Open AccessSyphilitic aortic aneurysm in a young hepatitis B-infected man: Case presentation
Author(s) -
Yeşim Hoşcan
Publication year - 2015
Publication title -
international journal of the cardiovascular academy
Language(s) - English
Resource type - Journals
eISSN - 2405-819X
pISSN - 2405-8181
DOI - 10.1016/j.ijcac.2015.07.014
Subject(s) - medicine , presentation (obstetrics) , syphilis , aortic aneurysm , hepatitis b , virology , aneurysm , abdominal aortic aneurysm , radiology , human immunodeficiency virus (hiv)
yphilitic aortit is a common manifestation of syphilis, involving the thoracic aorta, where destruction of elastic tissue in the media results in dilation and aneurysm formation. We report and identified a case of a 38-year old patient who presents a large ascending aorta aneurysm. He continues to carry the hepatitis B virus. The CT angiogram confirmed the presence of a giant fusiform ascending aortic aneurysm measuring 86mm of maximum diameter extending nearly to the origin of the brachiocephalic artery with normal diameter across the descending thoracic and abdominal aorta and no flow-limiting obstruction or significant atherosclerotic disease of the supra-aortic arteries. The definitive treatment of aortic aneurysm is surgical repair. Surgery and specific antibiotic treatment do not exclude future manifestations of the disease, even after erradication of the T. pallidum, which makes permanent follow-up needed