Syphilitic aortitis with rupture of the infrarenal aorta; seen and not forgotten

Alexander, D.J.; James, Paul; Vowden, Peter; Abbott, C R; Doig, Robert

doi:10.1016/s0950-821x(05)80104-5

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…Exceptional cases have been reported, however, describing aortic insufficiency 7 and ostial coronary artery stenosis. 8 Syphilitic vasculitis and aneurysmal disease affecting the abdominal aorta, 9 pulmonary arteries, 10 coronary arteries, 11 and aortic arch branch vessels have also been reported. 12 Large syphilitic thoracic aortic aneurysms may cause symptoms via mass effect on neighboring mediastinal structures, including the trachea, esophagus and pulmonary artery, [13][14][15] as in our patient.…”

Section: Discussionmentioning

confidence: 99%

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Giant syphilitic aortic aneurysm: A case report and review of the literature

2011

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Thoracic aortic aneurysm formation is a known complication of late syphilis. Large aneurysms may cause symptoms via mass effect. When aneurysms compress the pulmonary artery, pulmonary arterial hypertension and right heart failure may result. We report the case of a 76-year-old man who presented with right heart failure secondary to an 11-cm syphilitic thoracic aortic aneurysm, and discuss the evolving epidemiology, complications, diagnosis and management of syphilitic aortitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Giant syphilitic aortic aneurysm: A case report and review of the literature

2011

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“…Aneurysms of the descending aorta are responsible for only 10% to 15% of syphilitic aneurysms, 50% occur in the ascending aorta, 30% in the arch, and less than 5% occur in the abdominal aorta. 4,9 Ruptures into various structures are relatively common 5,6 ; erosions of the chest wall have been described. 5 Bone destruction as in our case are described 6 and concealed perforations can lead to backpain.…”

Section: Discussionmentioning

confidence: 99%

“…4,9 Ruptures into various structures are relatively common 5,6 ; erosions of the chest wall have been described. 5 Bone destruction as in our case are described 6 and concealed perforations can lead to backpain. The prognosis for patients with syphilitic aneurysms is extremely poor with a mean life expectancy of 6 to 9 months after the onset of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Giant Syphilitic Aneurysm of the Descending Aorta in an Octogenarian*

Bossert

Battellini

Kotowicz

et al. 2004

Journal of Cardiac Surgery

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Syphilis can lead to saccular aneurysms of the thoracic aorta. Today syphilitic aortic aneurysms are rare. The average time from primary infections to the development of aortic aneurysms is 10 to 15 years. An 83-year-old man was admitted with a giant aneurysm of the descending thoracic aorta. The patient had first experienced subacute pain in the left hemithorax some weeks previously. Computer tomography scan detected an 11 x 11 cm aneurysm of the descending aorta. Serodiagnostic tests for syphilis were highly positive. Femoro-femoral bypass was initiated and a tube graft was interposed. The postoperative course was uneventful, the patient was discharged at the twentieth postoperative day. Histological examination of the aneurysmal wall showed typical syphilitic changes. Postoperatively, Penicillin G was given for 6 months. Three years later the patient remains asymptomatic. Although extremely rare today, tertiary syphilis should be considered in the differential diagnosis of thoracic aneurysms. In selected octogenarians replacement of the descending aorta is possible.

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Syphilitic aortitis with rupture of the infrarenal aorta; seen and not forgotten

Cited by 2 publications

References 8 publications

Giant syphilitic aortic aneurysm: A case report and review of the literature

Giant syphilitic aortic aneurysm: A case report and review of the literature

Ruptured Giant Syphilitic Aneurysm of the Descending Aorta in an Octogenarian*

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