梅毒主动脉炎继发双侧冠状动脉开口狭窄。

Bilateral coronary ostial stenosis secondary to syphilitic aortitis.

作者信息

Cheng Zhaoping, Zhao Shihua, Bi Wanli, Wang Ximing

机构信息

Department of Radiology, Shandong Medical Imaging Research Institute, Shandong University, Jingwu Road No 324, Jinan 250021, China.

Department of Radiology, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

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

DOI:10.1016/j.jcct.2014.06.007

PMID:25151925

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.

摘要

心血管梅毒与梅毒感染的三期有关；它累及升主动脉，可导致主动脉瘤、主动脉瓣关闭不全和冠状动脉口狭窄。我们在此报告一例因梅毒性主动脉炎导致双侧冠状动脉口狭窄和主动脉瓣关闭不全的病例，并随后进行了冠状动脉搭桥手术。