Most syphilitic aneurysms involve the ascending aorta. Those involving the descending aorta are less common, and those involving the abdominal aorta are unusual. Rarer yet, we present the case of a 40-year-old man with HIV and a history of syphilis with a thoracoabdominal aneurysm. The patient underwent antiretroviral therapy before elective open repair. His postoperative course was uneventful, and he was discharged home. Pathology demonstrated medial necrosis. Postoperatively, he was seen well in our multidisciplinary aorta center clinic. Today's vascular surgeons should be cognizant of cardiovascular syphilis. Successful care requires awareness of atypical presentations in addition to multispecialty care.
Keyphrases
- pulmonary artery
- antiretroviral therapy
- human immunodeficiency virus
- coronary artery
- aortic valve
- quality improvement
- hiv positive
- hiv infected
- healthcare
- men who have sex with men
- hiv aids
- palliative care
- hiv infected patients
- patients undergoing
- hiv testing
- aortic dissection
- minimally invasive
- pulmonary hypertension
- hepatitis c virus
- pulmonary arterial hypertension
- primary care
- pain management
- aortic aneurysm
- case report
- abdominal aortic aneurysm
- chronic pain
- health insurance