A Case of Syphilitic Aneurysm in Ascending Aorta.
10.4070/kcj.1987.17.3.577
- Author:
Im Hwan ROE
;
Jae Ho LEE
;
Jeong Hyun KIM
;
Heon Kil IM
;
Bang Hun LEE
;
Chung Kyun LEE
;
Moon Hyang PARK
- Publication Type:Case Report
- Keywords:
Aortic aneurysm
- MeSH:
Aneurysm*;
Aorta*;
Aortic Aneurysm;
Aortic Valve Insufficiency;
Aortitis;
Chancre;
Chest Pain;
Coronary Vessels;
Elastic Tissue;
Endarteritis;
Humans;
Incidence;
Male;
Polyethylene Terephthalates;
Serologic Tests;
Syphilis;
Syphilis, Cardiovascular;
Thorax;
Tomography, X-Ray Computed;
Transplants;
Vasa Vasorum
- From:Korean Circulation Journal
1987;17(3):577-583
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cardiovascular syphilis is one of the most important complications of tertiary syphilis, although its incidence is decreasing in recent years. Aortitis is the primary manifestation of cardiovascular syphilis, resulting most commonly in aortic aneurysm, aortic regurgitation and coronary artery ostial obstruction. The authors experienced 46-year-ole male with a history of chancre 20 years ago, and several bouts of right chest pain since last year. Serologic tests revealed reactive in VDRL (1:64) and in TPHA test. Chest x-ray, chest CT, echocardiogram and aortogram showed aneurysm of ascending aorta with no evidence of aortic regrugitation of coronary obstruction. Histologic findings of involved aorta revealed "tree bark" appearance in gross, and microscopically adventitial thickening with endarteritis of the vasa vasorum and destruction of elastic tissue of media, showing moth-eaten appearance. The patient was underwent excision of the aneurysm and dacron aortic prosthetic graft was replaced with success.
