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梅毒性动脉炎呈现与De-Novo大动脉血栓和急性心肌梗塞

Richard S Mendez¹, Abdilahi Mohamoud², Omar Atef Abdelhamid Mahmoud³

¹Department of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.

JACC. Case reports

|October 31, 2025

概括

梅毒性主动脉炎,梅毒的并发症,可以呈现异常. 使用先进成像和手术干预的及时诊断对于管理这种重新出现的公共卫生问题至关重要.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
血管外科血管外科

背景情况:

梅毒性主脉炎是Treponema pallidum感染的后果,是三级或潜伏梅毒的已知的并发症.
梅毒发病率的增加需要提高对梅毒性主动脉炎的临床意识,特别是在不寻常的呈现时.

研究的目的:

要突出一种梅毒性大心炎的病例,呈现为急性下下ST段升高心肌梗塞.
强调多模式心血管成像在诊断梅毒性主动脉炎中的作用.
为了强调在治疗这种罕见疾病时可能需要进行外科手术的必要性.

主要方法:

一位患有急性下ST段升高心肌梗塞的患者的病例介绍.
通过心脏磁共振成像 (CMRI) 证实了诊断,显示出一个大,移动的大动脉血栓.
冠状动脉计算机断层扫描血管图 (CCTA) 证实了CMRI的发现.
多学科团队讨论导致紧急外科干预.

主要成果:

在患有非典型表现的梅毒性大动脉炎的患者中确定一个大,移动的大动脉血栓.
在多学科评估后成功进行手术干预.

结论:

由于梅毒病例的增加,临床医生必须保持对梅毒性主动脉炎的高度怀疑指数,即使是异常表现,也必须保持.
多模态心血管成像对于准确诊断梅毒性风炎至关重要.
治疗这种罕见但严重的疾病可能需要手术.
提高认识和确保及时干预对于应对这一公共卫生挑战至关重要.

关键词:

性传播疾病 (STD) 是一种性传播疾病.大动脉血栓是大动脉血栓.一个aortitis的炎症梅毒是什么梅毒是什么梅毒性大关节炎梅毒性大管炎

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