eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2018-01-18 5 12 289 292 10.12691/ajmcr-5-12-2 AJMCR20175122 article Goldstein Randi Randi.goldstein@live.mercer.edu 1 Chen Edward 2 Lundberg Gina Price 3 Medical, Mercer University School of Medicine, Savannah, GA, USA Professor of Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Executive Director Aortic Center, Atlanta, GA, USA Associate Professor of Medicine, Division of Cardiology, Department of Medicine, Emory University School of Medicine, Clinical Director Emory Women's Heart Center, Atlanta, GA, USA Hypertension, a prevalent condition in the United States and in the developed world, is a significant risk factor associated with aortic aneurysms. This case study describes a 7.3cm Transverse Aortic Arch Aneurysm identified in a 56-year-old female with a history of smoking and essential hypertension. The size, location, age of the patient, and the fact that this aneurysm was an incidental finding make this case novel. The size of this aneurysm and its ability to remain undetected for such an extended period of time was remarkable, but not unusual for this disease process. Based on current guidelines, this patient was not an appropriate candidate for screening via aortic imaging. http://pubs.sciepub.com/ajmcr/5/12/2/ajmcr-5-12-2.pdf hypertension aneurysm