Aneurysm of the thoracic and abdominal aorta in a patient aged 67 years detected incidentally in pre-anesthesia consultation

An aneurysm is a localized irreversible dilatation of the aortic wall resulting from an alteration of elastic fibers in the media. The main risk is rupture. It depends on the size and growth rate. Abdominal ultrasound has become the easiest and most reproducible for screening, only the anteroposterior and transverse diameters must be selected. We report the case of patient a 67 years old, saw pre-anesthesia consultation revealed fortuitously an aneurysm of the ascending aorta of 7.5 cm diameter, 5.7 cm of the descending thoracic aorta, and 6.3 cm of the abdominal aorta below the renal arteries associated with thrombus.the patient is referred by treatment to the cardiovascular consultation, to discuss the treatment of aneurysm first before any surgery.