2000
DOI: 10.1590/s0066-782x2000000200006
|View full text |Cite
|
Sign up to set email alerts
|

Coronary bilateral ostial enlargement using the saphenous vein in a patient with syphilitic aortitis

Abstract: Syphilis has been succesfully controlled in recent years; involvement of the heart and the aorta have become relatively rare events. The incidence and degree of seriousness of syphilitic aortitis is greater in the initial portion of the ascending aorta involving the coronary ostia and the valvulae of the aortic valve. Heggtveit 1 , in a clinicopathological review of syphilitic aortitis, noted uni or bilateral coronary ostial stenosis with aortic regurgitation in 14% of patients.Several surgical tactics for the… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2
1

Citation Types

0
6
0
1

Year Published

2001
2001
2020
2020

Publication Types

Select...
8

Relationship

0
8

Authors

Journals

citations
Cited by 11 publications
(7 citation statements)
references
References 8 publications
0
6
0
1
Order By: Relevance
“…Regarding the treatment of coronary ostial lesions, direct reconstructive ostial surgeries such as endarterectomy [11] and vein patch angioplasty [12] have been reported, but not recommended [5], and CABG has been the main treatment in recent years. Considering the histological characteristics of the aortic wall, there are concerns about proximal anastomotic stenosis of the SVG [5].…”
Section: Discussionmentioning
confidence: 99%
“…Regarding the treatment of coronary ostial lesions, direct reconstructive ostial surgeries such as endarterectomy [11] and vein patch angioplasty [12] have been reported, but not recommended [5], and CABG has been the main treatment in recent years. Considering the histological characteristics of the aortic wall, there are concerns about proximal anastomotic stenosis of the SVG [5].…”
Section: Discussionmentioning
confidence: 99%
“…Croti et al [5 ]report the case of a 48-year-old male with a 2-month history of severe chest pain and dyspnea. Physical exam found asymmetric upper extremity blood pressure and pulses and a diastolic murmur.…”
Section: Discussionmentioning
confidence: 99%
“…Despite the ease and efficacy of treatment, however, syphilis has not been eradicated and indeed has increased in incidence in the US since 2000 [2]. While admittedly uncommon, a selection of case reports from the past decade demonstrates that syphilitic aortitis and its complications are a challenge to clinicians in both diagnosis and treatment [3,4,5,6,7]. We present here the case of a 32-year-old female who died of myocardial infarction due to coronary artery ostial stenosis secondary to syphilitic aortitis.…”
Section: Introductionmentioning
confidence: 99%
“…Venous grafts suffer from degeneration and arterial grafts, due to several factors, can not always be used. Coronary ostial reconstruction procedures utilize homogenous [3,4] or autologous [2,3] tissue susceptible to intimal hyperplasia, thrombosis and calcification.…”
Section: Commentsmentioning
confidence: 99%
“…Surgical techniques for the treatment of ostial lesions of the coronary arteries, with the exception of endarterectomy [1], utilize patches of autologous tissue (bovine pericardium) [2,3] or homologous (saphenous vein [4] or internal thoracic artery [5]) to reconstruct the affected ostium. The utilization of homologous or autologous tissue patches helps intimal hyperplastia, thrombosis and calcification, compromising the immediate and / or late results.…”
Section: Introductionmentioning
confidence: 99%