Repair of a Syphilitic Aneurysm of the Noncoronary Sinus.
Danielle J KinseyChristopher ZambranoAlejandro Suarez-PierreAruna KumarElena IsenberghJennifer S LawtonMichael P SiegenthalerPublished in: Aorta (Stamford, Conn.) (2020)
About one-tenth of patients with untreated chronic syphilis and tertiary syphilis develop structural complications involving the coronary ostia, ascending aorta, or aortic root. We describe a unique case of a large aortic root aneurysm of the noncoronary sinus with extrinsic compression of the right coronary artery, a complication of tertiary syphilis. Surgical intervention involved valve-sparing aortic root reconstruction with right coronary ostia reimplantation (hemi-Yacoub). The patient's postoperative course was uneventful; he is healthy approximately 2 years later.
Keyphrases
- coronary artery
- pulmonary artery
- aortic valve
- men who have sex with men
- human immunodeficiency virus
- aortic dissection
- aortic stenosis
- transcatheter aortic valve replacement
- case report
- mitral valve
- hepatitis c virus
- risk factors
- pulmonary hypertension
- coronary artery disease
- left ventricular
- robot assisted
- atrial fibrillation
- hiv infected
- drug induced