Late сardiovascular syphilis

Since 1998, there has been an annual decrease in the incidence of syphilis in the Russian Federation; however, in 2021 and 2022, the incidence increased, compared to 2020, by 38 and 30%, respectively. In addition, for the first time in many years, the incidence of late syphilis (8.0 cases per 100,000 population) exceeded the incidence of early forms (7.2 cases per 100,000 population). The article presents a case report of late cardiovascular syphilis in a patient who had previously received treatment for the disease. The diagnosis of late cardiovascular syphilis was based on the patient’s medical history, clinical examination, serological blood tests and instrumental diagnostic methods, including transesophageal echocardiography and multispiral computed tomography, i.e., panarthrography of the thoracic and abdominal aorta. The patient has aortic, mitral, and tricuspid valve insufficiency, dilation of the ascending aorta and aortic arch, aneurysm of the descending thoracic aorta, dilation of the brachiocephalic trunk, right common carotid artery, and right subclavian artery, coronary heart disease, angina pectoris, paroxysmal atrial fibrillation, and cardiomegaly. The patient received specific treatment for late cardiovascular syphilis as well as surgical treatment for aortic valve disease and descending thoracic aortic aneurysm.