Aneurysm with aortic stenosis just distal to the origin of the left subclavian artery in thoraic aorta.

Patients will be waiting for long time with symptoms before they come to the major hospitals with large aneurysms of this size due to various reasons. In addition to the socio-economic reasons they also fear that the operations are not safe in the hospitals. When are grown to this size as there is no alternative they come to hospitals in prerupture syndrome. The results in such patients with prerupture or rupture of the thoracic aneurysms the results are critical supporting their fears. We need to develop a aneurysm central registry to help these patients with the initiative of the government. The national surgical and medical associations can be given this responsibility by the government or medical council of India.