Mycotic aortic aneurysm: A case of an unlikely location and an unlikely pathogen.
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.
Winter
Matthew
M
Department of Cardiology, Flinders Medical Centre, Flinders Drive, Bedford Park 5042, South Australia, Australia.
Altman
Mikhail
M
Selvanayagam
Joseph
J
Bennetts
Jayme
J
Joseph
Majo
M
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
D000900:Anti-Bacterial Agents