DISEASE OF BODIES OF BLOOD CIRCULATION : SYPHILIS VASCULAR-SERDECHNOI SYSTEM. Aortic (aortitis) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Кровеносная система, сердце, сосуды, кровь
In the vast majority of cases in the basis of the disease is syphilitic defeat average shell (mesaortitis luetica), in which there syphilis infiltrates. The internal layer of the aorta is covered by furrows, areas between which form a protrusion. Their surface is often atheromatous reborn. In outer shell has a small cell infiltration.
Characterized by chest pain (ostalgie), which, however, only rarely reach a greater intensity. These anginal attacks have been observed in the localization of syphilis process in the ascending aorta, and with the involvement of coronary vessels. Radiographically detected diffuse (spindle) expansion of the relatively small size; for larger degrees of extension or significant protrusions of any Department is talking about aneurysm. Auscultation is often defined sonorous-second tone over the aorta that when nepomucenum blood pressure indicates the seal of the aortic wall. Often systolic hum.
Under the influence of specific therapy noise may disappear or change in its power, the emphasis loses sonority, pain usually disappear. In the absence or insufficiency of specific treatment may develop aortic aneurysm.