title: Staged surgical repair for extensive cardiovascular damage by syphilis.
abstract: A 45-year-old man had aortic regurgitation with a syphilitic true aneurysm of the ascending to transverse arch aorta and a descending aortic aneurysm from chronic Stanford type B aortic dissection. After antibiotic therapy, two-staged surgical repair was performed and there has been no evidence of recurrence in 12 months since the second stage. We describe the successful management of extensive cardiovascular syphilitic damage.
authors.affiliation: Department of Surgery, Saiseikai Yamaguchi General Hospital, Yamaguchi, Yamaguchi, Japan. tkobayashi@yamaguchi.saiseikai.or.jp
authors.forename: Toshiro
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yagi
authors.forename: Masanori
authors.initials: M
authors.lastname: Murakami
authors.forename: Mitsutaka
authors.initials: M
authors.lastname: Jinbo
authors.forename: Satoshi
authors.initials: S
authors.lastname: Saito
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Takahashi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yamada
authors.forename: Hideki
authors.initials: H
authors.lastname: Kunichika
authors.forename: Hidenori
authors.initials: H
authors.lastname: Gohra
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D013589:Syphilis, Cardiovascular / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods*