Key result
Autopsy of a 77-year-old hypertensive male who died suddenly revealed a dissecting syphilitic saccular aneurysm of the ascending aorta and arch with tamponade.
Case Report (n=1)
Highlights a rare case of acute dissection of a syphilitic saccular aneurysm of the ascending aorta and arch in a hypertensive patient.
Consider syphilitic aneurysm in sudden aortic death differentials; leaves open its modern incidence.
We report the case of a 77-year-old male who suffered from hypertension and died suddenly. At autopsy, he was found to have hypertensive cardiomegaly and a dissecting syphilitic saccular aneurysm of the ascending aorta and arch with tamponade. Chronic aortic regurgitation, which is often seen in syphilitic aortitis, produces an additive effect to the concentric left ventricular hypertrophy seen in hypertension.
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Daisley et al. (2024) conducted a case report in Syphilitic saccular aneurysm of the ascending aorta and arch (n=1). Autopsy of a 77-year-old hypertensive male who died suddenly revealed a dissecting syphilitic saccular aneurysm of the ascending aorta and arch with tamponade.
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