Mycotic aneurysm of the ascending aorta due to Escherichia coli: a case report.

Escherichia coli; Mycotic aneurysm; ascending aorta; Anti-Bacterial Agents; Female; Humans; Aged; Aged, 80 and over; Aorta/diagnostic imaging; Anti-Bacterial Agents/therapeutic use; Aneurysm, Infected/diagnosis; Aneurysm, Infected/surgery; Aneurysm, Infected/drug therapy; Aortic Aneurysm/complications; Aortic Aneurysm/diagnosis; Aortic Aneurysm/surgery; Aneurysm, Infected; Aorta; Aortic Aneurysm; Cardiology and Cardiovascular Medicine; General Medicine

Abstract :

[en] Ascending aorta mycotic aneurysm is a rare entity. It is a life-threatening condition because of the possibility of aortic dissection, or rupture. Escherichia coli is recognised as an uncommon cause of aortic mycotic aneurysm. An 81-year-old woman with a history of Escherichia coli pyelonephritis 4 months previously, was admitted to our centre for a mycotic aneurysm of the ascending aorta caused by Escherichia coli. She was successfully treated by urgent in situ replacement of the ascending aorta with a cryopreserved homograft, combined with antibiotics. Although infrequent, Escherichia coli mycotic aneurysm should be suspected in older patients with atherosclerosis and who developed septicaemia. Prompt treatment with a combination of appropriate antibiotics and surgery is required.

Disciplines :

Cardiovascular & respiratory systems

Author, co-author :

Zekhnini, Ines; Department of Cardiovascular Surgery, CHU Liege, Liège, Belgium

Halleux, Danaé ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie cardio-vasculaire et thoracique

Durieux, Rodolphe ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie cardio-vasculaire et thoracique

DEFRAIGNE, Jean ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie cardio-vasculaire et thoracique

Radermecker, Marc ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie cardio-vasculaire et thoracique

Tchana-Sato, Vincent ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie cardio-vasculaire et thoracique

Language :

English

Title :

Mycotic aneurysm of the ascending aorta due to Escherichia coli: a case report.

Publication date :

September 2022

Journal title :

Acta Cardiologica

ISSN :

0001-5385

eISSN :

1784-973X

Publisher :

Taylor and Francis Ltd., England

Volume :

Issue :

Pages :

643 - 646

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://www.tandfonline.com/doi/pdf/10.1080/00015385.2021.1973774

Available on ORBi :

since 13 May 2023

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