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  • Title: Ruptured mycotic pseudoaneurysm of the thoracic aorta.
    Author: Froeschl M, Wolfsohn A, Beauchesne LM.
    Journal: Cardiovasc Pathol; 2006; 15(2):116-8. PubMed ID: 16533702.
    Abstract:
    A 68-year-old man being treated for a Staphylococcus aureus bacteremia developed hemoptysis. A transesophageal echocardiogram (TEE) and computed tomographic (CT) scan showed a large descending thoracic aorta pseudoaneurysm. The patient died before surgical intervention could be performed. Pathological examination revealed the presence of a saccular pseudoaneurysm originating from a mural defect at the site of an ulcerated atherosclerotic plaque. There was rupture into the mediastinum with contained hematoma. Microscopic examination documented numerous Gram-positive bacterial cocci at the rupture site.
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