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  • Title: Impending Aortic Rupture in a Patient with Syphilitic Aortitis.
    Author: Cocora M, Nechifor D, Lazar MA, Mornos A.
    Journal: Vasc Health Risk Manag; 2021; 17():255-258. PubMed ID: 34079272.
    Abstract:
    We report the case of a 48-year-old man, admitted for atrial fibrillation with rapid heart rate and intense chest pain. A quick evaluation revealed a giant aortic aneurysm with severe aortic regurgitation and pericardial fluid without a trace of aortic dissection. Because of high suspicion of aortic rupture, an emergency surgery was planned, and a Bentall procedure was performed. On examination of the aortic wall revealing vertical wrinkling with a tree bark aspect, suspicion of syphilitic aortitis arose. The diagnosis was confirmed through postoperative serologic testing and histological examination. Histopathologic differential diagnosis, special treatment and follow-up are presented.
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