Syphilitic Aortitis Causing Bilateral Coronary Ostial Stenosis


  • Soh Hosoba
  • Tomoaki Suzuki
  • Yusuke Koizumi
  • Tohru Asai



Coronary ostial stenosis in otherwise normal coronary vessels is a rare complication of syphilitic aortitis. A 47-year-old man with no coronary risk factors developed severe isolated ostial stenosis in the left main coronary artery and right coronary artery. He underwent coronary artery bypass grafting using the bilateral internal thoracic arteries and gastroepiploic artery and recovered uneventfully.


Heggtveit HA. 1964. Syphilitic aortits. A clinicopathologic autopsy study of 100 cases, 1950 to 1960. Circulation 29:346-55.nHerskowitz A, Cho S, Factor SM. 1980. Syphilitic arteritis; involving proximal coronary arteries. N Y State J Med 80:971-4.nHitchcock JF, Robles de Medina EO, Jambroes G. 1983. Angioplasty of the left main coronary artery for isolated left main coronary artery disease. J Thorac Cardiovasc Surg 85:880-4.nTanaka K, Takeda M, Nagayama K. 2007. Composite Y-graft for syphilitic ostial stenosis in left main coronary artery. Asian Cardiovasc Thorac Ann 15:159-61.n



How to Cite

Hosoba, S., Suzuki, T., Koizumi, Y., & Asai, T. (2011). Syphilitic Aortitis Causing Bilateral Coronary Ostial Stenosis. The Heart Surgery Forum, 14(1), E59-E60.