Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction
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 a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2017-01-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1010660X17300447 |
| _version_ | 1797720536367759360 |
|---|---|
| author | Rūta Žvirblytė Eglė Ereminienė Aistė Montvilaitė Antanas Jankauskas Vytenis Ivanauskas |
| author_facet | Rūta Žvirblytė Eglė Ereminienė Aistė Montvilaitė Antanas Jankauskas Vytenis Ivanauskas |
| author_sort | Rūta Žvirblytė |
| collection | DOAJ |
| description | 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 recommendation, patient postoperative cardiovascular treatment was supplemented with intramuscular 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. |
| first_indexed | 2024-03-12T09:20:58Z |
| format | Article |
| id | doaj.art-1cdc7788456845728dd626fb617c53cf |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T09:20:58Z |
| publishDate | 2017-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-1cdc7788456845728dd626fb617c53cf2023-09-02T14:28:33ZengMDPI AGMedicina1010-660X2017-01-0153321121610.1016/j.medici.2017.06.001Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarctionRūta Žvirblytė0Eglė Ereminienė1Aistė Montvilaitė2Antanas Jankauskas3Vytenis Ivanauskas4Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaDepartment of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaFaculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaDepartment of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaDepartment of Cardiac, Thoracic and Vascular Surgery, Medical Academy, Lithuanian University of Health Sciences, Kaunas, LithuaniaCardiovascular 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 recommendation, patient postoperative cardiovascular treatment was supplemented with intramuscular 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.http://www.sciencedirect.com/science/article/pii/S1010660X17300447Syphilitic aortitisTertiary syphilisAcute myocardial infarctionCoronary ostial stenosis |
| spellingShingle | Rūta Žvirblytė Eglė Ereminienė Aistė Montvilaitė Antanas Jankauskas Vytenis Ivanauskas Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction Medicina Syphilitic aortitis Tertiary syphilis Acute myocardial infarction Coronary ostial stenosis |
| title | Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction |
| title_full | Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction |
| title_fullStr | Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction |
| title_full_unstemmed | Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction |
| title_short | Syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction |
| title_sort | syphilitic coronary artery ostial stenosis resulting in acute myocardial infarction |
| topic | Syphilitic aortitis Tertiary syphilis Acute myocardial infarction Coronary ostial stenosis |
| url | http://www.sciencedirect.com/science/article/pii/S1010660X17300447 |
| work_keys_str_mv | AT rutazvirblyte syphiliticcoronaryarteryostialstenosisresultinginacutemyocardialinfarction AT egleereminiene syphiliticcoronaryarteryostialstenosisresultinginacutemyocardialinfarction AT aistemontvilaite syphiliticcoronaryarteryostialstenosisresultinginacutemyocardialinfarction AT antanasjankauskas syphiliticcoronaryarteryostialstenosisresultinginacutemyocardialinfarction AT vytenisivanauskas syphiliticcoronaryarteryostialstenosisresultinginacutemyocardialinfarction |