Key result
Cardiovascular syphilis involves coronary ostial lesions in up to ~26% of patients, with rare nonostial aneurysms.
Why the study?
Nonostial coronary stenosis and coronary aneurysms occurring together in the same patient with cardiovascular syphilis are rarely described.
Highlights a rare presentation of cardiovascular syphilis involving both nonostial coronary stenosis and coronary aneurysms in the same patient.
Consider cardiovascular syphilis with concurrent nonostial stenosis and aneurysms; extends known manifestations but leaves open true prevalence.
Cardiovascular manifestations of tertiary syphilis include aortitis, aortic root dilation, aneurysm formation, aortic regurgitation, and coronary ostial stenosis. Coronary ostial lesions have been detected in as many as 26% of patients with syphilitic aortitis. However nonostial coronary stenosis and coronary aneurysms in same patient is rarely described in cardiovascular syphilis.
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Tewari et al. (2014) studied this question. Cardiovascular syphilis involves coronary ostial lesions in up to 26% of patients, but concurrent nonostial coronary stenosis and coronary aneurysms are rarely described.
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