Secondarily infected syphilitic aortic arch aneurysm in a patient on chronic renal dialysis with fatal haemoptysis

Bosch, F. J.; Steyn, D.; Rensburg, B W Jansen van; Swart, Philip; Goedhals, Jacqueline; Struwig, Magdalena C.

doi:10.1080/10158782.2010.11441398

Southern African Journal of Epidemiology and Infection

2010

DOI: 10.1080/10158782.2010.11441398

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Secondarily infected syphilitic aortic arch aneurysm in a patient on chronic renal dialysis with fatal haemoptysis

F. J. Bosch

D. Steyn

B W Jansen van Rensburg

et al.

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Cited by 2 publications

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Syphilitic aortic aneurysm

Yuan

2018

Z Rheumatol

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The aim of this study was to outline the clinical features of syphilitic aortic aneurysm. The study materials were based on a comprehensive literature review of publications on syphilitic aortic aneurysm published between 2000 and 2017. Syphilitic aortic aneurysm occurred most commonly in the ascending aorta in either a saccular or a fusiform shape. Syphilitic aortic aneurysm was often complicated by aortic valve insufficiency (in almost half of the patients), and by a coronary artery/ostium lesion in 16.5% of the patients. Aortic valve operation was necessary in one fourth, and coronary artery surgery accounted for less than one fifth of patients warranting a surgical treatment. Although there was no difference in the survival rates between the surgically and conservatively treated patients, an aggressive treatment should be performed when diagnosis is made due to the potential risks of aneurysm rupture and sudden death.

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Syphilitic aortic aneurysm

Yuan

2018

Z Rheumatol

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Mycotic Thoracic Aortic Aneurysm: Epidemiology, Pathophysiology, Diagnosis, and Management

Raavi¹,

Garg²,

Hussain³

et al. 2022

Cureus

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Mycotic thoracic aortic aneurysm (MTAA) is an aneurysm of the aorta caused by infection of the vessel tissue through microbial inoculation of the diseased aortic endothelium. It is most commonly caused by bacteria. Rarely, it can be caused by fungi. However, viral aortic aneurysm has never been reported. Depending on the area and time period investigated, the infections organism discovered may vary significantly. Little is known about the natural history of MTAA due to its rarity. It is not known if they follow the same pattern as other TAAs. However, it is unclear whether MTAA follows a similar clinical course. The combination of clinical presentation, laboratory results, and radiographic results are used to make the diagnosis of MTAA. Treatment of MTAA is complex since patients frequently present at a late stage, frequently with fulminant sepsis, as well as concomitant complications such as aneurysm rupture. While medical treatment, including antibiotics, is recommended, surgery is still the mainstay of management. Surgery to treat MTAA is complicated and carries a high risk of morbidity and mortality and includes both open repairs and endovascular ones. In this review, we explore the etiology, pathogenesis, clinical presentations, diagnostic modalities as well as treatment management available for MTAA.

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Secondarily infected syphilitic aortic arch aneurysm in a patient on chronic renal dialysis with fatal haemoptysis

Cited by 2 publications

References 9 publications

Syphilitic aortic aneurysm

Syphilitic aortic aneurysm

Mycotic Thoracic Aortic Aneurysm: Epidemiology, Pathophysiology, Diagnosis, and Management

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