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