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Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test

Syphilitic aortitis is usually associated with thoracic aortic saccular aneurysm, aortic regurgitation and coronary ostial stenosis. However, syphilitic aneurysms have rarely been reported today. Here, we report a patient with ascending aortic aneurysm with aorta-superior vena cava (SVC) fistula wit...

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Autores principales: Sekine, Yuji, Yamamoto, Shin, Fujikawa, Takuya, Oshima, Susumu, Ono, Makoto, Sasaguri, Shiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594086/
https://www.ncbi.nlm.nih.gov/pubmed/24000069
http://dx.doi.org/10.1007/s11748-013-0317-2
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author Sekine, Yuji
Yamamoto, Shin
Fujikawa, Takuya
Oshima, Susumu
Ono, Makoto
Sasaguri, Shiro
author_facet Sekine, Yuji
Yamamoto, Shin
Fujikawa, Takuya
Oshima, Susumu
Ono, Makoto
Sasaguri, Shiro
author_sort Sekine, Yuji
collection PubMed
description Syphilitic aortitis is usually associated with thoracic aortic saccular aneurysm, aortic regurgitation and coronary ostial stenosis. However, syphilitic aneurysms have rarely been reported today. Here, we report a patient with ascending aortic aneurysm with aorta-superior vena cava (SVC) fistula with positive syphilitic test. A 52-year-old man was admitted to our institution with a giant ascending aortic aneurysm complicated with SVC syndrome. Computed tomography revealed a giant ascending aneurysm 79 mm in diameter. The result of serodiagnostic tests for syphilis had not been judged yet preoperatively. Total arch replacement concomitant with elephant trunk was performed. Intraoperatively, we detected the ascending aorta to SVC fistula. Postoperatively, we suspected the syphilitic aneurysm strongly, because preoperative serodiagnostic test was concluded to be positive. However, histological examination did not show typical syphilitic features. The patient remains asymptomatic 1 year later. Although extremely rarely today, syphilitic aneurysm should be still considered in the differential diagnosis of ascending aortic aneurysm.
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spelling pubmed-45940862015-10-09 Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test Sekine, Yuji Yamamoto, Shin Fujikawa, Takuya Oshima, Susumu Ono, Makoto Sasaguri, Shiro Gen Thorac Cardiovasc Surg Case Report Syphilitic aortitis is usually associated with thoracic aortic saccular aneurysm, aortic regurgitation and coronary ostial stenosis. However, syphilitic aneurysms have rarely been reported today. Here, we report a patient with ascending aortic aneurysm with aorta-superior vena cava (SVC) fistula with positive syphilitic test. A 52-year-old man was admitted to our institution with a giant ascending aortic aneurysm complicated with SVC syndrome. Computed tomography revealed a giant ascending aneurysm 79 mm in diameter. The result of serodiagnostic tests for syphilis had not been judged yet preoperatively. Total arch replacement concomitant with elephant trunk was performed. Intraoperatively, we detected the ascending aorta to SVC fistula. Postoperatively, we suspected the syphilitic aneurysm strongly, because preoperative serodiagnostic test was concluded to be positive. However, histological examination did not show typical syphilitic features. The patient remains asymptomatic 1 year later. Although extremely rarely today, syphilitic aneurysm should be still considered in the differential diagnosis of ascending aortic aneurysm. Springer Japan 2013-09-03 2015 /pmc/articles/PMC4594086/ /pubmed/24000069 http://dx.doi.org/10.1007/s11748-013-0317-2 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Case Report
Sekine, Yuji
Yamamoto, Shin
Fujikawa, Takuya
Oshima, Susumu
Ono, Makoto
Sasaguri, Shiro
Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test
title Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test
title_full Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test
title_fullStr Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test
title_full_unstemmed Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test
title_short Surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test
title_sort surgical repair for giant ascending aortic aneurysm to superior vena cava fistula with positive syphilitic test
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594086/
https://www.ncbi.nlm.nih.gov/pubmed/24000069
http://dx.doi.org/10.1007/s11748-013-0317-2
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