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巨大梅毒性主动脉瘤：病例报告及文献复习。

Giant syphilitic aortic aneurysm: a case report and review of the literature.

机构信息

Division of Cardiovascular Medicine, Department of Internal Medicine, Brigham & Women's Hospital, Boston, MA, USA.

出版信息

Vasc Med. 2011 Oct;16(5):360-4. doi: 10.1177/1358863X11417614. Epub 2011 Aug 15.

DOI:10.1177/1358863X11417614
PMID:21844068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6506850/
Abstract

Thoracic aortic aneurysm formation is a known complication of late syphilis. Large aneurysms may cause symptoms via mass effect. When aneurysms compress the pulmonary artery, pulmonary arterial hypertension and right heart failure may result. We report the case of a 76-year-old man who presented with right heart failure secondary to an 11-cm syphilitic thoracic aortic aneurysm, and discuss the evolving epidemiology, complications, diagnosis and management of syphilitic aortitis.

摘要

胸主动脉瘤形成是晚期梅毒的已知并发症。大的动脉瘤可能通过占位效应引起症状。当动脉瘤压迫肺动脉时，可能导致肺动脉高压和右心衰竭。我们报告了一例 76 岁男性，因 11 厘米的梅毒性胸主动脉瘤导致右心衰竭，讨论了梅毒性主动脉炎的不断变化的流行病学、并发症、诊断和治疗。

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