Syphilitic Aortitis
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Pathological consequences of syphilitic aortitis:
- The aortitis is mostly inflammation in the media and adventitia à induced scarring causes an intimal wrinkling in the aortic wall
- Tree bark appearance, which is chx of syphillis
- Can narrow the coronary arteries, producing severe ischemia
- Aortic valve dilates à commisures separate from each other à when the valves close, there are g
aps at the periphery à aortic regurgitation, which can be severe
- Many cases die from this, rather than from the ruptured aneurysm
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