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Fulminant Infectious Aortitis With Ascending Aortic Rupture
Kinan Kassar1, Michael Lucke1, Cunfeng Pu1
1Allegheny General Hospital, Pittsburgh, Pennsylvania.
Abstract:
Infectious aortitis is associated with a high rate of acute aortic adverse events. However, the nonspecificity of symptoms and low sensitivity of blood cultures may delay early recognition of this condition. A 77-year-old man was incidentally found to have aortitis. His disease took a fulminant course and was complicated by dissection and rupture only 4 days after the diagnosis. Serial computed tomographic angiography provided valuable information about the development of aortitis into dissection and rupture. Postdissection histologic analysis revealed gram-positive cocci in the aortic wall.
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