title: Mycotic aortic aneurysm: A case of an unlikely location and an unlikely pathogen.
abstract: This is an unusual case of a mycotic aortic aneurysm located in the ascending aorta caused by Neisseria meningitidis. The diagnosis was made using two-dimensional (2D) and three-dimensional (3D) transoesophageal echocardiogram (TOE) and cardiovascular magnetic resonance (CMR). Management was with prolonged antibiotics followed by surgical resection. The ascending aorta was replaced with Dacron tube graft. The contribution of multimodality imaging in clearly defining the pathology, its location and directing the timing of surgery, was a striking aspect of this case.
authors.affiliation: Department of Cardiology, Flinders Medical Centre, Flinders Drive, Bedford Park 5042, South Australia, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Winter
authors.forename: Mikhail
authors.initials: M
authors.lastname: Altman
authors.forename: Joseph
authors.initials: J
authors.lastname: Selvanayagam
authors.forename: Jayme
authors.initials: J
authors.lastname: Bennetts
authors.forename: Majo
authors.initials: M
authors.lastname: Joseph
mesh_terms: D000328:Adult; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001011:Aorta; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D017548:Echocardiography, Transesophageal / Q000379:methods; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D008297:Male; D008589:Meningococcal Infections / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D009345:Neisseria meningitidis
chemical_list: D000900:Anti-Bacterial Agents