Mycotic Thoracic Aortic Aneurysm After Intravesical Bacillus Calmette–Guérin Treatment Kenneth P. Seastedt, MD, Usman Ahmad, MD, Christopher Lau, MD,

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Mycotic Thoracic Aortic Aneurysm After Intravesical Bacillus Calmette–Guérin Treatment Kenneth P. Seastedt, MD, Usman Ahmad, MD, Christopher Lau, MD, Patricia Ruggeri-Weigel, MD, Hamilton C. Tsang, MD, Barry J. Hartman, MD, Leonard N. Girardi, MD The Annals of Thoracic Surgery Volume 99, Issue 6, Pages 2210-2212 (June 2015) DOI: 10.1016/j.athoracsur.2014.07.083 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed tomographic angiogram and (B) three-dimensional reconstruction show a 2.9- × 2.2-cm descending aortic saccular aneurysm (arrows). The Annals of Thoracic Surgery 2015 99, 2210-2212DOI: (10.1016/j.athoracsur.2014.07.083) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Hematoxylin and eosin stain shows severe necrotizing granulomatous inflammation (magnification, 20×). (B) An acid-fast stain shows many mycobacterial organisms (arrowheads) within the necrotic tissue (magnification, 20×). The Annals of Thoracic Surgery 2015 99, 2210-2212DOI: (10.1016/j.athoracsur.2014.07.083) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions