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Syphilitic aortitis: chronic left coronary ostial occlusion and aortic regurgitation with aortitis.
- Source :
-
General thoracic and cardiovascular surgery [Gen Thorac Cardiovasc Surg] 2021 Apr; Vol. 69 (4), pp. 736-739. Date of Electronic Publication: 2020 Oct 24. - Publication Year :
- 2021
-
Abstract
- Before the discovery of penicillin, tertiary syphilis was the most common cause of thoracic aneurysms, but now cardiovascular syphilis is a clinical rarity in developed countries. We report a case of 69-year-old man who presented with sudden onset breathlessness that worsened insidiously for 2 months. Diagnosis of syphilitic aortitis was confirmed by laboratory findings, contrast computed tomography, echocardiography and coronary angiography. The patient underwent successful coronary artery bypass graft, aortic valve replacement and ascending aortic replacement. A high level of suspicion and awareness is needed for the diagnosis of the now rare disease.
- Subjects :
- Aged
Coronary Angiography
Humans
Male
Aortic Valve Insufficiency diagnostic imaging
Aortic Valve Insufficiency etiology
Aortic Valve Insufficiency surgery
Aortitis diagnostic imaging
Aortitis surgery
Coronary Stenosis
Syphilis, Cardiovascular complications
Syphilis, Cardiovascular diagnosis
Syphilis, Cardiovascular surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1863-6713
- Volume :
- 69
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- General thoracic and cardiovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 33098530
- Full Text :
- https://doi.org/10.1007/s11748-020-01523-y