title: Isolated gonococcal ascending aorta aneurysm.
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.
authors.affiliation: Department of Cardiothoracic Surgery, Helsinki University Central Hospital, Helsinki, Finland. tommi.patila@hus.fi
authors.forename: Tommi
authors.initials: T
authors.lastname: Pätilä
authors.forename: Tuula
authors.initials: T
authors.lastname: Kurki
authors.forename: Leo
authors.initials: L
authors.lastname: Ihlberg
mesh_terms: D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D001021:Aortic Valve / Q000382:microbiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D006069:Gonorrhea / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification* / Q000472:pathogenicity; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents