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Asian Cardiovasc Thorac Ann 2006;14:351
© 2006 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Syphilitic Aneurysm Eroding the Chest Wall

Praveen K Varma, MCh, Kurur S Neelakandhan, MCh

Division of Cardio-Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India

For reprint information contact:Praveen K Varma, MD, Tel: 91 471 244 4496, Fax: 91 471 244 6433, Email: pkvarma{at}sctimst.ac.in, Division of Cardiovascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695011, India

A 49-year-old man was admitted with a large pulsatile swelling of the chest and neck. Serology for syphilis was positive. Computed tomographic scan showed aneurysm of the ascending aorta and innominate artery, eroding chest wall and the neck (figure 1Go). An angiogram detected a saccular aneurysm of the ascending aorta and innominate artery (figure 2Go). The aneurysm was repaired under cardio-pulmonary bypass and total circulatory arrest.


Figure 1
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  		Figure 1. The aneurysm arising from the ascending aorta and innominate artery is eroding the sternum and chest wall and extending to neck.

 

Figure 2
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  		Figure 2. The angiogram showing a giant saccular aneurysm of the ascending aorta and innominate artery.

 





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