title: Combined open and endovascular repair of a syphilitic aortic aneurysm.
abstract: The use of endovascular stent grafts in the repair of thoracic aortic aneurysms has provided an alternative means of treatment, particularly in the high-risk patient who may not tolerate conventional open repair. The combination of conventional surgery and endovascular repair may allow for successful treatment in patients with anatomy unsuitable for repair entirely by endovascular means alone. We present the case of a patient with a syphilitic thoracic aortic aneurysm involving the aortic arch and descending thoracic aorta. He underwent a staged repair with an elephant trunk reconstruction of the aortic arch followed by endovascular repair of the descending thoracic aorta. This is the first reported case of the repair of a syphilitic aneurysm by means of endovascular techniques.
authors.affiliation: Department of Surgery, Mount Sinai Medical Center, 5 East 98th Street, 4th Floor, Box 1259, New York, NY 10029, USA. bethany.goldstein@mssm.edu
authors.forename: Bethany
authors.initials: B
authors.lastname: Goldstein
authors.forename: Alfio
authors.initials: A
authors.lastname: Carroccio
authors.forename: Sharif H
authors.initials: SH
authors.lastname: Ellozy
authors.forename: David
authors.initials: D
authors.lastname: Spielvogel
authors.forename: Nicholas
authors.initials: N
authors.lastname: Morrissey
authors.forename: Victoria
authors.initials: V
authors.lastname: Teodorescu
authors.forename: Larry H
authors.initials: LH
authors.lastname: Hollier
authors.forename: Michael L
authors.initials: ML
authors.lastname: Marin
mesh_terms: D017130:Angioplasty / Q000379:methods*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013589:Syphilis, Cardiovascular / Q000601:surgery*