. The Patient underwent surgery under general anesthesia, Anatomic repair of the thoracic AORTIC ANEURYSM was done without any graft. Immunofluorescence test and pathologic study were in favour of syphilitic aortitis, the late manifestation of Treponema Pallidum infection.

Because of significant reduction of rupture rate and increase in the patient’s life expectancy, elective surgical treatment in patients with abdominal AORTIC ANEURYSM has been widely accepted. The present article aims at assessing the postoperative complications and mortality rate in patients who had been submitted to elective surgery for abdominal AORTIC ANEURYSMs. This is a retrospective study, carried out on 126 consecutive patients who were operated on within a 10 years period, from 1993 to 2002. Variables included demographic data, clinical features, operation notes and postoperative outcome which were analyzed according to standard health system research. During 30 days after surgery, mortality rate was 8.4%. Mortality rate in patients older then 75 years of age was 12.5%. There was no specific correlation between associated disease and risk factors with mortality. Surgical complications were observed in 35 (29.6%) patients: 19 cases (15.2%) showed only one complication, 8 cases (6.7%) had two complications and another 8 (6.7%) had more than two complications. The most common complication was bronchopneumonia, which occurred in 10 (8.4%) patients. Results of this study suggest that there is a significant correlation between elective surgery and decreased complications of abdominal AORTIC ANEURYSM, offering a low rate of mortality and complication and a long life expectancy for the patients.

AORTIC false ANEURYSM is a rare complication of surgery of the aorta that can occur several months to years after the initial operation. We reviewed our results with false ANEURYSM repair using deep hypothermia and circulatory arrest. Three patients were reoperated for false ANEURYSM of the ascending aorta. Femorofemoral cardiopulmonary bypass with a heparinized system was used in all patients. Hypothermic circulatory arrest at an average temperature of 20°C was instituted in all patients for repair. Two patients had a patch repair with pericardium, and the other one had primary repair of the defect. All patients had false ANEURYSMs in the ascending aorta at the site of a previous aortotomy. Two patients had proven infection as the cause. The mean cardiopulmonary bypass time was 183 ± 20 minutes, and the mean circulatory arrest time was 35 minutes. Operative mortality was not seen. The mean time for extubation in survivors was 10 – 12 hours, and the average time to discharge was 26 days. AORTIC false ANEURYSMs can be safely approached using femorofemoral cardiopulmonary bypass, hypothermic circulatory arrest, and patch repair with acceptable operative mortality and long-term survival.