Abstract

MACHADO, Mauricio de Nassau; TRINDADE, Percival F.; MIRANDA, Rafael Carlos  and  MAIA, Lilia Nigro. Bilateral ostial coronary lesion in cardiovascular syphilis: case report. Rev Bras Cir Cardiovasc [online]. 2008, vol.23, n.1, pp. 129-131. ISSN 0102-7638.  http://dx.doi.org/10.1590/S0102-76382008000100022.

Syphilis is an infectious disease occurring through a series of frequently overlapping stages. It can impair the cardiovascular and neurological system. In 30% of the non treated patients, syphilis develops your tertiary form. We report a case of a 46-year-old male patient admitted due to edema pulmonary and acute coronary syndrome with left bundle branch block, submitted to fibrinolytic therapy successfully. Coronary angiography showed a 90% ostial lesion of left main coronary artery and occlusion of the right coronary artery ostium. VDRL was titrated to 1/128. The patient was undergone to CABG and was discharged after treatment with crystalline penicillin.

Keywords : Syphilis, cardiovascular; Aortitis; Coronary disease; Pulmonary edema; Myocardial infarction.