Accelerated atherosclerosis in tertiary syphilis and successful treatment with saphenous vein grafting--a case report.
2001
A 48-year-old male patient having none of the known risk factors for atherosclerosis underwent coronary artery bypass graft (CABG) surgery because of double-vessel
coronary artery disease. During the operation, the aorta, both
internal thoracic arteries(
L/R-ITA), and the
femoral arterywere sclerotic, and CABG was performed using only
saphenous veingrafts. A diagnosis of tertiary syphilis had been confirmed by either microscopic or serologic tests. There were different degrees of sclerosis in different arteries of different sizes. The presence of
coronary artery diseasewith no known atherosclerotic risk factors should include preoperative testing for connective tissue disorders, chronic inflammatory disease, and cold
hemagglutinins, because of the possible use of obligatory deep hypothermia or total circulatory arrest due to a diseased
ascending aorta.
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