Anaortic Coronary Artery Bypass Grafting After Cardiovascular Collapse From Severe Syphilitic Aortitis With Coronary Obstruction

TL;DR

A 47-year-old woman experienced severe heart issues due to syphilitic aortitis, and a special bypass surgery was used to avoid damaging her inflamed aorta.

Contribution

This case highlights the rare use of anaortic bypass grafting for syphilitic aortitis with coronary obstruction.

Findings

Syphilitic aortitis can cause severe cardiovascular collapse and coronary stenosis.

Anaortic coronary artery bypass grafting is a viable surgical option to avoid manipulating a vasculitic aorta.

Syphilitic aortitis should be considered in the differential diagnosis for coronary artery lesions despite antibiotic availability.

Abstract

This case report describes the rare case of cardiovascular collapse and coronary ostial stenosis secondary to syphilitic aortitis in a previously healthy 47-year-old woman. To avoid manipulation of a vasculitic aorta, anaortic coronary artery bypass grafting was performed. Syphilitic aortitis with coronary occlusive disease is rare since the advent of antibiotics, but this case report highlights the importance of including syphilitic aortitis on the differential diagnosis for coronary artery lesions.

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