Repair of a Syphilitic Aneurysm of the Noncoronary SinusFunding None.
About 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.
Received: 17 December 2018
Accepted: 24 May 2020
05 November 2020 (online)
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
- 1 Saraiva RS, César CA, Mello MA. Syphilitic aortitis: diagnosis and treatment. Case report. Rev Bras Cir Cardiovasc 2010; 25 (03) 415-418
- 2 Musher DM, Hamill RJ, Baughn RE. Effect of human immunodeficiency virus (HIV) infection on the course of syphilis and on the response to treatment. Ann Intern Med 1990; 113 (11) 872-881
- 3 Duncan JM, Cooley DA. Surgical considerations in aortitis. Part III: Syphilitic and other forms of aortitis. Tex Heart Inst J 1983; 10 (04) 337-341
- 4 Cantor AG, Pappas M, Daeges M, Nelson HD. Screening for syphilis: updated evidence report and systematic review for the US preventive services task force. JAMA 2016; 315 (21) 2328-2337
- 5 Yokoyama S, Naito Y, Koh E, Ohta B, Kitamura M. [Ruptured syphilitic ascending aortic aneurysm; report of a case] (in Japanese). Kyobu Geka 2004; 57 (13) 1225-1228
- 6 Fernandes B, Santos A, Carvalho L. Syphilitic aortitis diagnosis in clinical setting. Rev Port Cir Cardiotorac Vasc 2017; 24 (3,4): 166
- 7 Roberts WC, Lensing FD, Kourlis Jr. H. et al. Full blown cardiovascular syphilis with aneurysm of the innominate artery. Am J Cardiol 2009; 104 (11) 1595-1600
- 8 Roberts WC, Barbin CM, Weissenborn MR, Ko JM, Henry AC. Syphilis as a cause of thoracic aortic aneurysm. Am J Cardiol 2015; 116 (08) 1298-1303