Simultaneous Surgical Repair of Double Aortic Aneurysm in the Thoracic and Abdominal Regions Due to Syphilitic Aortitis.
10.4326/jjcvs.24.197
- VernacularTitle:胸部と腹部に重複した梅毒性大動脈りゅうの一期的手術例
- Author:
Michio Tobe
;
Jiro Kondo
;
Kiyotaka Imoto
;
Katsunori Hirano
;
Shinichi Suzuki
;
Hiroyasu Tanabe
;
Akihiko Matsumoto
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(3):197-200
- CountryJapan
- Language:Japanese
-
Abstract:
We report a relatively rare case of syphilitic aortic aneurysm that was treated by reconstruction with interposition of a prosthesis. The patient was a 72-year-old woman who presented with an abnormal shadow on chest radiograph and an abdominal pulsatile tumor. Aortography revealed double aneurysms in the descending thoracic and infrarenal abdominal regions, combined with a left common iliac artery aneurysm. Microscopic examination revealed an inflammatory infiltrate within the adventitia and destruction of the elastic fibers in the media, classical features of syphilitic aortitis. The incidence of double aortic aneurysm is expected to increase in the future, and one of the many problems involved in the management of this disorder is the correct timing for safe surgery. We prefer simultaneous surgery to secondary surgery, since this rules out the possibility of rupture of the remaining aneurysm. In order to perform this operation safely, it is necessary to treat the patient's general condition with regard to the surgical procedure and possible adjevant therapy.
