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1.
Rev. bras. cir. cardiovasc ; 25(3): 415-418, jul.-set. 2010. ilus
Article in Portuguese | LILACS | ID: lil-565011

ABSTRACT

A aortite é uma das muitas possibilidades de lesão produzida pela sífilis terciária. Dentro das lesões cardiovasculares, o acometimento da aorta é o mais comum. Apresentamos o caso de um paciente de 48 anos, diagnosticado com aortite sifilítica, sendo realizada cirurgia para substituição de raiz da aorta e valva aórtica. A hipótese diagnóstica foi devido ao aspecto do dano arterial in situ. Apesar da raridade da doença atualmente, ainda é uma possibilidade.


Aortitis is one of the many possibilities of lesion caused by tertiary syphilis. Between all the cardiovascular lesions, the aorta's injury is the most common. We report a case of a 48-year-old patient diagnosed with syphilitic aortitis who had undergone surgery for the replacement of the aortic root and aortic valve. The diagnosis hypothesis was pondered because of the in situ aspect of the arterial damage. Although the rarity of the disease, it persists.


Subject(s)
Humans , Male , Middle Aged , Aortic Valve Insufficiency/diagnosis , Syphilis, Cardiovascular/diagnosis , Aortography , Aortic Valve Insufficiency/etiology , Aortic Valve Insufficiency/surgery , Syphilis, Cardiovascular/complications , Syphilis, Cardiovascular/surgery , Treatment Outcome
2.
Arq. bras. cardiol ; 74(2): 153-8, Jan. 2000. ilus
Article in Portuguese, English | LILACS | ID: lil-262349

ABSTRACT

A patient with tertiary syphilis presenting with bilateral coronary ostial lesions and aortic regurgitation underwent surgical reconstruction of the coronary ostia by the anterior approach with autogenous saphenous vein grafting and substitution of the aortic valve with a bovine bioprosthesis. The procedure was easily performed and had good outcomes both early and late. The rarity of the association of a lesion in both coronary ostia with aortic regurgitation in syphilis and the surgical technique employed are discussed.


Subject(s)
Humans , Middle Aged , Male , Animals , Cattle , Aortic Valve/surgery , Coronary Disease/surgery , Saphenous Vein/transplantation , Syphilis, Cardiovascular/surgery , Bioprosthesis , Cardiovascular Surgical Procedures/methods , Coronary Disease/etiology , Syphilis, Cardiovascular/complications
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