Document Detail

Full blown cardiovascular syphilis with aneurysm of the innominate artery.
MedLine Citation:
PMID:  19932798     Owner:  NLM     Status:  MEDLINE    
The investigators report the case of a 44-year-old man who presented acutely and was found to have saccular aneurysm of the innominate artery, narrowed or totally occluded aortic arch arteries, and marked thickening of the thoracic aorta except for the wall behind the sinuses of Valsalva. The abdominal aorta was entirely normal. Results of the serologic test for syphilis were strongly positive. Because cardiovascular syphilis appears to be a disease that affects the vasa vasora and because these channels are limited to the thoracic aorta, the abdominal aorta is uninvolved, as demonstrated so nicely in the patient described in this case report. Because most patients with cardiovascular syphilis are much older than the patient described, it is unusual to see a perfectly normal abdominal aorta, as in the present patient. In conclusion, syphilis producing aneurysm of the innominate artery is unusual but is always associated with syphilitic involvement of the thoracic aorta.
William Clifford Roberts; Forrester Dubus Lensing; Harry Kourlis; Jong Mi Ko; Jonathan Warren Newberry; Michael John Smerud; Elizabeth C Burton; Robert Frederick Hebeler
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-09-16
Journal Detail:
Title:  The American journal of cardiology     Volume:  104     ISSN:  1879-1913     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1595-600     Citation Subset:  AIM; IM    
Department of Internal Medicine, Division of Cardiology, Baylor University Medical Center, Dallas, Texas, USA.
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MeSH Terms
Aneurysm, Dissecting / diagnosis,  microbiology*,  surgery
Brachiocephalic Trunk* / microbiology
Fatal Outcome
Syphilis Serodiagnosis
Syphilis, Cardiovascular / complications*,  diagnosis,  surgery
Vascular Surgical Procedures*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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