Severe bacterial aortitis without an aneurysmal component is a rare but life-threatening problem that requires aggressive treatment to eliminate the infection and prevent recurrence. Herein, we present the case of a 58-year-old man who underwent patch repair of a nonaneurysmal aorta that had ruptured due to Staphylococcus aureus infection. Postoperatively, he experienced a recurrent rupture that required reoperation. We successfully performed wide-margin débridement followed by aortic arch replacement with a prosthetic vascular graft and omental flap.
Keywords: Anti-bacterial agents/therapeutic use; aorta, thoracic/microbiology/pathology; aortic diseases/complications/immunology/microbiology; disease progression; inflammation/pathology; omentum/transplantation; prosthesis-related infections/diagnosis/prevention & control/surgery; risk factors; staphylococcal infections/drug therapy/prevention & control/surgery; treatment outcome.