Back to Search Start Over

Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction.

Authors :
Žvirblytė R
Ereminienė E
Montvilaitė A
Jankauskas A
Ivanauskas V
Source :
Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2017; Vol. 53 (3), pp. 211-216. Date of Electronic Publication: 2017 Jun 20.
Publication Year :
2017

Abstract

Cardiovascular abnormalities are well-known manifestations of a late form of syphilis - tertiary syphilis. Since the era of antibiotics, the incidence of late manifestations of syphilis has declined almost to a rare entity. The injury of aorta (the aortitis with a dilatation of aortic root and its associated complications) is the most common between all the cardiovascular lesions. A less common manifestation of syphilitic aortitis is coronary artery ostial narrowing related to aortic wall thickening. We present the case of a 37-year-old male who was treated for an acute myocardial infarction due to bilateral coronary artery ostial stenosis secondary to syphilitic aortitis. According to the multidisciplinary decision, surgical revascularization (coronary artery bypass grafting, CABG) was performed. According to dermatologist recommendation, patient postoperative cardiovascular treatment was supplemented with intramuscular doses of benzathine penicillin recommended for tertiary syphilis. Further follow-up visits were also planned to detect possible changes of the aortic wall, dynamics of aortic regurgitation or potential anastomotic restenosis due to progression of aortitis.<br /> (Copyright © 2017 The Lithuanian University of Health Sciences. Production and hosting by Elsevier Sp. z o.o. All rights reserved.)

Details

Language :
English
ISSN :
1648-9144
Volume :
53
Issue :
3
Database :
MEDLINE
Journal :
Medicina (Kaunas, Lithuania)
Publication Type :
Academic Journal
Accession number :
28673730
Full Text :
https://doi.org/10.1016/j.medici.2017.06.001