Staged Surgical Repair for Extensive Cardiovascular Damage by Syphilis

A 45-year-old man had aortic regurgitation with a syphilitic true aneurysm of the ascending to transverse arch aorta and a descending aortic aneurysm from chronic Stanford type B aortic dissection. After antibiotic therapy, two-staged surgical repair was performed and there has been no evidence of recurrence in 12 months since the second stage. We describe the successful management of extensive cardiovascular syphilitic damage. (Ann Thorac Surg 2011;92:1503-6) (C) 2011 by The Society of Thoracic Surgeons