“…Lijoi et al [9] recently published an excellent review on this subject. It is of interest that aneurysms of the aortic sinus can expand to enormous size (documented as large as 10 Â 10 cm) without rupturing, impinging not only on the coronary arteries but on other cardiac structures as well [10,11]. As a result, the patient may experience myocardial infarction, ventricular outflow tract obstruction, arrhythmias, pericardial effusion, or congestive heart failure symptoms from the effects of valve distortion by the enlarging mass.…”