Abstract

ALVIS-PENA, Diego J. et al. Syphilitic aortitis: about a case in South Colombia. Arch. Cardiol. Méx. [online]. 2020, vol.90, n.4, pp.529-534.  Epub Feb 10, 2021. ISSN 1665-1731.  https://doi.org/10.24875/acm.20000404.

The case of a 73-year-old female patient obtained and resident of Florencia, Caquetá (Colombia), with a history of hypertension who is admitted to a highly complex hospital due to a 3-month clinical picture of constant evolution in pain is presented. Thoracic oppressive type in the anterior region of the left thorax, non-irradiated, of intensity 8/10. The echocardiogram shows calcified aortic valve disease with severe aortic stenosis, aortic regurgitation, left ventricular hypertrophy, and mild grade mitral regurgitation. Within the pre-surgical studies, she presented VDRL with 1:4 dilutions and the diagnosis was confirmed with the result of the treponemal test and other infectious diseases were ruled out. Valvular replacement was performed with a bioprosthesis plus a supra-coronary valvular tube. In the biopsy, chronic scar valvulitis with extensive calcifications was confirmed. After the surgical intervention, discharge was performed due to adequate clinical evolution.

Keywords : Aortitis; Syphilis serodiagnosis; Syphilis cardiovascular.

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