Recurrent tamponade and aortic dissection in syphilis

Audrey Stansal; Tristan Mirault; Aude Rossi; Nicolas Dupin; Patrick Bruneval; Alain Bel; Arshid Azarine; Catherine Minozzi; Anne Laure Deman; Emmanuel Messas

doi:10.1016/j.athoracsur.2013.05.096

Recurrent tamponade and aortic dissection in syphilis

Ann Thorac Surg. 2013 Nov;96(5):e111-3. doi: 10.1016/j.athoracsur.2013.05.096.

Authors

Audrey Stansal¹, Tristan Mirault, Aude Rossi, Nicolas Dupin, Patrick Bruneval, Alain Bel, Arshid Azarine, Catherine Minozzi, Anne Laure Deman, Emmanuel Messas

Affiliation

¹ Department of Vascular Medicine, European Hospital Georges Pompidou, Paris, France; PARCC IMSERM, University Paris Descartes, Paris, France. Electronic address: [email protected].

PMID: 24182507
DOI: 10.1016/j.athoracsur.2013.05.096

Abstract

Syphilitic cardiovascular disease has been described since the 19th century, mainly on autopsy series. Major clinical manifestations are aortic aneurysm, aortic insufficiency, and coronary ostial stenosis. The diagnosis of syphilitic cardiovascular disease is based mainly on positive serologic tests and overt clinical manifestations. We present here a rare and unusual clinical presentation of a tertiary syphilis with recurrent tamponade and type B aortic dissection, whose positive diagnosis was made by polymerase chain reaction on pericardial fluid analysis.

Keywords: 18.

Publication types

Case Reports

MeSH terms

Aortic Aneurysm / etiology*
Aortic Dissection / etiology*
Cardiac Tamponade / etiology*
Female
Humans
Middle Aged
Recurrence
Syphilis / complications*