Surgical treatment of syphilitic coronary ostial stenosis with aortic regurgitation.

Syphilitic aortitis leads to involvement of the coronary ostia, aortic annulus and valve leaflets. Aortic valve replacement (AVR) with restoration of coronary blood flow is an essential therapeutic objective. Three different approaches were used for the treatment of syphilitic aortic regurgitation with coronary ostial stenosis; Case 1. AVR and endarterectomy, Case 2. AVR and aorto-coronary saphenous vein bypass graft and Case 3. AVR and endarterectomy using Fogarty catheter and Scanlan Aorta Punch. Special emphasis was given to the technique used in Case 3 as a therapeutic adjunct in the treatment of syphilitic coronary ostial stenosis.