Aneurisma luético de arco aórtico roto, complicado pela oclusão de vasos braquiocefálicos e acidente vascular encefálico isquêmico: relato de caso tratado cirurgicamente

Abstract

Corso R B, Kraychete N, Nardeli S, Moitinho R, Ourives C, Barbosa P J, Pereira RBCCV R E -Aneurisma luético de arco aórtico roto, complicado pela oclusão de vasos braquiocefálicos e acidente vascular encefálico isquêmico: relato de caso tratado cirurgicamente. Rev Bras Cir Cardiovasc 2002; 17(2): 63-69.

Aortite sifilítica: diagnóstico e tratamento. Relato de caso

“…Tertiary syphilis, now rare due to effective antibiotic treatment already in use for several years, is responsible for cardiovascular syphilitic lesions [2,3]. Among the lesions, the most common is the syphilitic aortitis.…”

“…Among the lesions, the most common is the syphilitic aortitis. In untreated syphilis, aortitis may manifest after 10 to 40 years after the initial sexual contact [2,3]. The ascending aorta is affected in 50% of the cases, followed, in descending order, the aortic arch, the descending aorta and abdominal aorta, with possible impairment of coronary ostia and aortic valve [2,4].…”

“…This is one of the main reasons for the tropism of spirochetes in relation to the ascending aorta, since it is rich in lymphatics [2,4].…”

“…Consequently, the elastic tissue of the vessel is destroyed and replaced by scar tissue. The inflammatory process may continue for a long time and can be found until 25 years after initial infection [2,5].…”

“…However, the most common clinical symptom is chest pain secondary to rapid expansion of the luetic aneurysm [2]. Cardiac catheterization showed normal coronary circulation, increased left ventricular end systolic volume due to diffuse hypokinesia +++/++++.…”