Abstract
Multiple mycotic pseudoaneurysms of the aorta are rarely seen. This case summarizes a patient who survived primary rupture of his proximal ascending aortic pseudoaneurysm but was an unacceptable candidate for surgical therapy. He survived for approximately four months prior to death from massive hemoptysis. The case presents a rare look at an unusual condition and the difficulties in the management of these patients.
Highlights
Multiple mycotic pseudoaneurysms of the aorta are rarely seen
Blood cultures were significant for methicillin-resistant staphylococcus aureus (MRSA) bacteremia
Figure 5: 3D volume rendered computed tomography reconstruction demonstrating pseudoaneurysm off ascending aorta, posterior outpouching off proximal right subclavian artery
Summary
Multiple mycotic pseudoaneurysms of the aorta are rarely seen. This case summarizes a patient who survived primary rupture of his proximal ascending aortic pseudoaneurysm but was an unacceptable candidate for surgical therapy. Mycotic ascending aortic pseudoaneurysms are extremely uncommon and multiple aneurysms in a single patient have rarely been reported in the literature. Significant calcification of the ascending aorta was noted (Figure 1).
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