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CC BY 4.0 · Aorta (Stamford) 2020; 08(03): 080-082
DOI: 10.1055/s-0040-1714057
Case Report

Repair of a Syphilitic Aneurysm of the Noncoronary Sinus

Danielle J. Kinsey 
1   Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Christopher Zambrano
1   Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Alejandro Suarez-Pierre 
1   Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Aruna Kumar
2   Department of Pathology, Suburban Hospital, Johns Hopkins Medicine, Bethesda, Maryland
,
Elena Isenbergh
3   Department of Infectious Disease, Suburban Hospital, Johns Hopkins Medicine, Bethesda, Maryland
,
Jennifer S. Lawton 
1   Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Michael P. Siegenthaler 
4   Division of Cardiac Surgery, Suburban Hospital, Johns Hopkins Medicine, Bethesda, Maryland
› Author Affiliations Funding None.
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Abstract

About one-tenth of patients with untreated chronic syphilis and tertiary syphilis develop structural complications involving the coronary ostia, ascending aorta, or aortic root. We describe a unique case of a large aortic root aneurysm of the noncoronary sinus with extrinsic compression of the right coronary artery, a complication of tertiary syphilis. Surgical intervention involved valve-sparing aortic root reconstruction with right coronary ostia reimplantation (hemi-Yacoub). The patient's postoperative course was uneventful; he is healthy approximately 2 years later.

Keywords

aortic root aneurysm - syphilis - sinus of the Valsalva - aortitis


Publication History

Received: 17 December 2018

Accepted: 24 May 2020

Article published online:
05 November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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