Aortic dissection is a usually acute, fatal disorder in a vascular condition. The table is usually presented with an acute mortality rate of the disease of more than 50% in the first 48 hours. While we see the various tables clinically encountered, with chest pain is the most common prey. Also, according to the region involved, the aorta may be associated with conditions, such as myocardial infarction, syncope, renal failure, and paraplegia. As aortic aneurysms may develop during the course of dissecting, patients in the course of chronic aortic dissection in 25% of aortic aneurysms can be seen. Especially, ascending and/or aortic arc involvement and acute and chronic condition of disease are potentially fatal. Therefore, the most important point in the diagnosis is clinical suspicion. In this article, a huge aortic aneurysm and thrombus, developed in the presence of asymptomatic chronic aortic dissection, are discussed. In conclusion, aortic dissection and/or aneurysm should be kept in mind in the etiology of ischemic cerebrovascular events in the hypertensive and elderly patients.

Keywords: Chronic aortic dissection, huge aortic aneurysm, mural thrombus