CTICasesSyphilitic Aortitis (Historical Cases)
Imaging findings
Historical chest radiographs and angiograms from the 1940s demonstrate severe dilatation and aneurysmal expansion of the ascending aorta, associated with heavy concentric rim-like calcification of the ascending aortic wall.
Key takeaways
Syphilitic aortitis is a manifestation of tertiary syphilis, resulting from chronic inflammation of the vasa vasorum. Unlike typical atherosclerosis, which favors the descending and abdominal aorta, syphilitic aortitis classically affects the ascending aorta, leading to aneurysm formation and ostial stenosis.
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