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Related Experiment Video

Updated: Mar 9, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Fulminant Infectious Aortitis With Ascending Aortic Rupture.

Kinan Kassar¹, Michael Lucke¹, Cunfeng Pu¹

¹Allegheny General Hospital, Pittsburgh, Pennsylvania.

The Annals of Thoracic Surgery

|December 24, 2016

Summary

Infectious aortitis can rapidly progress to dissection and rupture. Early diagnosis is crucial, as imaging and histology confirmed a fulminant case in a 77-year-old man.

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A New Murine Model of Endovascular Aortic Aneurysm Repair

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Published on: July 7, 2013

Area of Science:

Cardiovascular Medicine
Infectious Diseases
Medical Imaging

Background:

Infectious aortitis presents with nonspecific symptoms, often delaying diagnosis.
Blood cultures have low sensitivity for identifying causative pathogens in infectious aortitis.
Prompt recognition and treatment are vital due to the high risk of acute aortic events.

Observation:

A 77-year-old male patient was incidentally diagnosed with aortitis.
The condition progressed rapidly, leading to aortic dissection and rupture within four days of diagnosis.
Serial computed tomographic angiography (CTA) demonstrated the progression from aortitis to dissection and rupture.

Findings:

Histologic examination of the ruptured aortic wall revealed the presence of gram-positive cocci.
The case highlights the potential for rapid, fulminant progression of infectious aortitis.
Multimodal imaging, including CTA, is valuable for monitoring disease evolution.

Implications:

This case underscores the importance of considering infectious aortitis in patients with unexplained aortic pathology.
Advanced imaging techniques are critical for evaluating the extent and progression of the disease.
Prompt diagnosis and targeted antimicrobial therapy are essential to prevent catastrophic aortic complications.