“… 8 Other aortic infectious diseases, aortic dissection, aortic hematoma, and large noninfectious TAAs are also potential causes. 9 , 10 Of the cases of aortic aneurysm rupture, the vast majority involve the ascending aorta, 11 and in fact only 3% arise from the aortic arch. 6 …”
“… 8 Other aortic infectious diseases, aortic dissection, aortic hematoma, and large noninfectious TAAs are also potential causes. 9 , 10 Of the cases of aortic aneurysm rupture, the vast majority involve the ascending aorta, 11 and in fact only 3% arise from the aortic arch. 6 …”
“…As documented in our case, a special particularity, even though rare, of the aortic aneurysms is the pulsatile destruction of nearby structures such as sternum, ribs, vertebrae, and skin [ 9 ]. Heggtveit [ 7 ] analysed 100 syphilitic aortitis cases, and in only two were there vertebral bodies erosions.…”
Section: Discussionmentioning
confidence: 99%
“…In non-treated syphilis, aortitis occurs in over 70% of cases, with such symptoms as aortic regurgitation, stenosis, and aortic aneurysm occurring in up to 15% of patients [ 2 , 5 – 7 ]. Classically, syphilitic aneurysms occur in 90% of cases on the thoracic aorta, and in 10% in the abdominal aorta [ 3 , 7 – 9 ]. Infection of aortic wall develops during the secondary or bacteraemic phase of syphilis, having a latent period from infection until the clinical presentation ranging from 5 to 50 years [ 5 , 8 ].…”
The tertiary stage of syphilis is nowadays extremely rare, showing predilection for the cardiovascular and nervous systems.A 57-year-old Caucasian man sought medical assistance due to back pain that evolved to paraplegia of the lower limbs. A thoracic CT scan demonstrated an important aneurysmatic lesion of the descending thoracic aorta causing erosion of the vertebral bodies and VDRL and FTA-abs positivity.Although rare, syphilitic aortitis, the hallmark of cardiovascular syphilis, should be considered in the differential diagnosis in patients with thoracic aneurysm when in the absence of classic risk factors for atherosclerosis, especially in cases that progress with erosion of vertebral bodies.
“…The surgical treatment of acquired aorto-pulmonary fistula is very uncommon, and hazardous, only 7 cases having been documented to our knowledge, the first in 1960 (5,7,10). The procedure involves the replacement of the ascending aorta.…”
Two reports of the rare condition, acquired aorto-pulmonary fistula, are presented, one the result of acute aortic dissection, the other, giant cell aortitis. The presentation, diagnosis, and management are discussed and the literature reviewed.
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