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Gonococcal ascending aortic aneurysm with penetrating ulcer and bovine arch

Bachar El Oumeiri1, Frédéric Vanden Eynden2, Constantin Stefanidis2

  • 1Department of Cardiac Surgery, ULB Erasme University Hospital, Brussels, Belgium beloumei@ulb.ac.be.

Asian Cardiovascular & Thoracic Annals
|March 8, 2014
PubMed

Insights

A patient with a gonococcal ascending aorta aneurysm and bovine aortic arch was successfully treated with surgery and antibiotics. This case highlights a rare cause of aortic disease and effective management strategies.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Ascending aorta aneurysms can be caused by various factors, including infections.
  • Bovine aortic arch is an anatomical variation that may influence surgical approaches.
  • Gonococcal infections can rarely lead to severe cardiovascular complications.

Observation:

  • A 65-year-old male presented with a two-month history of intermittent fever.
  • The patient was diagnosed with a gonococcal ascending aorta aneurysm with penetrating ulcers.
  • The initial presentation mimicked other febrile illnesses, delaying diagnosis.

Findings:

  • Surgical intervention included resection of the ascending aorta and ulcers.
  • Aortic valve replacement was performed concurrently with aortic repair.
  • Postoperative antibiotic therapy was crucial for eradicating the infection.

Implications:

  • This case underscores the importance of considering infectious etiologies in aortic aneurysms, even in atypical presentations.
  • Successful management involves a multidisciplinary approach combining surgical repair and targeted antimicrobial treatment.
  • Early diagnosis and treatment are vital for preventing catastrophic outcomes in patients with infectious aortopathy.
Keywords:
Aneurysmaortic aneurysmaortic valvegonorrhoeainfectedthoracic

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