1. Syphilitic cardiovascular disease occurs more frequently than is recognised clinically. An accurate clinical diagnosis was established in only 17 per cent of a large group of cases of syphilitic aortitis reviewed in a clinicopathological necropsy study (Heggtveit, 1964);Beck et al; Bruenn's series; emphasised the importance of suspecting syphilitic ostial occlusion when angina is disproportionate in the presence of aortic regurgitation, but in this patient there was no history of angina pectoris and no clinical or necropsy evidence of aortic valve involvement,1965
2. patients with luetic aortitis will have hearts which display some degree of interstitial fibrosis of the myocardium (Heggtveit, 1964). It is uncertain whether myocardial fibrosis in these cases results from ostial stenosis, or whether it is due to syphilitic myocarditis or coexistent coronary atherosclerosis;Virtually all
3. Syphilitic obstruction of coronary ostia successfully treated by endarterectomy;Beck, W.; Barnard, C.N.; Schrire, V.;British Heart J'ournal,1965
4. Syphilitic disease of the coronary arteries;Bruenn, H.G.;American Heart Journal,1934
5. Syphilitic aortitis. A clinicopathologic autopsy study of 100 cases, 1950-1960;Heggtveit, H.A.;Circulation,1964