Work

A case of giant syphilitic Stanford type a aortic dissection with right pulmonary artery compression presenting as facial swelling

Year: 2025

Type: article

Abstract: BACKGROUND: This 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. CONCLUSION: This case underscores the rarity of syphilitic AD presenting as facial swelling. Timely recognition and individualized treatment strategies can achieve favorable outcomes.

Source: Journal of Cardiothoracic Surgery

DOI: 10.1186/s13019-025-03672-8

Authors: Long Tang, Min Zhao, Jianping Liu, Yi Li, Yongheng Zhang

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890

OpenAlex ID: W4416697302