Left Ventricular Giant Aneurysm Caused by Congenital Syphilis Causing Severe Outflow Tract Obstruction

被引：0
|
作者：
Agwar, Fekede Debel
Gemechu, Tufa W.
Tadesse, Kefelegn Dejene
Degu, Wondwossen Amogne
机构：
[1] Cardiac Ctr Ethiopia, Dept Cardiac Surg, Addis Ababa, Ethiopia
[2] Addis Ababa Univ, Coll Hlth Sci, Dept Pathol, Addis Ababa, Ethiopia
[3] Cardiac Ctr Ethiopia, Dept Cardiol, Addis Ababa, Ethiopia
[4] Addis Ababa Univ, Coll Hlth Sci, Dept Internal Med, Addis Ababa, Ethiopia
来源：
ANNALS OF THORACIC SURGERY | 2023年 / 115卷 / 01期
关键词：
SINUS;
D O I：
10.1016/j.athoracsur.2022.02.041
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We present the exceedingly rare case of an 18-year-old boy with recurrent syncope attacks and dyspnea at rest for 3 weeks. Transthoracic echocardiography showed a giant aneurysm dilatation occupying the left ventricular outflow tract. The intraoperative finding was a giant thick-walled unruptured aneurysm of the sinus of Valsalva from the right coronary cusp. The roof of the aneurysm was excised and the defect was repaired, sparing the aortic valve. Histopathology analysis from the roof of the wall of the aneurysm revealed features of endarteritis obliterans of the vasa vasora in keeping with syphilitic infection with aneurysmal dilation. A rapid plasma reagin test was reactive. © 2023 The Society of Thoracic Surgeons
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页码：E1 / E3
页数：3
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