Cited by 196Infectious Aortic and Vascular ConditionsAortic Thrombus and EmbolismInfective Endocarditis Diagnosis and Management

Infectious Thoracic Aortitis: A Literature Review

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Lopes, R.J., Almeida, J., Dias, P.J., Pinho, P., Maciel, M.J.·2009·Clinical Cardiology

Abstract

Infectious thoracic aortitis (IA) remains a rare disease, especially after the appearance of antibiotics. However, if left untreated it is always lethal. It usually affects patients with atherosclerotic aortic disease and/or infective endocarditis. Mycotic aneurysm is the most common form of presentation, although a few reports of nonaneurysmal infectious thoracic aortitis have also been described. Various microorganisms have been associated with infectious thoracic aortitis, most commonly Staphylococcal , Enterococcus , Streptococcus , and Salmonella species. It is extremely important to establish an early diagnosis of IA, because this condition is potentially life‐threatening. However, diagnosis is frequently delayed since clinical manifestations are usually nonspecific. Antibiotherapy in combination with complete surgical excision of the infected aorta is the best choice of treatment. Copyright © 2009 Wiley Periodicals, Inc.

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  • CT enables rapid diagnosis of aortitis, aortic dissection, and hematoma of vascular walls.

    “CT enables rapid diagnosis of aortitis, aortic dissection, and hematoma of vascular walls [42].”

    From Guideline for the Antibiotic Use in Acute Gastroenteritis (2019) · cites this paper as [42]

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  1. [1]1. Revest M, Decaux O, Cazalets C, Verohye JP, J ǵo P, Grosbois B. Thoracic infectious aortitis: microbiology, pathophysiology and treatment. Rev Med Interne. 2007;28(2):108-115.
  2. [2]2. Gornik HL, Creager MA. Aortitis. Circulation. 2008;117(23): 3039-3051.
  3. [5]5. Frank MW, Mehlman DJ, Tsai F, Lomasney JW, Joob AW. Syphi- litic aortitis. Circulation. 1999;100(14):1582-1583.
  4. [7]7. Parkhurst GF, Decker JP. Bacterial aortitis and mycotic aneurysm of the aorta. Am J Pathol. 1955;31:821-830.
  5. [9]9. Wein M, Bartel T, Kabatnik M, Sadony V, Dirsch O, Erbel R. Rapid progression of bacterial aortitis to an ascending aortic mycotic aneurysm documented by transesophageal echocardiography. J Am Soc Echocardiogr. 2001;14(6):646-649.
  6. [20]20. R.J. Lopes et al: Infectious thoracic aortitis Published online in Wiley InterScience. (www.interscience.wiley.com) DOI:10.1002/clc.20578  2009 Wiley Periodicals, Inc.

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Authors
Lopes, R. J., Almeida, J., Dias, P. J., Pinho, P., & Maciel, M. J.
Affiliations
Hospital de São João (PT)
Corresponding author
Lopes, R.J.
Venue
Clinical Cardiology
Publisher
Wiley
Published
2009-09
Volume
32
Issue
9
Pages
488-490
ISSN
  • 0160-9289 (ISSN-L)
  • 1932-8737
OpenAlex
W2075358298
Cited by
196
References
19
Citations by year
2026: 8 · 2025: 7 · 2024: 8 · 2023: 14 · 2022: 12 · 2021: 13 · 2020: 11 · 2019: 11 · 2018: 11 · 2017: 16 · 2016: 17 · 2015: 15 · 2014: 17 · 2013: 14 · 2012: 8
FWCI
7.42
Type
journal article
Language
en
Open access
Locations
  • Clinical Cardiology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Infectious Aortic and Vascular Conditions
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
  • Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
Keywords
mycotic aneurysm, infective endocarditis, Staphylococcus, Enterococcus, Streptococcus, Salmonella, early diagnosis, antibiotic therapy
MeSH terms
Aneurysm, Infected, Anti-Bacterial Agents, Aorta, Thoracic, Aortitis, Aortography, Combined Modality Therapy, Humans, Tomography, X-Ray Computed, Vascular Surgical Procedures, Treatment Outcome, Aortic Aneurysm, Thoracic, Echocardiography, Transesophageal, Magnetic Resonance Angiography

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