Rare presentation of ruptured syphilitic aortic aneurysm with pseudoaneurysm.
We report the interesting case of a rare form of presentation of rupture of the ascending aorta with formation of a pseudoaneurysm, diagnosed following the development of a large mass on the surface of the chest over a period of about eight months. Serological tests were positive for syphilis. Echocardiography and computed tomography angiography were essential to confirm the diagnosis and therapeutic management. Cardiovascular syphilis is a rare entity since the discovery of penicillin. Rupture of an aortic aneurysm with formation of a pseudoaneurysm is a potentially fatal complication. The postoperative period was uneventful and the patient was discharged from hospital within days of surgery.
Departamento de Ecocardiografia, Hospital do Coração de Messejana, Fortaleza, Ceará, Brasil. Electronic address: inafeitosa@hotmail.com.
Israel Nilton
IN
de Almeida Feitosa
Departamento de Ecocardiografia, Hospital do Coração de Messejana, Fortaleza, Ceará, Brasil.
Magda
M
Dantas Leite Figueiredo
Departamento de Ecocardiografia, Hospital do Coração de Messejana, Fortaleza, Ceará, Brasil.
Lucia
L
de Sousa Belem
Departamento de Ecocardiografia, Hospital do Coração de Messejana, Fortaleza, Ceará, Brasil.
Antônio Wilon
AW
Evelin Soares Filho
D017541:Aneurysm, False / Q000175:diagnosis*; D001011:Aorta; D001014:Aortic Aneurysm; D001019:Aortic Rupture; D004452:Echocardiography / Q000009:adverse effects; D006801:Humans; D013589:Syphilis, Cardiovascular / Q000175:diagnosis*
Aneurisma; Aneurysm; Chest mass; Massa torácica; Pseudoaneurisma; Pseudoaneurysm; Syphilis; Sífilis