ABSTRACT

Syphilitic aortit is a common manifestation of syphilis, involving the thoracic aorta, where destruction of elastic tissue in the media results in dilation and aneurysm formation. We report and identified a case of a 38-year old patient who presents a large ascending aorta aneurysm. He continues to carry the hepatitis B virus. The CT angio- gram confirmed the presence of a giant fusiform ascending aortic aneurysm measuring 86 mm of maximum di- ameter extending nearly to the origin of the brachiocephalic artery with normal diameter across the descending thoracic and abdominal aorta and no flow-limiting obstruction or significant atherosclerotic disease of the supra- aortic arteries. The definitive treatment of aortic aneurysm is surgical repair. Surgery and specific antibiotic treat- ment do not exclude future manifestations of the disease, even after erradication of the T. pallidum, which makes permanent follow-up needed.

Keywords: Aneurysm Aort Syphilis