J. Susie Woo, MD, David G. Rabkin, MD, Nahush A. Mokadam, MD, Mara H

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Gonococcal Ascending Aortitis With Penetrating Ulcers and Intraluminal Thrombus J. Susie Woo, MD, David G. Rabkin, MD, Nahush A. Mokadam, MD, Mara H. Rendi, MD, PhD, Gabriel S. Aldea, MD The Annals of Thoracic Surgery Volume 91, Issue 3, Pages 910-912 (March 2011) DOI: 10.1016/j.athoracsur.2010.08.017 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Contrast-enhanced computed tomographic image of the thorax, demonstrating one of the penetrating ulcers in the ascending aorta, with an associated 7-mm spherical intraluminal thrombus. (B) Oblique sagittal multi-planar reformat image of the penetrating ulcer at the sinotubular junction with associated wall thickening or hematoma, or both. The calcified bicuspid valve is also demonstrated. The Annals of Thoracic Surgery 2011 91, 910-912DOI: (10.1016/j.athoracsur.2010.08.017) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Brown and Brenn staining of Neisseria gonorrhoeae in acute thrombus (40× magnification). Note coffee bean shaped gram negative diplococci characteristic of Neisseria gonorrhoeae (inset, 100× magnification). The Annals of Thoracic Surgery 2011 91, 910-912DOI: (10.1016/j.athoracsur.2010.08.017) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions