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J Thorac Cardiovasc Surg 2007;133:1085-1086
© 2007 The American Association for Thoracic Surgery

Brief Communication

Intramural hematoma and thoracic aortic aneurysm with syphilis

Mitsuru Asano, MD*, Ohtake Hiroshi, MD, Yuji Hanafusa, MD, Hiroshi Kazuma, MD, Masahiro Tanji, MD

Department of Cardiovascular Surgery, Ohta General Hospital Foundation, Ohta Nishinouchi Hospital, Koriyama City, Fukushima, Japan.

Received for publication November 14, 2006; accepted for publication November 20, 2006.

* Address for reprints: Dr Mitsuru Asano, Department of Cardiovascular Surgery, Ohta General Hospital Foundation, Ohta Nishinouchi Hospital, 2-5-20 Nishinouchi, Koriyama City, Fukushima prefecture 963-8558, Japan. (Email: manasano@med.kobe-u.ac.jp).

The first 20% of the full text of this article appears below.

Syphilitic aortitis is usually associated with aortic aneurysm, aortic regurgitation, and coronary ostial stenosis.1Go However, aortic dissection and intramural hematoma (IMH) due to syphilitic aortitis have rarely been reported. We present a case of ascending aortic IMH and aortic arch aneurysm with syphilis; the patient underwent total arch replacement.

Clinical Summary

A 76-year old woman was admitted because of continuous low-grade pyrexia. The chest computed tomographic scan (CT) revealed ascending aortic IMH (55 mm) and aneurysm (65 mm) of the aortic arch (Figure . . . [Full Text of this Article]






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