A case of acute myocardial infarction due to cardiovascular syphilis with aortic regurgitation and bilateral coronary ostial stenosis

被引:0
|
作者
Mutsuo Tanaka
Minoru Okamoto
Toshihiko Murayama
机构
[1] National Hospital Organization Kumamoto Medical Center,Department of Cardiovascular Surgery
[2] National Hospital Organization Kumamoto Medical Center,Department of Pathology
关键词
Syphilis; Acute myocardial infarction; Coronary artery bypass grafting; Aortic valve replacement;
D O I
10.1186/s40792-016-0267-x
中图分类号
学科分类号
摘要
We report an interesting case of a 66-year-old man with acute myocardial infarction (AMI) with bilateral coronary ostial stenosis cardiovascular syphilis complicated by aortic regurgitation (AR). A 12-lead electrocardiogram and blood tests on arrival suggested AMI, and echocardiography showed moderate AR. Emergency coronary angiography showed bilateral coronary ostial stenosis. The patient underwent emergency surgical treatment, coronary artery bypass grafting, and aortic valve replacement with a bioprosthetic valve. On arrival, rapid plasma reagin and Treponema pallidum hemagglutination tests were 172.2- and 1187.5-fold, respectively. These results suggested cardiovascular syphilis, which was confirmed by pathological findings. The postoperative course was uneventful and the patient was transferred to another hospital on postoperative day 25. This patient received intravenous penicillin for 2 weeks and subsequently oral amoxicillin. When both AR and coronary ostial stenosis are found, it is necessary to consider the presence of cardiovascular syphilis.
引用
收藏
相关论文
共 50 条
  • [21] Computed Tomography Coronary Angiography in Patients With Acute Myocardial Infarction Without Significant Coronary Stenosis
    Aldrovandi, Annachiara
    Cademartiri, Filippo
    Arduini, Daniele
    Lina, Daniela
    Ugo, Fabrizio
    Maffei, Erica
    Menozzi, Alberto
    Martini, Chiara
    Palumbo, Alessandro
    Bontardelli, Federico
    Gherli, Tiziano
    Ruffini, Livia
    Ardissino, Diego
    CIRCULATION, 2012, 126 (25) : 3000 - 3007
  • [22] ACUTE MYOCARDIAL INFARCTION DUE TO KNIFE INJURY - A CASE REPORT
    Hameed, Imran
    PAKISTAN HEART JOURNAL, 2020, 53 (04): : 370 - 375
  • [23] Heart transplantation after acute myocardial infarction due to focal coronary Takayasu arteritis: a case report
    Clemmensen, Tor Skibsted
    Stilling, Christina
    Larsen, Sanne Bojet
    Eiskjaer, Hans
    EUROPEAN HEART JOURNAL-CASE REPORTS, 2023, 7 (12)
  • [24] Acute ST elevation myocardial infarction in pregnancy due to coronary vasospasm: A case report and review of literature
    Iadanza, Alessandro
    Del Pasqua, Alessia
    Barbati, Riccardo
    Carrera, Arcangelo
    Gentilini, Rodolfo
    Favilli, Roberto
    Pierli, Carlo
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2007, 115 (01) : 81 - 85
  • [25] Acute myocardial infarction due to Kounis syndrome: A case report
    Xu, Guang-Zhi
    Wang, Gang
    WORLD JOURNAL OF CLINICAL CASES, 2022, 10 (31) : 11555 - 11560
  • [26] Single Coronary Artery Presenting with Cardiogenic Shock due to Acute Myocardial Infarction
    Bilal Geyik
    Ozcan Ozeke
    Bulent Deveci
    Orhan Maden
    Kubilay Senen
    The International Journal of Cardiovascular Imaging, 2006, 22 : 5 - 7
  • [27] Single coronary artery presenting with cardiogenic shock due to acute myocardial infarction
    Geyik, B
    Ozeke, O
    Deveci, B
    Maden, O
    Senen, K
    INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2006, 22 (01) : 5 - 7
  • [28] Stenting of aortic coarctation before coronary artery bypass surgery in an adult with acute myocardial infarction: a case report
    Tomasino, Marco
    Valente, Filipa
    Rello Sabate, Pau
    Marti Aguasca, Gerard
    Miranda Barrio, Berta
    EUROPEAN HEART JOURNAL-CASE REPORTS, 2024, 8 (07)
  • [29] Case Report: A Rare Case of Acute Anterior Myocardial Infarction Simultaneously Associated With Aortic Mural Thrombosis Due to Essential Thrombocytosis
    Ye, Sheng
    Xia, Wu-Jie
    Chen, Peng
    FRONTIERS IN CARDIOVASCULAR MEDICINE, 2022, 9
  • [30] Case report: acute myocardial infarction in the setting of acute transcatheter aortic valve thrombus
    Hebbo, Elsa
    Khoury, Alessandro El
    Iskandarani, Dounia
    Sawaya, Fadi
    FRONTIERS IN CARDIOVASCULAR MEDICINE, 2023, 10