Rapid progression of a small penetrating aortic ulcer to rupture in the setting of Staphylococcus aureus bacteraemia.

Authors

Agnieszka Mijalska, Sylwia Barańska, Mateusz Jadeszko, Jerzy Głowiński

Published in

BMJ case reports. Volume 19. Issue 9. Sep 02, 2026. Epub Sep 02, 2026.

Abstract

An octogenarian woman with heart failure, atrial fibrillation and asthma was admitted with a cervical phlegmon and methicillin-sensitive Staphylococcus aureus bacteraemia. Initial CT angiography (CTA) showed a small infrarenal penetrating aortic ulcer without rupture, peri-aortic haematoma or pseudoaneurysm and conservative management was adopted. Three weeks later, she developed acute abdominal pain and anaemia. Repeat CTA showed rapid progression of the lesion to a contained rupture. Emergency endovascular repair was performed using a straight AFX VELA infrarenal endograft component. At 18-month follow-up, she had recovered clinically and CTA showed a stable endograft without endoleak or radiological features indicative of stent-graft infection.

PMID:
42697567
Bibliographic data and abstract were imported from PubMed on 05 Sep 2026.

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