syphilitische Aortitis

Syphilitic
aortitis. Thoracic Angio-CT (axial section on mediastinal window) shows irregular aortic wall thickening with soft-tissue accumulation owing to the chronic inflammatory process.
www.eurorad.org • CC by-nc-sa-4.0
Syphilitic
aortitis. Thoracic Angio-CT (axial section on mediastinal window) revealed aneurysmatic dilatation of the ascending aorta and the proximal thoracic descending aorta associated with a mural thrombus at the posterior wall.
www.eurorad.org • CC by-nc-sa-4.0
Syphilitic
aortitis. The chronic inflammatory process leads to irregular aortic wall distortion, with thickening and fibrosis, which ultimately weaken its structure, resulting in aneurysm formation; all of which can be appreciated in this image.
www.eurorad.org • CC by-nc-sa-4.0
Syphilitic
aortic aneurysm with a pulmonary lesion: a case report and literature view. CTA and 3D reconstruction of the whole aorta. a and b showed multiple tumor-like bulges in the dilated ascending aorta and the arch of aorta with calcification lesions in the aortic wall. The maximum cross-sectional diameters of the dilated segments were 49.1, 33.9 and 19.2 mm. c and d showed the 3D reconstruction imaging of whole aorta before treatment
springerplus.springeropen.com • CC-by-4.0
Syphilitic
aortic aneurysm with a pulmonary lesion: a case report and literature view. Angiography of the aorta before and after the procedure. Remarkable cystic dilation of ascending aorta and aortic arch is indicated with arrow. After the stent implanted, the multiple tumor like bulges of the aorta completely disappeared
springerplus.springeropen.com • CC-by-4.0
A case report
of CT-diagnosed renal infarct secondary to syphilitic aortitis. Computed tomography angiography of the chest and abdomen. It showed a non-circular thickening of the aortic wall of the descending thoracic aorta (dashed arrows) associated to an intra-luminal thrombus (black solid arrow) (a), and a right renal infarct (solid arrow) (b)
bmcinfectdis.biomedcentral.com • CC-by-4.0
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Syphilitic aortitis is a form of aortitis which occurs due to syphilis. It usually occurs in tertiary syphilis often 10-30 years after initial infection.

Complications

  • progression into a luetic aneurysm
  • aortic valvular insufficiency
  • coronary ostial involvement with coronary ostial stenosis
  • dilation of the aortic root

History and etymology

The first case series describing valvular leaflet incompetence as a mechanism underlying aortic regurgitation featured patients predominantly affected by syphilitic aortitis. The English physicians Charles Aston Key (1793–1849) and Thomas Hodgkin (1798-1866) collaborated in the description of the precordial auscultatory findings in aortic regurgitation; the characteristic early diastolic decrescendo loudest along the left sternal border is accordingly (albeit seldomly) referred to as the Key-Hodgkin murmur .

The latter speculated that the structural pathology which many of the patients shared resulted in an inability of the aortic valve to appropriately close and prevent the reflux of blood back into the left ventricle. He also noted many of the patients had valves which were abnormally "retroverted," and further speculated that the aortic root dilation present in most likely contributed to the valvular incompetence .

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu syphilitische Aortitis: