Abstract
About one-tenth of patients with untreated chronic syphilis and tertiary syphilis develop structural complications involving the coronary ostia, ascending aorta, or aortic root. We describe a unique case of a large aortic root aneurysm of the noncoronary sinus with extrinsic compression of the right coronary artery, a complication of tertiary syphilis. Surgical intervention involved valve-sparing aortic root reconstruction with right coronary ostia reimplantation (hemi-Yacoub). The patient's postoperative course was uneventful; he is healthy approximately 2 years later.
Highlights
Case PresentationPatients with untreated syphilis may progress from latent infection to tertiary syphilis in a period between 10 and 40 years,[1] a process that can be accelerated by coinfection with HIV.[2]
We describe a unique case of a large aortic root aneurysm of the noncoronary sinus with extrinsic compression of the right coronary artery, a complication of tertiary syphilis
Syphilitic aneurysms infrequently are isolated to the aortic root, with the rarest form being confined to the noncoronary sinus
Summary
Case PresentationPatients with untreated syphilis may progress from latent infection to tertiary syphilis in a period between 10 and 40 years,[1] a process that can be accelerated by coinfection with HIV.[2]. Bethesda, Maryland 3 Department of Infectious Disease, Suburban Hospital, Johns Hopkins Bethesda, Maryland 4 Division of Cardiac Surgery, Suburban Hospital, Johns Hopkins
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