Bilateral coronary ostial stenosis secondary to syphilitic aortitis

Zhaoping Cheng; Shihua Zhao; Wanli Bi; Ximing Wang

doi:10.1016/j.jcct.2014.06.007

Bilateral coronary ostial stenosis secondary to syphilitic aortitis

J Cardiovasc Comput Tomogr. 2014 Jul-Aug;8(4):331-3. doi: 10.1016/j.jcct.2014.06.007. Epub 2014 Jun 19.

Authors

Zhaoping Cheng¹, Shihua Zhao², Wanli Bi³, Ximing Wang⁴

Affiliations

¹ Department of Radiology, Shandong Medical Imaging Research Institute, Shandong University, Jingwu Road No 324, Jinan 250021, China.
² Department of Radiology, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
³ Department of Radiology, Shandong Medical Imaging Research Institute, Shandong University, Jingwu Road No 324, Jinan 250021, China. Electronic address: bisdyxs@163.com.
⁴ Department of Radiology, Shandong Medical Imaging Research Institute, Shandong University, Jingwu Road No 324, Jinan 250021, China. Electronic address: wxming369@sina.com.

PMID: 25151925
DOI: 10.1016/j.jcct.2014.06.007

Abstract

Cardiovascular syphilis is associated with the tertiary stage of syphilis infection; it involves the ascending aorta and can cause aortic aneurysm, aortic regurgitation, and coronary ostial stenosis. We report here a case in which bilateral coronary ostial stenosis and aortic regurgitation due to syphilitic aortitis was diagnosed; coronary artery bypass graft was then performed.

Keywords: Aortic regurgitation; Coronary ostial stenosis; Dual-source CT angiography; Syphilitic aortitis.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Anti-Bacterial Agents / therapeutic use
Aortic Valve Insufficiency / microbiology
Coronary Artery Bypass
Coronary Stenosis / diagnosis
Coronary Stenosis / microbiology*
Coronary Stenosis / surgery
Echocardiography, Doppler, Color
Humans
Male
Penicillins / therapeutic use
Syphilis, Cardiovascular / complications
Syphilis, Cardiovascular / diagnosis
Syphilis, Cardiovascular / drug therapy
Syphilis, Cardiovascular / microbiology*
Tomography, X-Ray Computed
Treatment Outcome

Substances

Anti-Bacterial Agents
Penicillins