Impending aortic rupture in a patient with syphilitic aortitis

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Abstract

We report the case of a 48-year-old man, admitted for atrial fibrillation with rapid heart rate and intense chest pain. A quick evaluation revealed a giant aortic aneurysm with severe aortic regurgitation and pericardial fluid without a trace of aortic dissection. Because of high suspicion of aortic rupture, an emergency surgery was planned, and a Bentall procedure was performed. On examination of the aortic wall revealing vertical wrinkling with a tree bark aspect, suspicion of syphilitic aortitis arose. The diagnosis was confirmed through postoperative serologic testing and histological examination. Histopathologic differential diagnosis, special treatment and follow-up are presented.

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Cocora, M., Nechifor, D., Lazar, M. A., & Mornos, A. (2021). Impending aortic rupture in a patient with syphilitic aortitis. Vascular Health and Risk Management, 17, 255–258. https://doi.org/10.2147/VHRM.S289455

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