Abstract
Here we report a case of technological innovation: the use of magnetic resonance imaging to determine surgical strategy.
 Here is a 47-year-old man who underwent an magnetic resonance imaging and subsequent surgical treatment of the aortic aneurysm. Unlike echocardiography, magnetic resonance imaging enabled us to view the entire thoracic aorta. Unlike computer tomography, magnetic resonance imaging enabled us to detect changes in the aortic wall accurately. Thus, in this case, the use of magnetic resonance imaging allowed us to determine the distal resection edge. The patient`s postoperative course was unremarkable. Use of electrocardiogram-synchronized magnetic resonance imaging of thoracic aorta allows detecting structural changes of the aortic wall and its mechanical properties. It is significant that magnetic resonance imaging results of the aortic wall correlate with histologic examination.
 The extent of changes in the aortic wall must be determined to accurately plan surgical treatment of patients with aortic aneurism.
 Magnetic resonance imaging of the aortic wall is promising for further study in multicenter research.
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