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Zeitschrift für Rheumatologie

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02.08.2018 | Übersichten

Syphilitic aortic aneurysm

verfasst von: S.-M. Yuan, MD, PhD

Erschienen in: Zeitschrift für Rheumatologie | Ausgabe 8/2018

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Abstract

The aim of this study was to outline the clinical features of syphilitic aortic aneurysm. The study materials were based on a comprehensive literature review of publications on syphilitic aortic aneurysm published between 2000 and 2017. Syphilitic aortic aneurysm occurred most commonly in the ascending aorta in either a saccular or a fusiform shape. Syphilitic aortic aneurysm was often complicated by aortic valve insufficiency (in almost half of the patients), and by a coronary artery/ostium lesion in 16.5% of the patients. Aortic valve operation was necessary in one fourth, and coronary artery surgery accounted for less than one fifth of patients warranting a surgical treatment. Although there was no difference in the survival rates between the surgically and conservatively treated patients, an aggressive treatment should be performed when diagnosis is made due to the potential risks of aneurysm rupture and sudden death.

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Titel: Syphilitic aortic aneurysm
verfasst von: S.-M. Yuan, MD, PhD
Publikationsdatum: 02.08.2018
Verlag: Springer Medizin
Erschienen in: Zeitschrift für Rheumatologie / Ausgabe 8/2018
Print ISSN: 0340-1855
Elektronische ISSN: 1435-1250
DOI: https://doi.org/10.1007/s00393-018-0519-1

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