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Ann Thorac Surg 1996;62:1835-1837
© 1996 The Society of Thoracic Surgeons


Case Report

Mycotic Aneurysm of the Thoracic Aorta Caused by Clostridium septicum

David P. Murphy, MD, David B. Glazier, MD, Tyrone J. Krause, MD

Division of Cardiac Surgery, Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, New Jersey

Accepted for publication June 20, 1996.

We describe a case of a 78-year-old man who presented with a mycotic aneurysm of the thoracic aorta caused by Clostridium septicum and underwent successful resection. There are only 3 cases of mycotic aneurysms caused by Clostridium septicum reported in the literature. Clostridium septicum infections have been shown to have a high association with gastrointestinal and hematologic malignancies. All patients with Clostridium septicum infections, therefore, require a search for gastrointestinal lesions, as they may represent a source of persistent bacteremia. This patient had no malignant lesions but did have multiple benign sigmoid polyps.




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