Farid Franklin G, Schaffer Justin M, Foteh Mazin I
Departments of Vascular and Endovascular and Cardiothoracic Surgery, Baylor Scott & White The Heart Hospital Plano, Plano, TX.
J Vasc Surg Cases Innov Tech. 2024 Jul 4;10(5):101567. doi: 10.1016/j.jvscit.2024.101567. eCollection 2024 Oct.
Most syphilitic aneurysms involve the ascending aorta. Those involving the descending aorta are less common, and those involving the abdominal aorta are unusual. Rarer yet, we present the case of a 40-year-old man with HIV and a history of syphilis with a thoracoabdominal aneurysm. The patient underwent antiretroviral therapy before elective open repair. His postoperative course was uneventful, and he was discharged home. Pathology demonstrated medial necrosis. Postoperatively, he was seen well in our multidisciplinary aorta center clinic. Today's vascular surgeons should be cognizant of cardiovascular syphilis. Successful care requires awareness of atypical presentations in addition to multispecialty care.
大多数梅毒性动脉瘤累及升主动脉。累及降主动脉的情况较少见，而累及腹主动脉的则不常见。更罕见的是，我们报告了一例40岁男性患者，他患有艾滋病病毒且有梅毒病史，出现了胸腹主动脉瘤。该患者在择期开放性修复术前接受了抗逆转录病毒治疗。他的术后病程平稳，随后出院回家。病理显示中层坏死。术后，他在我们的多学科主动脉中心门诊情况良好。当今的血管外科医生应认识到心血管梅毒。成功的治疗除了多专科护理外，还需要意识到非典型表现。
