22 September 2023
: Case report 
Tertiary Cardiovascular Syphilis Presenting as Aortic Regurgitation, Aortitis, Thrombus, and Coronary Artery Occlusion, Requiring Percutaneous Coronary Intervention
Rare coexistence of disease or pathology
Hiroki Uehara
1ABCDEFG*, Masaki Okuyama1F, Yutaro Oe1F, Takaki Yoshimura 1F, Takahiro Gunji1F
DOI: 10.12659/AJCR.941070
Am J Case Rep 2023; 24:e941070
Figure 1. (A) Echocardiography showed moderate or severe aortic regurgitation at the time of the patient’s admission. (B) Two months later, echocardiography showed that the patient’s left ventricular ejection fraction had improved to 37% and aortic regurgitation had improved from moderate to mild status. (C) Transesophageal echocardiography revealed that the patient’s aortic regurgitation was stronger at the gap between the coronary cusp and the aorta rather than at the apex of the valve (arrow). (D) Aortic wall lesions similar to those seen on computed tomography were also observed on transesophageal echocardiography (arrow).