Abstract
As syphilis per se was common in past, now seen rarely. Coronary ostial stenosis in otherwise normal coronary vessels is a rare complication of syphilitic aortitis. Cardiovascular complications of tertiary syphilis include (in decreasing frequency) the following: syphilitic aortitis, ascending aortic aneurysm, aortic valve insufficiency, and coronary ostial stenosis. Our case classical example of coronary syphilitic involvement with coexistent atherosclerosis. Also there was coronary anomaly (LCX from right sinus) which adds to the rarity of the case.
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