Isolated gonococcal ascending aorta aneurysm

Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):183-5. doi: 10.1093/icvts/ivs112. Epub 2012 Apr 5.

Abstract

We present a very rare case of an acute septic infection and vegetative mycotic aneurysm caused by Neisseria gonorrhoeae in a 52-year old male. The aortic valve was bicuspid and calcified. He was successfully treated by the resection of the ascending aorta and the aortic valve with a replacement by separate prostheses, followed by 2 weeks of intravenous antibiotic therapy. The patient was followed up 18 months postoperatively with no signs of reinfection.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Infected / diagnosis
  • Aneurysm, Infected / microbiology*
  • Aneurysm, Infected / surgery
  • Anti-Bacterial Agents / therapeutic use
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / microbiology*
  • Aortic Aneurysm / surgery
  • Aortic Valve / microbiology*
  • Aortic Valve / surgery
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation
  • Gonorrhea / complications
  • Gonorrhea / diagnosis
  • Gonorrhea / microbiology*
  • Gonorrhea / surgery
  • Heart Valve Diseases / diagnosis
  • Heart Valve Diseases / microbiology*
  • Heart Valve Diseases / surgery
  • Heart Valve Prosthesis Implantation
  • Humans
  • Male
  • Middle Aged
  • Neisseria gonorrhoeae / isolation & purification*
  • Neisseria gonorrhoeae / pathogenicity
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents