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Ascending aorta mycotic aneurysm is a rare entity. It is a life-threatening condition because of the possibility of aortic dissection, or rupture.  Escherichia coli  is recognised as an uncommon cause of aortic mycotic aneurysm. An 81-year-old woman with a history of  Escherichia coli  pyelonephritis 4 months previously, was admitted to our centre for a mycotic aneurysm of the ascending aorta caused by  Escherichia coli . She was successfully treated by urgent  in situ  replacement of the ascending aorta with a cryopreserved homograft, combined with antibiotics. Although infrequent,  Escherichia coli  mycotic aneurysm should be suspected in older patients with atherosclerosis and who developed septicaemia. Prompt treatment with a combination of appropriate antibiotics and surgery is required.

Mycotic aneurysm of the ascending aorta due to Escherichia coli : a case report