Surgical treatment of syphilitic superficial femoral artery aneurysm: a rare case report

BMC Infectious Diseases

Case Report

Zhiyuan An¹  Yuzhu Jiang¹  Qi Wang²  Zhihua Cheng²  Siqiao Sun²  Sean X. Luo²  Xiwei Sun²  Zhongying Wang² 

[1] Department of Vascular Surgery, Panshi City Hospital, 132300, Panshi, Jilin Province, China;Department of Vascular Surgery, the First Hospital of Jilin University, 71 Xinmin Street, 130021, Changchun, Jilin Province, China;

关键词: Syphilis;    Femoral artery aneurysm;    Stent implantation;    Surgery resection;   

DOI  :  10.1186/s12879-015-1239-7

 received in 2015-06-19, accepted in 2015-10-21,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundArterial aneurysm is a known complication of syphilis, but the occurrence of femoral artery aneurysm secondary to the syphilitic disease has never been reported.Case presentationThe present study described a 60-year-old Chinese male who presented with two aneurysms in the middle and lower segment of the right superficial femoral artery causing the symptoms of pain, coldness and numbness in the right lower limb. This case was diagnosed with syphilitic superficial femoral aneurysm because of positive syphilitic testing and the inflammatory cell infiltration around the adventitial vasa vasorum under the pathological examination. Anti-syphilis treatment, stent graft implantation and open surgery were attempted to eliminate the syphilis and aneurysm, which was ultimately successful, with no symptoms after a follow-up of 3 months.ConclusionCombined open and endovascular repair may be effective and safe for treatment of syphilitic femoral artery aneurysms.

【 授权许可】

CC BY   
© Cheng et al. 2015