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  • Title: Gonococcal ascending aortitis with penetrating ulcers and intraluminal thrombus.
    Author: Woo JS, Rabkin DG, Mokadam NA, Rendi MH, Aldea GS.
    Journal: Ann Thorac Surg; 2011 Mar; 91(3):910-2. PubMed ID: 21353028.
    Abstract:
    Neisseria gonorrhoeae is an uncommon pathogen causing bacterial aortitis. We describe a patient with a bicuspid aortic valve and known ascending aortic aneurysm who presented with fever and chest pain. Imaging demonstrated complex penetrating ulcers in the proximal ascending aorta. The patient underwent a modified Bentall procedure, resection of the ulcers, and ascending aortic reconstruction. Pathologic examination and culture of the aortic specimens revealed the infectious cause.
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