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 Case Reports |
| A Case of Syphilitic Aortitis with Aortic Insufficiency and Aortic Aneurysm |
| Hee Gon Song, M.D., Seung Whan Lee, M.D., Jun Hee Woo, M.D.,
Jae Myung Kang, M.D.,Yang Soo Kim, M.D., Ji So Ryu, M.D.,
Myeong Kun Song, M.D.*, Kwang SunMin, M.D.† and Sang Sik Chung, M.D.? |
| Department of Internal Medicine, Department of Chest Surgery*, Department of Diagnostic Pathology†,
Asan Medical Center, University of Ulsan College of Medicine, Seoul,
Department of Internal Medicine?, Kangnung Hospital, Kangnung, Korea |
Vol.32 Num.5 (p402~405)
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Syphilitic aortitis, passing out of our mind, is the most common systemic manifestation of late syphilis and is more typically manifestated 10 to 30 years afterward. This diagnosis has been made less frequently in recent decades than in the past, because of public awareness of syphilis and screening program. Treponema pallidum lodge within vasa vasorum, especially ascending aorta cause the histologic changes, which are responsible for the three major forms of symptomatic cardiovascular syphilis, including aortic insufficiency, coronary ostial stenosis, and aortic aneurysm.
We experienced a case of syphilitic aortitis with aortic insufficiency and aortic aneurysm in a 48-year- old man presented with progressive dyspnea. Echocardiography, chest CT, and later surgical correction were performed and surgical specimen revealed the histologic finding consistent with syphilitic aortitis. We report this case with a review of the literature. |
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Keywords : Syphilis, Aortitis, Aortic insufficiency |
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