Background: Ascending aortic aneurysm is common incidental finding on transthoracic echocardiography performed for unrelated indications. Usually seen in patients with underlying connective tissue disorders.

Methods: This was retrospective observational study involving ascending aortic aneurysm patients requiring surgical intervention during the period of Jan 2015 to Jan 2018

Results: Total 30 patients of ascending aortic aneurysm requiring surgical intervention were studied. Males outnumbered females with ratio of 5:1. Their age ranges from 14–72 years (mean=43.6years). Most of the patients of ascending aortic aneurysm also present with aortic regurgitation,43%. Hypertension being the most commonly associated co–morbidity. Bentall’s procedure, 67%, is most commonly needed surgical intervention. Bleeding, 16.67%, is the most common and independent risk factor for mortality with percentage of 26.67%

Conclusion: Bleeding is independent risk factor in ascending aortic surgery and careful application of hemostasis skills can bring down mortality associated with ascending aortic surgery.