Anaortic Coronary Artery Bypass Grafting After Cardiovascular Collapse From Severe Syphilitic Aortitis With Coronary Obstruction

This case report describes the rare case of cardiovascular collapse and coronary ostial stenosis secondary to syphilitic aortitis in a previously healthy 47-year-old woman. To avoid manipulation of a vasculitic aorta, anaortic coronary artery bypass grafting was performed. Syphilitic aortitis with coronary occlusive disease is rare since the advent of antibiotics, but this case report highlights the importance of including syphilitic aortitis on the differential diagnosis for coronary artery lesions.