title: Frozen elephant trunk procedure for extensive pneumococcal thoracic aortitis.
abstract: Infectious arteritis is an insidious condition commonly associated with a long diagnostic delay. We report the management of extensive pneumococcal thoracic aortitis in a 64-year-old woman. The frozen elephant trunk procedure was performed to repair the aortic arch. Prolonged aortic wall cultures were positive for Streptococcus pneumoniae. Late follow-up imaging at 36 months demonstrated no sign of recurrence around the hybrid vascular graft in the thoracic aorta.
authors.affiliation: 1 Thoracic and Cardiovascular Surgery, University Hospital of Rennes, Rennes, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Guihaire
authors.affiliation: 2 Infectious Disease and Intensive Care Unit, University Hospital of Rennes, Rennes, France.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Revest
authors.affiliation: 3 Department of Radiology, University Hospital of Rennes, Rennes, France.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Heautot
authors.affiliation: 1 Thoracic and Cardiovascular Surgery, University Hospital of Rennes, Rennes, France.
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Verhoye
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001025:Aortitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Anti-bacterial agents; Aortic aneurysm; Aortitis; Blood vessel prosthesis implantation; Delayed diagnosis; Pneumococcal infections; thoracic