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Treatment of syphilitic aortitis with coronary artery bypass grafting and "open" stent placement

Tiansheng Tang1, Changjuan Wu2, Ziao Wang1

  • 1Department of Cardiothoracic Surgery, First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Zheshan Road No. 2 Wuhu, China.

The Journal of International Medical Research
|October 20, 2023
PubMed

Insights

Cardiovascular syphilis, a late complication, can cause severe heart problems. This case shows successful surgical treatment for syphilitic aortitis affecting coronary arteries and the aortic valve.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Syphilology

Background:

  • Cardiovascular syphilis is a late manifestation of Treponema pallidum infection.
  • Syphilitic aortitis can lead to serious complications, including coronary ostial stenosis and aortic insufficiency.

Purpose of the Study:

  • To report the successful management of a patient with advanced cardiovascular syphilis.
  • To highlight the surgical interventions for syphilitic aortitis with coronary and aortic valve involvement.

Main Methods:

  • A case report detailing the clinical presentation and treatment of a patient with syphilitic aortitis.
  • Surgical procedures included coronary artery bypass grafting, left main coronary ostial stenting, and aortic valve replacement.

Main Results:

  • Successful surgical correction of bilateral coronary ostial stenosis and aortic insufficiency.
  • The patient received a mechanical aortic valve and underwent coronary artery bypass grafting.

Conclusions:

  • Complex cardiovascular syphilis can be effectively treated with surgical intervention.
  • Aggressive surgical management is crucial for patients with syphilitic aortitis impacting coronary ostia and aortic function.

Keywords:
Syphilitic aortitisaortic regurgitationcardiovascular syphiliscoronary artery bypass graftingcoronary ostial stenosismechanical aortic valveopen-heart surgerystent placement

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