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Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...

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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

Published on: September 8, 2023

Luetic aortopathy: Revisited.

Bhushan Sevakram Madke1, Nandkishor Babulal Agrawal, Pradeep Vaideeswar

  • 1Department of Dermatology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Indian Journal of Sexually Transmitted Diseases and AIDS
|July 1, 2011
PubMed
Summary
This summary is machine-generated.

A rare case of syphilitic aortic aneurysm in a 38-year-old male is presented. This finding is unusual in the modern antibiotic era, highlighting the importance of considering syphilis in aortic aneurysm diagnosis.

Keywords:
Aneurysmaortitiscoronary ostiadisseminated intravascular coagulationsyphilistherapeutic paradoxtherapeutic shock

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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

Area of Science:

  • Cardiovascular Medicine
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Syphilis, a curable sexually transmitted infection, can have severe long-term cardiovascular complications if left untreated.
  • Aortic aneurysms are abnormal widenings of the aorta, a major artery carrying blood from the heart.
  • The incidence of syphilitic cardiovascular disease has significantly decreased due to widespread antibiotic use.

Observation:

  • A 38-year-old male presented with a 4-month history of a progressively enlarging pulsatile chest swelling.
  • The patient had a history of unprotected sexual contact, penile ulceration, and a painless inguinal mass.
  • Blood serology revealed positive syphilis and Hepatitis B surface antigen (HBsAg); HIV serology was negative.

Findings:

  • Computed tomography-angiography confirmed an aneurysm of the aortic arch and ascending aorta.
  • The clinical presentation, serological results, and imaging findings strongly indicated a syphilitic etiology for the aortic aneurysm.
  • This case represents an extremely rare occurrence of syphilitic aortic aneurysm in the current antibiotic era.

Implications:

  • This case underscores the importance of considering syphilis as a potential cause of aortic aneurysms, even in developed countries.
  • Physicians should maintain a high index of suspicion for syphilitic aortitis in patients with relevant risk factors and cardiovascular abnormalities.
  • Early diagnosis and treatment of syphilis are crucial to prevent devastating cardiovascular complications like aortic aneurysms.