Bilateral ostial coronary stenosis and rheumatic aortic valve stenosis
Date
2006
Authors
Sorokin A.
Weich H.
Doubell A.
Moolman J.
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Abstract
A 49-year-old patient presented with angina pectoris and clinical findings of aortic valve stenosis and regurgitation. Rheumatic aortic valve stenosis and regurgitation was diagnosed on echocardiography. Coronary angiography findings showed severe calcification in the aorta root with right coronary ostial occlusion, and were suggestive of left main ostial stenosis and proximal main stem stenosis, which was confirmed on CT angiography. Curvilinear calcification of the aorta was present on CT angiography. The findings suggested syphilitic aortitis. Syphilis serology was positive (RPR titre 1/16). The angina was caused by severe coronary ostial disease likely due to syphilitic aortitis and exacerbated by the rheumatic aortic valve stenosis and regurgitation. © 2006 Taylor & Francis.
Description
Keywords
penicillin G, adult, anamnesis, angina pectoris, angiocardiography, aorta valve regurgitation, aorta valve stenosis, aortitis, artery calcification, article, case report, clinical examination, computed tomographic angiography, coronary artery obstruction, echocardiography, human, laboratory test, male, priority journal, rheumatic heart disease, syphilis, syphilis serology, Aortic Valve Stenosis, Coronary Angiography, Coronary Stenosis, Humans, Male, Middle Aged, Rheumatic Heart Disease, Syphilis, Cardiovascular
Citation
Acute Cardiac Care
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