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.
NaganoNYamamotoTAmanoAKikuchiK. Infected aneurysm of the aortic arch with purulent pericarditis caused by Streptococcus pneumoniae. Interact Cardiovasc Thorac Surg2010; 10: 459–61.
NijsAVandekerkhofJCartuyvelsR. Streptococcus pneumoniae-infected aneurysm extending from a persistent lobar pneumonia: case report and review of the literature. Eur J Clin Microbiol Infect Dis2002; 21: 389–92.
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Di BartolomeoRPellicciariGCefarelliMDi EusanioM. Frozen elephant trunk surgery using the E-vita open plus prosthesis. Ann Cardiothorac Surg2013; 2: 656–9.
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VerhoyeJPAnselmiAKaladjiA. Mid-term results of elective repair of extensive thoracic aortic pathology by the Evita Open Plus hybrid endoprosthesis only. Eur J Cardiothorac Surg2014; 45: 812–7.
