MYCOTIC-ANEURYSM RUPTURE OF THE DESCENDING AORTA

A 69-year-old diabetic male with salmonella bacteremia developed hypov olemic shock and swelling of the neck. A CT examination revealed massi ve mediastinal hemorrhage extending into the neck soft tissues caused by false aneurysm rupture of the descending thoracic aorta. Aortograph y showed continuous extravasation from a large leak at the medial side of the descending thoracic aorta. Although surgical intervention was immediately performed, the patient died 3 weeks later from multiple-or gan failure. In this report, CT and angiographic findings of mycotic a neurysm rupture are presented and a re view is given.