Accelerated Atherosclerosis in Tertiary Syphilis and Successful Treatment with Saphenous Vein Grafting: A Case Report

A 48-year-old male patient having none of the known risk factors for atherosclerosis underwent coronary artery bypass graft (CABG) surgery because of double-vessel coronary artery disease. During the operation, the aorta, both internal thoracic arteries (L/R-ITA), and the femoral artery were sclerot...

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Veröffentlicht in:Angiology 2001-08, Vol.52 (8), p.549-552
Hauptverfasser: Ogus, N. Temucin, Cakalagaoglu, Cantürk, Cakalagaoglu, Fulya, Cicek, Sertac
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container_end_page 552
container_issue 8
container_start_page 549
container_title Angiology
container_volume 52
creator Ogus, N. Temucin
Cakalagaoglu, Cantürk
Cakalagaoglu, Fulya
Cicek, Sertac
description A 48-year-old male patient having none of the known risk factors for atherosclerosis underwent coronary artery bypass graft (CABG) surgery because of double-vessel coronary artery disease. During the operation, the aorta, both internal thoracic arteries (L/R-ITA), and the femoral artery were sclerotic, and CABG was performed using only saphenous vein grafts. A diagnosis of tertiary syphilis had been confirmed by either microscopic or serologic tests. There were different degrees of sclerosis in different arteries of different sizes. The presence of coronary artery disease with no known atherosclerotic risk factors should include preoperative testing for connective tissue disorders, chronic inflammatory disease, and cold hemagglutinins, because of the possible use of obligatory deep hypothermia or total circulatory arrest due to a diseased ascending aorta.
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subjects Biological and medical sciences
Biopsy, Needle
Cardiology. Vascular system
Coronary Angiography
Coronary Artery Bypass - methods
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - etiology
Coronary Artery Disease - surgery
Coronary heart disease
Follow-Up Studies
Heart
Humans
Male
Medical sciences
Middle Aged
Saphenous Vein - transplantation
Severity of Illness Index
Syphilis, Cardiovascular - complications
Syphilis, Cardiovascular - pathology
Treatment Outcome
Treponema pallidum
title Accelerated Atherosclerosis in Tertiary Syphilis and Successful Treatment with Saphenous Vein Grafting: A Case Report
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