A silent trio: giant descending aortic aneurysm combined with coarctation and persistent left brachiocephalic truncus

We report the case of an undiagnosed descending aortic aneurysm, combined with coarctation and persistent left brachiocephalic truncus in a 59-years old male. This case underscores the increased necessity for aortic imaging while facing a poorly controlled hypertension, erroneously considered as of essential origin.