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Early sternal erosion and luetic aneurysms of thoracic aorta: report of 6 cases and analysis of cause–effect relationship
Author(s) -
Narendra Kuber Bodhey,
Arun Kumar Gupta,
Kurur Sankaran Neelakandhan,
Madathipat Unnikrishnan
Publication year - 2005
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2005.05.028
Subject(s) - ascending aorta , medicine , aneurysm , anatomy , sternum , presentation (obstetrics) , aortic arch , aorta , clavicle , thoracic aorta , radiology , surgery
Six patients with luetic aneurysm of the ascending aorta eroding the sternum are presented. The erosion was an early and principal presentation and the site of erosion and location and morphology of aneurysm were identical in all six patients. The erosion mainly affected the right half of the manubrium and medial end of right clavicle. The aneurysms arose from the junction of the ascending and transverse arches of the thoracic aorta and had narrow opening close to the origin of the innominate artery. The identical presentation, aetiology, angiographic location and morphology, corroborated further at surgery, suggests that syphilitic aneurysms in this location have a strong tendency to cause early sternal erosion.

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