A Rare and Lethal Ostial Left Main Trunk Lesion: A Case Report
10.1097/CD9.0000000000000043
- VernacularTitle:A Rare and Lethal Ostial Left Main Trunk Lesion: A Case Report
- Author:
Baotao HUANG
1
;
Ran ZHANG
;
Chen LI
Author Information
1. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
- Publication Type:Journal Article
- Keywords:
Aortitis;
Syphilis;
Coronary artery disease;
Case report
- From:
Cardiology Discovery
2022;02(1):58-61
- CountryChina
- Language:English
-
Abstract:
Coronary artery involvement in cardiovascular syphilis is infrequent and often overlooked, especially in patients with latent syphilis. Herein, we present the case of myocardial infarction largely related to cardiovascular syphilis in a 63-year-old man. Invasive coronary angiography and contrast-enhanced computed tomography scan revealed a critical ostial narrowing of the left main trunk, an occlusive right coronary artery, and moderate-to-severe ostial stenosis of multiple major branches of the abdominal aorta. Syphilis screening and confirmatory tests were positive. Cardiovascular syphilis was considered. Percutaneous coronary intervention (PCI) was performed uneventfully, and a coronary stent was implanted in the ostium of the left main coronary artery. However, on day 3 after PCI, the patient died suddenly, likely because of stent thrombosis. In conclusion, severe coronary lesions confined to the ostia suggest rheumatologic large-vessel vasculitis or infectious aortitis.
