Successful open repair of syphilitic thoracoabdominal aneurysm

Franklin G. Farid MD, Justin M. Schaffer MD, Mazin I. Foteh MD
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Abstract

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.

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成功开腹修复梅毒性胸腹腔动脉瘤
大多数梅毒性动脉瘤涉及升主动脉。涉及降主动脉的动脉瘤较少见,而涉及腹主动脉的动脉瘤则不常见。更罕见的是,我们发现一名 40 岁的男性患者患有胸腹动脉瘤,他感染了艾滋病毒并有梅毒病史。患者在选择性开胸修补术前接受了抗逆转录病毒治疗。术后恢复顺利,患者已出院回家。病理结果显示动脉瘤内侧坏死。术后,他在我们多学科主动脉中心诊所的治疗效果良好。今天的血管外科医生应该了解心血管梅毒。成功的治疗除了需要多专科护理外,还需要对非典型表现有所了解。
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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
219
审稿时长
29 weeks
期刊介绍: Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
期刊最新文献
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