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Syphilitic aortitis. A case report.

D F du Toit, M McCormich, L Laker

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde

|May 11, 1985

Summary

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Syphilitic aortitis can cause severe aortic occlusion without aneurysm. Surgical bypass effectively relieved symptoms of leg claudication and rest pain in this case.

Area of Science:

Cardiovascular Medicine
Infectious Diseases
Vascular Surgery

Background:

Syphilitic aortitis is a rare cardiovascular complication of untreated syphilis.
It typically affects the ascending aorta and aortic arch, often leading to aneurysmal dilatation.
Infrarenal aortic occlusion without aneurysm is an unusual presentation.

Observation:

A case of syphilitic aortitis presenting with total occlusion of the infrarenal aorta is described.
The patient experienced severe, incapacitating claudication of both legs and pain at rest.
No evidence of aneurysmal dilatation was noted in the aorta.

Findings:

An aortobifemoral bypass operation was performed, resulting in complete symptom relief.
Histological examination revealed atherosclerosis in the aorta.

Related Experiment Videos

Characteristic perivascular lymphocytic infiltration of the aortic vasa vasorum, indicative of syphilis, was observed.

Implications:

This case highlights an atypical presentation of syphilitic aortitis involving the infrarenal aorta.
It underscores the importance of considering syphilitic aortitis in the differential diagnosis of aortic occlusive disease.
Surgical intervention, such as aortobifemoral bypass, can be a successful treatment modality for symptomatic syphilitic aortitis.