Stiru Ovidiu, Geana Roxana Carmen, Valeanu Liana, Sorostinean Diana, Goicea Mihai, Stefan Mihai, Iovu Ion, Iliescu Vlad Anton
Department of Cardiovascular Surgery, Emergency Institute for Cardiovascular Diseases "Prof. Dr. C. C. Iliescu" Bucharest, Romania.
Heart Surg Forum. 2019 Sep 24;22(5):E401-E404. doi: 10.1532/hsf.2561.
Since the discovery of penicillin, the incidence of tertiary syphilis dramatically has decreased. However, cases of cardiovascular complications of syphilis still are present. Ascending aortic aneurysms are some of the most devastating complications. Nonetheless, syphilitic aortitis (SA) can appear and should be suspected in patients with syphilis and aortic aneurysm. We report a case of a 57-year-old patient with a large ascending aortic aneurysm with cartilage and rib erosion. The purpose of this article is to discuss the particular surgical aspects of this unusual case.
自青霉素被发现以来，三期梅毒的发病率显著下降。然而，梅毒的心血管并发症病例仍然存在。升主动脉瘤是最具破坏性的并发症之一。尽管如此，梅毒主动脉炎（SA）仍可能出现，梅毒患者合并主动脉瘤时应怀疑此病。我们报告一例57岁患者，患有巨大升主动脉瘤并伴有软骨和肋骨侵蚀。本文旨在讨论这一罕见病例的特殊手术方面。
