摘要
After the advent of antibiotic treatment,tertiary syphilis is rarely observed over the last several decades,and its cardiovascular manifestations are particularly rare.Syphilitic aortitis typically involves the tubular portion of the ascending aorta,aortic arch and descending thoracic aorta,sparing the sinuses of Valsalva.[1]Although exceptional cases of treatment of syphilitic thoracic aortic aneurysm have been reported,[2-4]the optimal technique for treatment is not established.Total arch replacement combined with stented elephant trunk technique was proven to be feasible in patients with type A aortic dissection.Herein,we described our experience of total arch replacement with stented elephant trunk technique in three patients presenting with syphilitic thoracic aortic aneurysm involving the aortic arch and proximal descending aorta.
