A Case of Coronary Ostial Stenosis with Aortic Regurgitation Due to Syphilitic Aortitis.
10.4326/jjcvs.24.175
- VernacularTitle:梅毒性大動脈炎による両側冠動脈入口部狭窄を伴った大動脈弁閉鎖不全症の１手術治験例：本邦報告例を含めて
- Author:
Yasushi Sato
;
Susumu Ishikawa
;
Akio Ohtaki
;
Kazuhiro Sakata
;
Yoshimi Otani
;
Toru Takahashi
;
Ichiro Yoshida
;
Yasuo Morishita
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(3):175-177
- CountryJapan
- Language:Japanese
-
Abstract:
A 50-year-old man was diagnosed as having aortic valve insufficiency, complete occlusion of the right coronary artery and 75% stenosis of the left main trunk due to syphilitic aortitis. Aortic valve replacement and coronary artery bypass grafting to three vessels were successfully performed. The selection of surgical procedures for the coronary lesion with syphilitic aortitis should be made carefully, since the progression of aortic root inflammation in the acute phase and the development of atherosclerotic changes are not preventable in the future. It is most important to select effective and safe surgical interventions, especially for patients with such a low cardiac function as our patient.
