“…The aortic wall may also be involved secondary to invasion of the cyst from adjacent tissues (7, 8) similar to that which we had encountered. Aortic involvement may display as pseudoaneurysm (7–9), organ ischemia due to aortic occlusion (5, 6), remote ischemia due to daughter cysts embolization (10, 11, 12), simple cystic mass (3), or even aortobronchial fistula (12). Treatment in all patients with aortic involvement consists of surgical resection of the cyst and its content, and long-term medical therapy.…”