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Eur J Cardiothorac Surg 2005;28:499-501
© 2005 Elsevier Science NL

Case report

Early sternal erosion and luetic aneurysms of thoracic aorta: report of 6 cases and analysis of cause–effect relationship

Narendra Kuber Bodhey a , * , Arun K. Gupta a , Kurur Sankaran Neelakandhan b , Madathipat Unnikrishnan b

a Department of Imaging sciences & Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Kerala 695011, India
b Department of Cardiovascular & Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Kerala, India

Received 24 April 2005; received in revised form 26 May 2005; accepted 30 May 2005.

* Corresponding author. Tel.: +91 471 2524117; fax: +91 471 2446433. (Email: narendrakb2001{at}yahoo.co.in; naren{at}sctimst.ker.nic.in).

Six patients with luetic aneurysm of the ascending aorta eroding the sternum are presented. The erosion was an early and principal presentation and the site of erosion and location and morphology of aneurysm were identical in all six patients. The erosion mainly affected the right half of the manubrium and medial end of right clavicle. The aneurysms arose from the junction of the ascending and transverse arches of the thoracic aorta and had narrow opening close to the origin of the innominate artery. The identical presentation, aetiology, angiographic location and morphology, corroborated further at surgery, suggests that syphilitic aneurysms in this location have a strong tendency to cause early sternal erosion.

Key Words: Aortic aneurysms • Syphilitic • Leutic






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Copyright © 2005 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.