Related Experiment Video
Updated: May 7, 2026
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
14.4K
Total arch replacement via single upper hemisternotomy approach for aortic aneurysm in syphilis: Case report
Lin Xia1, Zhonglu Yang, Yu Liu
1Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenhe District, Shenyang, China.
Medicine
|February 9, 2024
Summary
This case study highlights a successful surgical repair of syphilitic aortic aneurysm with associated left common carotid artery occlusion. The procedure involved aortic valve replacement and total arch replacement, demonstrating effective management of complex cardiovascular syphilis.
Area of Science:
- Cardiovascular Surgery
- Infectious Disease Cardiology
- Vascular Surgery
Background:
- Syphilitic aortic aneurysm, a rare cardiovascular syphilis manifestation, can lead to aortic regurgitation, coronary stenosis, and other vascular disorders.
- Associated conditions include stenosis or obstruction of the left common carotid artery, innominate artery, and celiac artery.
Observation:
- A case of syphilitic aortic aneurysm with left common carotid artery occlusion was successfully managed.
- Diagnosis was confirmed via ultrasound and intraoperative exploration.
Findings:
- The patient underwent aortic valve replacement, aneurysmectomy, and total arch replacement with frozen elephant trunk implantation.
- A single upper hemisternotomy approach facilitated faster recovery, reduced ventilation time, and minimized complications.
Implications:
- This approach offers advantages over full sternotomy, including quicker recovery and less pain.
- Effective surgical intervention is crucial for managing complex syphilitic aortic aneurysms and preventing catastrophic outcomes.
Related Concept Videos
01:30Aneurysm I: Introduction
650
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...
650
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
01:26Aneurysm III: Interprofessional Care
478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478