Next Article in Journal
Mechanical function of left atrium and pulmonary vein sleeves before and after their antrum isolation
Previous Article in Journal
Scaffold design for artificial tissue with bone marrow stem cells
Article Menu

Export Article

Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle
Medicina 2017, 53(3), 211-216; https://doi.org/10.1016/j.medici.2017.06.001 (registering DOI)

Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction

1
Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
2
Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
3
Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
4
Department of Cardiac, Thoracic and Vascular Surgery, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
*
Author to whom correspondence should be addressed.
Received: 29 December 2016 / Revised: 12 April 2017 / Accepted: 8 June 2017 / Published: 20 June 2017
Full-Text   |   PDF [1227 KB, uploaded 26 February 2018]   |  

Abstract

Cardiovascular abnormalities are well-known manifestations of a late form of syphilis – tertiary syphilis. Since the era of antibiotics, the incidence of late manifestations of syphilis has declined almost to a rare entity. The injury of aorta (the aortitis with a dilatation of aortic root and its associated complications) is the most common between all the cardiovascular lesions. A less common manifestation of syphilitic aortitis is coronary artery ostial narrowing related to aortic wall thickening. We present the case of a 37-year-old male who was treated for an acute myocardial infarction due to bilateral coronary artery ostial stenosis secondary to syphilitic aortitis. According to the multidisciplinary decision, surgical revascularization (coronary artery bypass grafting, CABG) was performed. According to dermatologist recom- mendation, patient postoperative cardiovascular treatment was supplemented with intra- muscular doses of benzathine penicillin recommended for tertiary syphilis. Further follow-up visits were also planned to detect possible changes of the aortic wall, dynamics of aortic regurgitation or potential anastomotic restenosis due to progression of aortitis. View Full-Text
Keywords: Syphilitic aortitis; Tertiary syphilis; Acute myocardial infarction; Coronary ostial stenosis Syphilitic aortitis; Tertiary syphilis; Acute myocardial infarction; Coronary ostial stenosis
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License (CC BY-NC-ND) (CC BY-NC-ND).

Share & Cite This Article

MDPI and ACS Style

Žvirblytė, R.; Ereminienė, E.; Montvilaitė, A.; Jankauskas, A.; Ivanauskas, V. Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction. Medicina 2017, 53, 211-216.

Show more citation formats Show less citations formats

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Medicina EISSN 1010-660X Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top