医学
主动脉炎
狭窄
心脏病学
内科学
梅毒
反流(循环)
主动脉
动脉
主动脉瓣置换术
主动脉瓣
外科
放射科
家庭医学
人类免疫缺陷病毒(HIV)
作者
Rayyan Jadeed,Ruth Paarmann,Wolfgang Harringer,Aschraf El-Essawi
出处
期刊:PubMed
日期:2016-01-01
卷期号:25 (1): 18-20
被引量:1
摘要
Bilateral coronary ostial stenosis without additional coronary artery involvement is a rare presentation of syphilitic aortitis, with most cases being identified post-mortem. Herein is presented a case of bilateral coronary ostial stenosis and aortic valve insufficiency caused by syphilitic aortitis without aneurysmal dilatation of the aorta. The patient underwent aortic root replacement and coronary artery bypass grafting. The intraoperative macroscopic findings raised the suspicion of an aortitis that was later confirmed to syphilitic aortitis on histological examination. It is of note that syphilis can be a cause of bilateral ostial stenosis in young adults with no predisposition to atherosclerosis, especially if combined with aortic insufficiency resulting from an isolated leaflet dysfunction.
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