| Full blown cardiovascular syphilis with aneurysm of the innominate artery. | |
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MedLine Citation:
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PMID: 19932798 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Case Reports; Journal Article Date: 2009-09-16 |
Journal Detail:
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Title: The American journal of cardiology Volume: 104 ISSN: 1879-1913 ISO Abbreviation: Am. J. Cardiol. Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-25 Completed Date: 2010-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 1595-600 Citation Subset: AIM; IM |
Affiliation:
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Department of Internal Medicine, Division of Cardiology, Baylor University Medical Center, Dallas, Texas, USA. wc.roberts@baylorhealth.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, Dissecting / diagnosis, microbiology*, surgery Brachiocephalic Trunk* / microbiology Fatal Outcome Humans Male 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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