Syphilitic Aortitis Presenting With De-Novo Aortic Thrombus and Acute Myocardial Infarction.

ABSTRACT:

Background

Syphilitic aortitis, caused by Treponema pallidum, is a known complication of tertiary or latent syphilis.

Case summary

We present a case of syphilitic aortitis in a patient who presented with acute inferior ST-segment elevation myocardial infarction and was detected to have a large, mobile aortic thrombus on cardiac magnetic resonance imaging and confirmed with coronary computed tomography angiogram. After multidisciplinary discussion, the patient underwent urgent definitive surgical intervention.

Discussion

With syphilis cases surging, clinicians must maintain a high index of suspicion for syphilitic aortitis with atypical clinical presentations. Multimodality cardiovascular imaging is imperative to establish a diagnosis, and surgical intervention may be

SUBMITTER: Mendez RS 

PROVIDER: S-EPMC12665836 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature