A rare presentation of ascending aortic aneurysm eroding into the anterior chest wall and skin is described. Only a few reports of this lethal condition associated with luetic disease have been published previously. A 72-year-old man with a history of blunt chest injury subsequently developed a saccular aneurysm of the ascending aorta protruding out of the anterior chest wall. He was successfully treated with a surgical intervention.
BodheyNKGuptaAKNeelakandhanKS and UnnikrishnanM.Early sternal erosion and luetic aneurysms of thoracic aorta: report of 6 cases and analysis of cause-effect relationship.Eur J Cardiothorac Surg2005;
28: 499–501.
2.
FultonJOZillaPDe GrootKM and Von OppellUO.Syphilitic aortic aneurysm eroding through the sternum.Eur J Cardiothorac Surg1996;
10: 922–924.
3.
EhrlichMPErginMA and McCulloughJN.Predictors of adverse outcome and transient neurologic dysfunction after ascending aorta/hemiarch replacement.Ann Thorac Surg2000;
69: 1755–1763.
4.
Di EusanioMSchepensMAMorshuisWJet al.
Antegrade selective cerebral perfusion during operations on the thoracic aorta: factors influencing survival and neurologic outcome in 413 patients.J Thorac Cardiovasc Surg2002;
124: 1080–1086.
5.
AmarencoPDuyckaertsCTzourioC and HéninDBousserMGHauwJJ.The prevalence of ulcerated plaques in the aortic arch in patients with stroke.New Engl J Med1992;
326: 221–225.
6.
OzatikMAKüçükerSATülüceHet al.
Neurocognitive functions after aortic arch repair with right brachial artery perfusion.Ann Thorac Surg2004;
78: 591–595.
7.
LuSSunXHongTet al.
Bilateral versus unilateral antegrade cerebral perfusion in arch reconstruction for aortic dissection.Ann Thorac Surg2012;
93: 1917–1920.
