Share this page on LinkedIn
Share This Page on Google+
Share This Page on Twitter
tell someone about this page print this page
You are here: Contents > 2016 > Volume 25 Number 1 January 2016 > AORTIC VALVE DISEASE > Syphilitic Aortitis Presenting with Coronary Ostial Stenosis and Aortic Regurgitation

Syphilitic Aortitis Presenting with Coronary Ostial Stenosis and Aortic Regurgitation

Rayyan Jadeed2, Ruth Paarmann1, Wolfgang Harringer1, Aschraf El-Essawi1

Departments of 1Thoracic and Cardiovascular Surgery and 2Cardiology, Klinikum Braunschweig, Germany

Bilateral coronary ostial stenosis without additional coronary artery involvement is a rare presentation of syphilitic aortitis, with most cases being identified post-mortem. Herein is presented a case of bilateral coronary ostial stenosis and aortic valve insufficiency caused by syphilitic aortitis without aneurysmal dilatation of the aorta. The patient underwent aortic root replacement and coronary artery bypass grafting.

The intraoperative macroscopic findings raised the suspicion of an aortitis that was later confirmed to syphilitic aortitis on histological examination. It is of note that syphilis can be a cause of bilateral ostial stenosis in young adults with no predisposition to atherosclerosis, especially if combined with aortic insufficiency resulting from an isolated leaflet dysfunction.

The Journal of Heart Valve Disease 2016;25:18-20

Syphilitic Aortitis Presenting with Coronary Ostial Stenosis and Aortic Regurgitation

Click the above hyperlink to view the article, right click (Ctrl click on a Mac) to open in a new browser window or tab.

Purchase this Article

Please click the button below to purchase this article. Single article purchases are provided at $50.00 per article. Upon clicking the button below, single article user account subscription details are requested and, upon successful payment, a single article user account is created. Single articles are availble in your account for seven days after purchase.