A Case of Syphilitic Myocarditis

Abstract

Clinical Section 29no evidence of pressure on superior vena cava (cyanosis, clubbing of fingers, venous congestion, cedema, etc.); pupils equal and react normally to light and accommodation; lung expansion equal on two sides; no tracheal tug; ophthalmoscopic examination: arteries of fundi tortuous, thickened and " silver-wire " in appearance; discs normal; no heemorrhagic exudates.Electrocardiogram.-No gross abnormality.Wassermann reaction positive; urine analysis negative. X-ray Examination.-Large swelling extending to right from region of great vessel shadow in second, third and fourth spaces; no obvious expansile pulsation observed in antero-posterior or oblique views; shadow quite free from anterior chest-wall and posterior mediastinum clear.Case probably one of saccular aneurysm of the ascending portion of the aortic arch, but atypical in that the tumour itself shows no obvious expansile pulsation on X-ray examination.