ArticleJournal of cardiothoracic surgery2025
A case of giant syphilitic Stanford type a aortic dissection with right pulmonary artery compression presenting as facial swelling.
Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis article reports in detail a case of syphilitic aortic dissection (AD) with facial swelling as the initial symptom. CASE PRESENTATION: A 62-year-old male had a 2-week history of facial swelling. CT examination revealed ascending aortic aneurysm and thrombosis. Computed tomography angiography (CTA) revealed ascending AD aneurysm and multiple ulcers. Syphilis antibody positive. Blood oxygen saturation was 92%-96%. The patient underwent ascending aortic replacement, total arch replacement, and elephant stent implantation 2 days after admission. The superior vena cava pressure decreased from 65 to 19 mmHg after surgery. The patient was extubated 6 h after surgery and was active the next day. Blood oxygen saturation returned to normal, and facial swelling reduced. CTA at 1 week confirmed the surgery's success.
conclusionThis case underscores the rarity of syphilitic AD presenting as facial swelling. Timely recognition and individualized treatment strategies can achieve favorable outcomes.
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