Frozen elephant trunk procedure for extensive pneumococcal thoracic aortitis

Infectious arteritisis an insidious condition commonly associated with a long diagnostic delay. We report the management of extensive pneumococcal thoracic aortitisin a 64-year-old woman. The frozen elephant trunkprocedure was performed to repair the aortic arch. Prolonged aortic wall cultures were positive for Streptococcus pneumoniae. Late follow-up imaging at 36 months demonstrated no sign of recurrence around the hybrid vascular graftin the thoracic aorta.