Abstract

FIGUEROA AGUDELO, Fabio Nelson et al. Syphilitic aortitis: Old and forgotten. Report of a case. Rev. Colomb. Cardiol. [online]. 2018, vol.25, n.3, pp.236-236. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2017.07.006.

The case is presented of a 69-year-old male patient with a history of arterial hypertension, smoking, stroke, atrial fibrillation, aortic regurgitation, and ischaemic heart disease, who was admitted to a tertiary hospital due to functional class deterioration, lower limb oedema, and episodes of palpitations. A normal ejection fraction, with severe aortic regurgitation and ascending aortic dilation with surgical criteria, was found on echocardiography. Within pre-surgical studies, the VDRL had high titres and confirmation of the diagnosis of syphilis with TP-PA. Aortic valve replacement was performed using a biological prosthesis and Dacron graft in the ascending aorta. The histopathology study of the surgical material confirmed syphilitic aortitis. A review is presented on the current status of this rare pathology.

Keywords : Cardiovascular syphilis; Aortitis; Aortic aneurysms.

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