Gonococcal ascending aortitis with penetrating ulcers and intraluminal thrombus.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21353028.
- Also identified by DOI 10.1016/j.athoracsur.2010.08.017.
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Abstract
Neisseria gonorrhoeae is an uncommon pathogen causing bacterial aortitis. We describe a patient with a bicuspid aortic valve and known ascending aortic aneurysm who presented with fever and chest pain. Imaging demonstrated complex penetrating ulcers in the proximal ascending aorta. The patient underwent a modified Bentall procedure, resection of the ulcers, and ascending aortic reconstruction. Pathologic examination and culture of the aortic specimens revealed the infectious cause.
Medical subject headings
- Aorta, Thoracic
- Aortic Rupture
- Aortitis
- Gonorrhea
- Neisseria gonorrhoeae
- Thrombosis
- Ulcer