Combined Cardiovascular Syphilis and Aortic Valve Stenosis (Due to a Congenitally Unicuspid Valve)

Madiha Makhdumi; William C Roberts

doi:10.1016/j.amjcard.2022.02.020

Combined Cardiovascular Syphilis and Aortic Valve Stenosis (Due to a Congenitally Unicuspid Valve)

Am J Cardiol. 2022 Jun 1:172:144-145. doi: 10.1016/j.amjcard.2022.02.020.

Authors

Madiha Makhdumi¹, William C Roberts²

Affiliations

¹ From the Baylor Heart and Vascular Institute.
² From the Baylor Heart and Vascular Institute; the Departments of Internal Medicine and Pathology, Baylor University Medical Center, Dallas, Texas. Electronic address: william.roberts1@bswhealth.org.

PMID: 35569880
DOI: 10.1016/j.amjcard.2022.02.020

Abstract

Described herein is a 53-year-old man who underwent resection of a fusiform aneurysm of the ascending aorta, and excision of a congenitally malformed stenotic unicuspid aortic valve. Examination of the wall of the aortic aneurysm disclosed classic features of syphilis. Although some degree of pure aortic regurgitation is common in patients with aortic syphilis, the presence of associated aortic valve stenosis, such as occurred in this patient, has been mentioned in only 4 previous publications, none of which included morphologic examination of the ascending aorta or aortic valve.

Publication types

Case Reports

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Insufficiency* / diagnosis
Aortic Valve Insufficiency* / etiology
Aortic Valve Insufficiency* / surgery
Aortic Valve Stenosis* / complications
Aortic Valve Stenosis* / diagnosis
Aortic Valve Stenosis* / surgery
Heart Valve Diseases*
Humans
Male
Middle Aged
Syphilis*
Syphilis, Cardiovascular* / complications
Syphilis, Cardiovascular* / diagnosis