Fulminant Infectious Aortitis With Ascending Aortic Rupture.

Kassar, Kinan; Lucke, Michael; Pu, Cunfeng; Tsukashita, Masaki · Ann Thorac Surg · 2017

case_report · Level V

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Abstract

Infectious aortitis is associated with a high rate of acute aortic adverse events. However, the nonspecificity of symptoms and low sensitivity of blood cultures may delay early recognition of this condition. A 77-year-old man was incidentally found to have aortitis. His disease took a fulminant course and was complicated by dissection and rupture only 4 days after the diagnosis. Serial computed tomographic angiography provided valuable information about the development of aortitis into dissection and rupture. Postdissection histologic analysis revealed gram-positive cocci in the aortic wall.

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