Repair of a Syphilitic Aneurysm of the Noncoronary Sinus

Author:

Kinsey Danielle J.1ORCID,Zambrano Christopher1,Suarez-Pierre Alejandro1ORCID,Kumar Aruna2,Isenbergh Elena3,Lawton Jennifer S.1ORCID,Siegenthaler Michael P.4ORCID

Affiliation:

1. Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland

2. Department of Pathology, Suburban Hospital, Johns Hopkins Medicine, Bethesda, Maryland

3. Department of Infectious Disease, Suburban Hospital, Johns Hopkins Medicine, Bethesda, Maryland

4. Division of Cardiac Surgery, Suburban Hospital, Johns Hopkins Medicine, Bethesda, Maryland

Abstract

AbstractAbout one-tenth of patients with untreated chronic syphilis and tertiary syphilis develop structural complications involving the coronary ostia, ascending aorta, or aortic root. We describe a unique case of a large aortic root aneurysm of the noncoronary sinus with extrinsic compression of the right coronary artery, a complication of tertiary syphilis. Surgical intervention involved valve-sparing aortic root reconstruction with right coronary ostia reimplantation (hemi-Yacoub). The patient's postoperative course was uneventful; he is healthy approximately 2 years later.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,Surgery

Reference8 articles.

1. Syphilitic aortitis: diagnosis and treatment. Case report;R S Saraiva;Rev Bras Cir Cardiovasc,2010

2. Effect of human immunodeficiency virus (HIV) infection on the course of syphilis and on the response to treatment;D M Musher;Ann Intern Med,1990

3. Surgical considerations in aortitis. Part III: Syphilitic and other forms of aortitis;J M Duncan;Tex Heart Inst J,1983

4. Screening for syphilis: updated evidence report and systematic review for the US preventive services task force;A G Cantor;JAMA,2016

5. [Ruptured syphilitic ascending aortic aneurysm; report of a case] (in Japanese);S Yokoyama;Kyobu Geka,2004

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Challenges in the Diagnosis of Tertiary Syphilis: Case Report with Literature Review;International Journal of Environmental Research and Public Health;2022-12-17

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