Introduction
Giant ascending aortic aneurysm(AAA) is a rarely encountered condition and only few cases were reported presently1. The most dreadful complications include dissection and rupture. Conservative management leads to low life expectancy. Surgical management is recommended in such cases.We herein report a rare case of giant AAA associated with a ruptured sinus of Valsalva into the right atrium,which was successfully treated with open surgical repair.