Bilateral Coronary Ostial Stenosis and Aortic Regurgitation due to Syphilitic Aortitis

Hiroki AIZAWA; Akira HASEGAWA; Masashi ARAI; Fumio NAGANUMA; Masako HATORI; Tsugiyasu KANDA; Tadashi SUZUKI; Kazuhiko MURATA; Yasushi SATOH; Susumu ISHIKAWA; YASUO MORISHITA; Ryozo NAGAI

doi:10.2169/internalmedicine.37.56

Hiroki AIZAWA, Akira HASEGAWA, Masashi ARAI, Fumio NAGANUMA, Masako HATORI, Tsugiyasu KANDA, Tadashi SUZUKI, Kazuhiko MURATA, Yasushi SATOH, Susumu ISHIKAWA, YASUO MORISHITA, Ryozo NAGAI

Author information

Hiroki AIZAWA
The Second Department of Internal Medicine, Gunma University School of Medicine
Akira HASEGAWA
The Second Department of Internal Medicine, Gunma University School of Medicine
Masashi ARAI
The Second Department of Internal Medicine, Gunma University School of Medicine
Fumio NAGANUMA
The Second Department of Internal Medicine, Gunma University School of Medicine
Masako HATORI
The Second Department of Internal Medicine, Gunma University School of Medicine
Tsugiyasu KANDA
The Second Department of Internal Medicine, Gunma University School of Medicine
Tadashi SUZUKI
The Gunma University School of Health Sciences
Kazuhiko MURATA
The Second Department of Internal Medicine, Gunma University School of Medicine
Yasushi SATOH
The Second Department of Surgery, Gunma University School of Medicine
Susumu ISHIKAWA
The Second Department of Surgery, Gunma University School of Medicine
YASUO MORISHITA
The Second Department of Surgery, Gunma University School of Medicine
Ryozo NAGAI
The Second Department of Internal Medicine, Gunma University School of Medicine

Keywords: coronary artery bypass graft, aortic valve replacement

JOURNAL FREE ACCESS

1998 Volume 37 Issue 1 Pages 56-59

DOI https://doi.org/10.2169/internalmedicine.37.56

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Abstract

Coronary ostial stenosis in otherwise normal coronary vessels, is a rare complication of syphilitic aortitis, and most of the cases are found at autopsy. We report here a case in which bilateral coronary ostial stenosis and aortic regurgitation due to syphilitic aortitis was diagnosed; coronary artery bypass graft and aortic valve replacement were then performed. The macroscopic finding and the histopathological examination of the ascending aorta revealed the presence of syphilitic aortitis. It is important to note that syphilis is one of the causes of coronary ostial stenosis in young adults associated with aortic regurgitation.
(Internal Medicine 37: 56-59, 1998)

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