Surgery for Ascending Aortic Aneurysm and Aortic Valve Insufficiency in Conditions of Active Proceeding Syphilitic Aortitis and Valvulitis.

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-03-25 DOI:10.5761/atcs.cr.22-00236
Michael Malyshev, Alexander Safuanov, Anton Malyshev, Andrey Rostovykh, Dmitry Sinyukov, Natalie Rostovykh, Vladlena Trushina
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Abstract

A syphilitic aortitis is a late cardiovascular lesion of tertiary syphilis that has become exceptionally rare in the antibiotic era but not eradicated completely. Syphilitic aortitis of ascending aorta complicates in ascending aortic aneurysm formation and aortic valve regurgitation, both requiring surgical treatment. After surgery, lifelong surveillance of the remainder of the aorta is recommended because of a priori supposed high incidence of delayed involvement of noninvolved aortic segments. A 3-year follow-up result of surgery of syphilitic ascending aortic aneurysm with aortic valve regurgitation in condition of active ongoing syphilitic aortitis and valvulitis is described with addressing the dimensions of remaining aortic segments. This case demonstrates that the dilatation of the remainder of the aorta does not occur during 3 years, at least when anti-syphilitic course of antibiotic is used just after operation without additional treatment during the follow-up period. A few reports on surgical treatment of syphilitic aneurysms of the ascending aorta are discussed.

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主动脉瘤和主动脉瓣关闭不全的手术治疗梅毒性主动脉炎和瓣膜炎。
梅毒性主动脉炎是三期梅毒的晚期心血管病变,在抗生素时代已变得异常罕见,但并未完全根除。梅毒性升主动脉大动脉炎并发升主动脉瘤形成和主动脉瓣反流,都需要手术治疗。手术后,建议对主动脉的其余部分进行终生监测,因为事先假定未受累的主动脉节段延迟受累的发生率很高。本病例描述了梅毒性升主动脉瘤伴主动脉瓣反流手术的 3 年随访结果,当时梅毒性主动脉炎和瓣膜炎仍在持续。该病例表明,至少在术后使用抗梅毒抗生素而未在随访期间进行额外治疗的情况下,主动脉剩余部分在 3 年内不会发生扩张。本文讨论了一些关于升主动脉梅毒性动脉瘤手术治疗的报告。
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来源期刊
Annals of Thoracic and Cardiovascular Surgery
Annals of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.80
自引率
0.00%
发文量
56
审稿时长
4-8 weeks
期刊介绍: Information not localized
期刊最新文献
Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports. Surgery for Ascending Aortic Aneurysm and Aortic Valve Insufficiency in Conditions of Active Proceeding Syphilitic Aortitis and Valvulitis. Impact of Graft Velocity on Saphenous Vein Graft Atherosclerosis after Coronary Artery Bypass Grafting. Surgery for Secondary Spontaneous Pneumothorax with Chronic Lung Diseases. Impact of Impella Support on Clinical Outcomes in Patients with Postcardiotomy Cardiogenic Shock.
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